ArticlePrimary care respiratory journal : journal of the General Practice Airways Group2013
Management of COPD exacerbations in primary care: a clinical cohort study.
Article in Primary care respiratory journal : journal of the General Practice Airways Group, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 23 citations in OpenAlex.
- Factors Associated with Patient Education in Patients with Chronic Obstructive Pulmonary Disease (COPD) - A Primary Health Care Register-Based Study.International journal of chronic obstructive pulmonary disease · 2024Article
- Risk Factors for Recurrent Exacerbations in the General-Practitioner-Based Swiss Chronic Obstructive Pulmonary Disease (COPD) Cohort.Journal of clinical medicine · 2023Article
- COPD patients need more information about self-management: a cross-sectional study in Swedish primary care.Scandinavian journal of primary health care · 2019Article
- Predictive factors for exacerbation and re-exacerbation in chronic obstructive pulmonary disease: an extension of the Cox model to analyze data from the Swiss COPD cohort.Multidisciplinary respiratory medicine · 2019Article
- Sex-related differences in management of Swedish patients with a clinical diagnosis of chronic obstructive pulmonary disease.International journal of chronic obstructive pulmonary disease · 2019Article
- COPD management by Swedish general practitioners - baseline results of the PRIMAIR study.Scandinavian journal of primary health care · 2018Article
- Economic burden of COPD in a Swedish cohort: the ARCTIC study.International journal of chronic obstructive pulmonary disease · 2018Observational
- Changes in smoking prevalence and cessation support, and factors associated with successful smoking cessation in Swedish patients with asthma and COPD.European clinical respiratory journal · 2018Article
- Pulmonary rehabilitation in COPD - available resources and utilization in Swedish primary and secondary care.International journal of chronic obstructive pulmonary disease · 2017Article
- Factors influencing pharmacological treatment in COPD: a comparison of 2005 and 2014.European clinical respiratory journal · 2017Article
- Characterization of secondary care for COPD in Sweden.European clinical respiratory journal · 2017Article
- Change in health status in COPD: a seven-year follow-up cohort study.NPJ primary care respiratory medicine · 2016Article
- Predictors of treatment with antibiotics and systemic corticosteroids for acute exacerbations of asthma and chronic obstructive pulmonary disease in primary care.BMC family practice · 2015Article
- Patients' experience of identifying and managing exacerbations in COPD: a qualitative study.NPJ primary care respiratory medicine · 2014Article
- Predicting Hospitalization Due to COPD Exacerbations in Swedish Primary Care Patients Using Machine Learning - Based on the ARCTIC Study.International journal of chronic obstructive pulmonary diseaseArticle
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic obstructive pulmonary disease (COPD) exacerbations are associated with lung function decline, lower quality of life, and increased mortality, and can be prevented by pharmacological treatment and rehabilitation.
aimsTo examine management including examination, treatment, and planned follow-up of COPD exacerbation visits in primary care patients and to explore how measures and management at exacerbation visits are related to subsequent exacerbation risk.
methodsA clinical population of 775 COPD patients was randomly selected from 56 Swedish primary healthcare centres. Data on patient characteristics and management of COPD exacerbations were obtained from medical record review and a patient questionnaire. In the study population of 458 patients with at least one exacerbation, Cox regression analyses estimated the risk of a subsequent exacerbation with adjustment for age and sex.
resultsDuring a follow-up period of 22 months, 238 patients (52%) had a second exacerbation. A considerable proportion of the patients were not examined and treated as recommended by guidelines. Patients with a scheduled extra visit to an asthma/COPD nurse following an exacerbation had a decreased risk of further exacerbations compared with patients with no extra follow-up other than regularly scheduled visits (adjusted hazard ratio 0.60 (95% confidence interval 0.37 to 0.99), p=0.045).
conclusionsGuidelines for examination and emergency treatment at COPD exacerbation visits are not well implemented. Scheduling an extra visit to an asthma/COPD nurse following a COPD exacerbation may be associated with a decreased risk of further exacerbations in primary care patients.
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