Spanish COPD Guidelines (GesEPOC): pharmacological treatment of stable COPD. Spanish Society of Pulmonology and Thoracic Surgery
| Autor: | Marc, Miravitlles, Juan José, Soler-Cataluña, Myriam, Calle, Jesús, Molina, Pere, Almagro, José Antonio, Quintano, Juan Antonio, Riesco, Juan Antonio, Trigueros, Pascual, Piñera, Adolfo, Simón, José Luis, López-Campos, Joan B, Soriano, Julio, Ancochea |
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| Rok vydání: | 2012 |
| Předmět: |
Cyclopropanes
Respiratory System Agents Aminopyridines Comorbidity Severity of Illness Index Asthma Anti-Bacterial Agents Bronchodilator Agents Pulmonary Disease Chronic Obstructive Phenotype Pulmonary Emphysema Theophylline Adrenal Cortex Hormones Spain alpha 1-Antitrypsin Benzamides Chronic Disease Disease Progression Humans Drug Therapy Combination Bronchitis Expectorants |
| Zdroj: | Archivos de bronconeumologia. 48(7) |
| ISSN: | 1579-2129 |
| Popis: | Recognizing the clinical heterogeneity of COPD suggests a specific therapeutic approach directed by the so-called clinical phenotypes of the disease. The Spanish COPD Guidelines (GesEPOC) is an initiative of SEPAR, which, together with the scientific societies involved in COPD patient care, and the Spanish Patient Forum, has developed these new clinical practice guidelines. This present article describes the severity classification and the pharmacological treatment of stable COPD. GesEPOC identifies four clinical phenotypes with differential treatment: non-exacerbator, mixed COPD-asthma, exacerbator with emphysema and exacerbator with chronic bronchitis. Pharmacological treatment of COPD is based on bronchodilation in addition to other drugs depending on the clinical phenotype and severity. Severity is established by the BODE/BODEx multidimensional scales. Severity can also be approximated by assessing airflow obstruction, dyspnea, level of physical activity and history of exacerbations. GesEPOC is a new, more individualized approach to COPD treatment according to the clinical characteristics of the patients. |
| Databáze: | OpenAIRE |
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