Recognizing asthma in patients with chronic obstructive pulmonary disease

被引：0
作者：
Shedd, Glenn Clinton [1 ]
Thompson, Alexandra [1 ]
Calvert, Robert Owen, III [1 ]
机构：
[1] Emory Univ, Nell Hodgson Woodruff Sch Nursing, Atlanta, GA USA
来源：
JOURNAL OF THE AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 2021年 / 33卷 / 07期
关键词：
ACOS; asthma; asthma-COPD overlap syndrome; asthma diagnosis; bronchodilator response; COPD; elevated IgE; eosinophilia; ICS; inhaled corticosteroid; OVERLAP SYNDROME; DIAGNOSIS; MANAGEMENT; ADULTS; BIOMARKERS;
D O I：
10.1097/JXX.0000000000000405
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Newer guidelines for the use of inhaled corticosteroids in chronic obstructive pulmonary disease (COPD) state that they should be reserved for those patients who are likely to derive the greatest benefits from this medication class. This makes the latest Global Initiative for Chronic Obstructive Lung disease (GOLD) guidelines of great importance. This article examines the utility of a previous diagnosis of asthma, the presence of eosinophilia, elevated immunoglobulin E, and positive bronchodilator response in identifying the people with COPD who also have asthma, and it presents two case studies of patients with COPD to illustrate the use of the GOLD guidelines in clinical practice.
引用
收藏
页码：537 / 542
页数：6
相关论文
共 30 条
  • [1] Underdiagnosis and Overdiagnosis of Asthma
    Aaron, Shawn D.
    Boulet, Louis Philippe
    Reddel, Helen K.
    Gershon, Andrea S.
    [J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2018, 198 (08) : 1012 - 1020
  • [2] Reevaluation of Diagnosis in Adults With Physician-Diagnosed Asthma
    Aaron, Shawn D.
    Vandemheen, Katherine L.
    FitzGerald, J. Mark
    Ainslie, Martha
    Gupta, Samir
    Lemiere, Catherine
    Field, Stephen K.
    McIvor, R. Andrew
    Hernandez, Paul
    Mayers, Irvin
    Mulpuru, Sunita
    Alvarez, Gonzalo G.
    Pakhale, Smita
    Mallick, Ranjeeta
    Boulet, Louis-Philippe
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2017, 317 (03): : 269 - 279
  • [3] Agusti A, 2019, GLOBAL STRATEGY DIAG
  • [4] [Anonymous], 2020, Global Strategy for the Diagnosis, Management and Prevention of Chronic Obstructive Pulmonary Disease: 2020 Report
  • [5] Predictors of asthma-chronic obstructive pulmonary disease overlap syndrome in patients with chronic obstructive pulmonary disease from a tertiary care center in India
    Ayub, Irfan Ismail
    Arshad, Abdul Majeed
    Sekar, Prathipa
    Manimaran, Natraj
    Thangaswamy, Dhanasekar
    Chockalingam, Chandrasekar
    [J]. LUNG INDIA, 2018, 35 (02) : 137 - 142
  • [6] The asthma - chronic obstructive pulmonary disease overlap syndrome (ACOS): opportunities and challenges
    Barrecheguren, Miriam
    Esquinas, Cristina
    Miravitlles, Marc
    [J]. CURRENT OPINION IN PULMONARY MEDICINE, 2015, 21 (01) : 74 - 79
  • [7] Diagnosis of asthma: diagnostic testing
    Brigham, Emily P.
    West, Natalie E.
    [J]. INTERNATIONAL FORUM OF ALLERGY & RHINOLOGY, 2015, 5 : S27 - S30
  • [8] Is asthma overdiagnosed?
    Bush, Andrew
    Fleming, Louise
    [J]. ARCHIVES OF DISEASE IN CHILDHOOD, 2016, 101 (08) : 688 - 689
  • [9] Predicting asthma in older adults on the basis of clinical history
    Cavallazzi, Rodrigo
    Jorayeva, Anna
    Beatty, Bryan L.
    Antimisiaris, Demetra
    Gopalraj, Rangaraj
    Myers, John
    Folz, Rodney J.
    Polivka, Barbara J.
    [J]. RESPIRATORY MEDICINE, 2018, 142 : 36 - 40
  • [10] Clinical Outcome of Eosinophilic Airway Inflammation in Chronic Airway Diseases Including Nonasthmatic Eosinophilic Bronchitis
    Cho, Jaeyoung
    Choi, Sun Mi
    Lee, Jinwoo
    Park, Young Sik
    Lee, Sang-Min
    Yoo, Chul-Gyu
    Kim, Young Whan
    Han, Sung Koo
    Lee, Chang-Hoon
    [J]. SCIENTIFIC REPORTS, 2018, 8
123