Outcomes of COPD Exacerbations Treated with Corticosteroids, Antibiotics, or Both

Joint Authors

Shenoy, Kartik V.
Cordova, Francis
Mamary, A. James
Remakus, Christopher B.
Grabianowski, Carla L.
Gaughan, John P.
Criner, Gerard J.
Lammi, Matthew R.
Ciccolella, David

Source

ISRN Pulmonology

Issue

Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-6, 6 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2011-09-07

Country of Publication

Egypt

No. of Pages

6

Main Subjects

Diseases
Medicine

Abstract EN

Background.

The outcomes for outpatient treatment of acute exacerbations of COPD (AECOPD) are poorly described.

Design.

The results of a daily diary recording symptoms and peak flows were compiled into a severity score to trigger algorithm-based treatments and a symptom index to follow treatment response.

Treatment failure (symptom index failing to return to baseline for 2 consecutive days or hospitalization within 21 days) was the main outcome.

Results.

Twenty-two patients (FEV1 0.81 ± 0.26 L) were treated for 115 AECOPDs (corticosteroids = 36, antibiotics = 41, corticosteroids/antibiotics = 38).

Treatment failure was 50% for the corticosteroid/antibiotic compared to 28% (P=0.006) for the corticosteroid and 34% (P<0.0001) for the antibiotic group.

Patients suffering from AECOPDs treated with corticosteroids had dyspnea, wheezing, and decreased peak flow; those treated with antibiotics had sputum symptoms; those treated with corticosteroids/antibiotics had dyspnea, wheezing, sputum symptoms, and decreased peak flows.

Conclusions.

AECOPDs with both dyspnea and sputum symptoms are more refractory to standard treatment and likely require closer monitoring.

American Psychological Association (APA)

Remakus, Christopher B.& Cordova, Francis& Ciccolella, David& Mamary, A. James& Lammi, Matthew R.& Shenoy, Kartik V.…[et al.]. 2011. Outcomes of COPD Exacerbations Treated with Corticosteroids, Antibiotics, or Both. ISRN Pulmonology،Vol. 2011, no. 2011, pp.1-6.
https://search.emarefa.net/detail/BIM-450411

Modern Language Association (MLA)

Remakus, Christopher B.…[et al.]. Outcomes of COPD Exacerbations Treated with Corticosteroids, Antibiotics, or Both. ISRN Pulmonology No. 2011 (2011), pp.1-6.
https://search.emarefa.net/detail/BIM-450411

American Medical Association (AMA)

Remakus, Christopher B.& Cordova, Francis& Ciccolella, David& Mamary, A. James& Lammi, Matthew R.& Shenoy, Kartik V.…[et al.]. Outcomes of COPD Exacerbations Treated with Corticosteroids, Antibiotics, or Both. ISRN Pulmonology. 2011. Vol. 2011, no. 2011, pp.1-6.
https://search.emarefa.net/detail/BIM-450411

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-450411