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Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease 2017 Report: GOLD Executive Summary.

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TLDR
The assessment of chronic obstructive pulmonary disease has been refined to separate the spirometric assessment from symptom evaluation, and the importance of comorbid conditions in managing COPD is reviewed.
Abstract
This Executive Summary of the Global Strategy for the Diagnosis, Management, and Prevention of COPD (GOLD) 2017 Report focuses primarily on the revised and novel parts of the document. The most significant changes include: 1) the assessment of chronic obstructive pulmonary disease has been refined to separate the spirometric assessment from symptom evaluation. ABCD groups are now proposed to be derived exclusively from patient symptoms and their history of exacerbations; 2) for each of the groups A to D, escalation strategies for pharmacological treatments are proposed; 3) the concept of de-escalation of therapy is introduced in the treatment assessment scheme; 4) nonpharmacologic therapies are comprehensively presented and; 5) the importance of comorbid conditions in managing COPD is reviewed.

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Global, regional, and national deaths, prevalence, disability-adjusted life years, and years lived with disability for chronic obstructive pulmonary disease and asthma, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015

Joan B. Soriano, +132 more
TL;DR: The GBD study provides annual updates on estimates of deaths, prevalence, and disability-adjusted life years (DALYs), a summary measure of fatal and non-fatal disease outcomes, for over 300 diseases and injuries, for 188 countries from 1990 to the most recent year.
Journal ArticleDOI

Exacerbations of COPD

TL;DR: The importance of preventing exacerbations of COPD is highlighted, including choice of pharmacotherapy, including bronchodilators, inhaled corticosteroids, phosphodiesterase-4 inhibitors, long-term antibiotics and mucolytics.
References
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Journal ArticleDOI

Predictors of Mortality in Hospitalized Adults with Acute Exacerbation of Chronic Obstructive Pulmonary Disease. A Systematic Review and Meta-analysis

TL;DR: Different factors correlate with mortality from COPD exacerbation in the short term, long term, and after ICU admission, and these parameters may be useful to develop tools for prediction of outcome in clinical practice.
Journal ArticleDOI

Antibiotics Are Associated With Lower Relapse Rates in Outpatients With Acute Exacerbations of COPD

TL;DR: Relapse from AECB was not related to the severity of underlying disease or to the severe severity of the acute exacerbation, and patients treated with antibiotics had significantly lower relapse rates than those who did not receive antibiotics.
Journal ArticleDOI

Histamine airway hyper-responsiveness and mortality from chronic obstructive pulmonary disease: a cohort study.

TL;DR: Although this trend was more pronounced in smokers, an increasing proportion of COPD deaths with increasing hyper-responsiveness was also present among individuals who had never smoked, and this risk was independent of smoking and reduced lung function.
Journal ArticleDOI

Noninvasive Positive Pressure Ventilation To Treat Respiratory Failure

TL;DR: Use of noninvasive positive pressure ventilation, the delivery of positive pressure mechanical ventilation to the lungs without endotracheal intubation, is increasing among patients with acute and chronic respiratory failure, mainly because of its convenience, lower cost, and morbidity-sparing potential compared with standard invasive positive Pressure ventilation.
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