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. 2013 Aug 23:13:54.
doi: 10.1186/1471-2466-13-54.

Chronic obstructive pulmonary disease and exacerbations: patient insights from the global Hidden Depths of COPD survey

Neil Barnes  1 , Peter M A Calverley, Alan Kaplan, Klaus F Rabe
Affiliations

Chronic obstructive pulmonary disease and exacerbations: patient insights from the global Hidden Depths of COPD survey

Neil Barnes et al. BMC Pulm Med. .

Abstract

Background: Although chronic obstructive pulmonary disease (COPD) is a major global health burden there is a lack of patient awareness of disease severity, particularly in relation to exacerbations VSports手机版. .

Methods: We conducted a global patient survey using an innovative, internet-based methodology to gain insight into patient perceptions of COPD and exacerbations in a real-world sample typical of today's working-age COPD population V体育安卓版. .

Results: Two thousand patients with COPD (53%), chronic bronchitis (52%) and/or emphysema (22%) from 14 countries completed an online questionnaire developed by the authors V体育ios版. The Medical Research Council (MRC) breathlessness scale was used to delineate symptom severity. Over three quarters of patients (77%) had experienced an exacerbation, with 27% of MRC 1 and 2 patients and 52% of MRC 3, 4 and 5 patients requiring hospitalization as a result of an exacerbation. While a majority of MRC 1 and 2 patients (51%) reported being back to normal within a few days of an exacerbation, 23% of MRC 3, 4 and 5 patients took several weeks to return to normal and 6% never fully recovered. A high proportion of patients (39%) took a 'wait and see' approach to exacerbations. Despite the high prevalence of exacerbations and their negative impact on quality of life, 73% of MRC 1 and 2 patients and 64% of MRC 3, 4 and 5 patients felt that they had control of their COPD. However, 77% of all patients were worried about their long-term health, and 38% of MRC 1 and 2 patients and 59% of MRC 3, 4 and 5 patients feared premature death due to COPD. .

Conclusions: To reduce the adverse effects of COPD on patients' quality of life and address their fears for the future, we need better patient education and improved prevention and treatment of exacerbations. VSports最新版本.

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Figures

Figure 1
Figure 1
Flow diagram of patient selection.
Figure 2
Figure 2
Healthcare utilization in the preceding 12 months.
Figure 3
Figure 3
Comorbidities.
Figure 4
Figure 4
Frequency of exacerbations in the preceding 12 months.
Figure 5
Figure 5
Response to an exacerbation.
Figure 6
Figure 6
Treatment-seeking triggers during an exacerbation.
Figure 7
Figure 7
Impact of COPD and exacerbations.
See this image and copyright information in PMC

References (V体育官网)

    1. WHO. World Health Statistics 2008. Available from: http://www.who.int/whosis/whostat/EN_WHS08_Full.pdf.
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    1. From the Global Strategy for the Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2011. Available from: http://www.goldcopd.org/ (VSports app下载) - PubMed
    1. Wouters EFM. Economic analysis of the Confronting COPD survey: an overview of results. Respir Med. 2003;97(Suppl C):S3–S14. - "VSports在线直播" PubMed

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