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Management of Acute Exacerbations of Chronic Obstructive Pulmonary Disease.Evidence Report/Technology Assessment Number 19

机译:慢性观察到的常见疾病急性加重的管理。证据报告/技术评估编号19

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Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of deathin the United States. Affecting 16 million people, it accounts for 13,760,000 office visits and 297,000 hospitalization annually (at a cost of $18 billion). The natural history of moderate to severe COPD is punctuated by acute exacerbations in which worsening symptoms of dyspnea and an increase in the amount of purulence of sputum may be accompanied by chest discomfort, fever, and other constitutional symptoms. Acute exacerbations of COPD are associated with increased short-term mortality compared with stable COPD. Comorbid conditions, particularly heart diseases, are common among patients with COPD and contribute substantially to the mortality associated with acute exacerbations. Patients who survive exacerbations of COPD often experience important decrements in functional status and quality of life. The objectives of this report are to assess the evidence currently available on the diagnosis, prognosis, and management of acute exacerbation of COPD, and on the use of noninvasive positive pressure ventilation (NPPV) in patients with acute respiratory failure secondary to acute exacerbation of COPD.

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