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.
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页码：537 / 542
页数：6
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