Inhaler mishandling remains common in real life and is associated with reduced disease control
Andrea S. Melani,Marco Bonavia,Vincenzo Cilenti,Cristina Cinti,Marco Lodi,Paola Martucci,Maria Serra,Nicola Scichilone,Piersante Sestini,Maria Aliani,Margherita Neri +10 more
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In this paper, the authors investigated the prevalence of inhaler mishandling in a large population of experienced patients referring to chest clinics; to analyze the variables associated with misuse and the relationship between inhaler handling and health-care resources use and disease control.About:
This article is published in Respiratory Medicine.The article was published on 2011-06-01 and is currently open access. It has received 681 citations till now. The article focuses on the topics: Dry-powder inhaler & Inhaler.read more
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Journal ArticleDOI
Effect of Age on the Efficacy and Safety of Once-Daily Single-Inhaler Triple-Therapy Fluticasone Furoate/Umeclidinium/Vilanterol in Patients With COPD: A Post Hoc Analysis of the Informing the Pathway of COPD Treatment Trial.
Nicola A. Hanania,David M. Mannino,David M. Mannino,Gerard J. Criner,Mark T. Dransfield,MeiLan K. Han,C. Elaine Jones,Sally Kilbride,David A. Lomas,Neil Martin,Fernando J. Martinez,Dave Singh,Robert A. Wise,David M.G. Halpin,Robson Lima,David A. Lipson +15 more
TL;DR: FF/UM EC/VI reduced the rate of moderate/severe exacerbations and improved lung function and health status versus FF/VI and UMEC/VI irrespective of age for most endpoints, with a similar safety profile.
Journal ArticleDOI
Integrating digital inhalers into clinical care of patients with asthma and chronic obstructive pulmonary disease.
Roy A. Pleasants,A H Chan,Giselle Mosnaim,Richard W. Costello,Rajiv Dhand,Stephen A Schworer,Rajan Merchant,Stephen L. Tilley +7 more
TL;DR: In this article , the authors proposed a cloud-based approach for remote patient care using digital inhalers, which can help address persistent problems of non-adherence and poor inhaler technique in patients with obstructive lung diseases.
Journal ArticleDOI
Aclidinium bromide in fixed-dose combination with formoterol fumarate in the management of COPD: an update on the evidence base
TL;DR: An update on the latest evidence supporting the efficacy and safety of AB/FF is presented and the use of blood eosinophils as a biomarker for identifying those patients with COPD already using LAMA/LABA therapy for whom the addition of ICS might be of benefit is mentioned.
Journal ArticleDOI
Le choix du dispositif d’inhalation (hors nébulisation) : un acte médical
TL;DR: L’education du patient au traitement doit etre effectuee en collaboration avec les autres professionnels de sante mais le choix du dispositif doit rester un acte medical.
Journal ArticleDOI
Critical Error Frequency and the Impact of Training with Inhalers Commonly used for Maintenance Treatment in Chronic Obstructive Pulmonary Disease
David Collier,Pascal Wielders,Job van der Palen,Job van der Palen,Logan Heyes,Dawn Midwinter,Kathryn Collison,A. Preece,Neil Barnes,Neil Barnes,Raj Sharma +10 more
TL;DR: The effect of “verbal” training highlights its importance for reducing critical errors with common DPIs, in patients with chronic obstructive pulmonary disease.
References
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Lung volumes and forced ventilatory flows
TL;DR: Assessing the total lung capacity is indispensable in establishing a restrictive ventilatory defect or in diagnosing abnormal lung distensibility, as may occur in patients …
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Development of the asthma control test: A survey for assessing asthma control
Robert A. Nathan,Christine A. Sorkness,Mark Kosinski,Michael Schatz,James T.C. Li,Philip Marcus,John J. Murray,T.B. Pendergraft +7 more
TL;DR: Results reinforce the usefulness of a brief, easy to administer, patient-based index of asthma control.
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Evaluation of Clinical Methods for Rating Dyspnea
TL;DR: The results show that the BDI, MRC scale, and OCD provide significantly related measures of Dyspnea, and the clinical ratings of dyspnea correlate significantly with physiologic parameters of lung function; and breathlessness may be related to the pathophysiology of the specific respiratory disease.
Journal ArticleDOI
Effect of incorrect use of dry powder inhalers on management of patients with asthma and COPD
Federico Lavorini,Antoine Magnan,Antoine Magnan,Jean Christophe Dubus,Thomas Voshaar,Lorenzo Corbetta,Mariëlle E.A.C. Broeders,Richard Dekhuijzen,Joaquín Sanchis,José Luis Viejo,Peter J. Barnes,Christopher Corrigan,Mark L Levy,Graham K. Crompton +13 more
TL;DR: It is demonstrated that incorrect DPI technique with established DPIs is common among patients with asthma and COPD, and suggests that poor inhalation technique has detrimental consequences for clinical efficacy.
Journal ArticleDOI
Misuse of corticosteroid metered-dose inhaler is associated with decreased asthma stability
Violaine Giraud,Nicolas Roche +1 more
TL;DR: Misuse of pressurized metered-dose inhalers, which is mainly due to poor coordination, is frequent and associated with poorer asthma control in inhaled corticosteroid-treated asthmatics, highlighting the importance of evaluating inhalation technique and providing appropriate education in all patients.
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