Sleep Medicine Clinics, Год журнала: 2022, Номер 17(1), С. 99 - 109
Опубликована: Фев. 23, 2022
Язык: Английский
European Respiratory Review, Год журнала: 2023, Номер 32(167), С. 220170 - 220170
Опубликована: Март 22, 2023
Psychological distress is prevalent in people with COPD and relates to a worse course of disease. It often remains unrecognised untreated, intensifying the burden on patients, carers healthcare systems. Nonpharmacological management strategies have been suggested as important elements manage psychological COPD. Therefore, this review presents instruments for detecting provides an overview available nonpharmacological together scientific evidence their presumed benefits Several are COPD, including simple questions, questionnaires clinical diagnostic interviews, but implementation practice limited heterogeneous. Moreover, various options ranging from specific cognitive behavioural therapy (CBT) multi-component pulmonary rehabilitation (PR) programmes. These interventions vary substantially content, intensity duration across studies. Similarly, regarding efficacy varies significantly, strongest currently CBT or PR. Further randomised controlled trials needed larger, culturally diverse samples long-term follow-ups. effective should be implemented more routine. Respective barriers caregivers, clinicians, systems research need overcome.
Язык: Английский
Процитировано
24
Sleep Medicine, Год журнала: 2023, Номер 109, С. 270 - 284
Опубликована: Июль 14, 2023
Язык: Английский
Процитировано
20
Sleep Medicine, Год журнала: 2023, Номер 112, С. 282 - 290
Опубликована: Ноя. 6, 2023
Язык: Английский
Процитировано
18
International Journal of COPD, Год журнала: 2025, Номер Volume 20, С. 181 - 192
Опубликована: Янв. 1, 2025
This study aims to construct a contemporaneous symptom network of inpatients with Exacerbation Chronic Obstructive Pulmonary Disease (ECOPD) based on the cluster, identify core and bridge symptoms, patient subgroups different clusters individual differences in intensity experiences. used convenience sampling collect demographic, symptom, auxiliary examination, prognosis information 208 ECOPD from April 2022 October 2023. The data underwent exploratory factor analysis (EFA), analysis, latent class (LCA), Spearman correlation Wilcoxon signed-rank test, single-factor regression multiple-factor stepwise regression. In hospitalized patients ECOPD, revealed that loss appetite was while chest distress symptom. Through LCA two were identified: high-symptom group (53.8%) low-symptom (46.2%). suggests there is significant heterogeneity experience among individuals. Patients had higher probability experiencing related nutrition-sleep. combination comprehensively captures symptom/symptom cluster characteristics accounts for both perspectives. identifies subgroups, offering valuable insights precision management ECOPD.
Язык: Английский
Процитировано
1
ERJ Open Research, Год журнала: 2023, Номер 9(3), С. 00676 - 2022
Опубликована: Апрель 6, 2023
Aim The impact of obstructive sleep apnoea (OSA)–COPD overlap syndrome (OVS) on quality and cardiovascular outcomes has not been fully explored. We aimed to compare clinical polysomnographic characteristics patients with OVS versus OSA, explore pathophysiological links between comorbidities. Study design methods This cross-sectional analysis initially included data from 5600 OSA lung function in the European Sleep Apnoea Database. Two subgroups (n=1018) or (n=509) were matched (2:1) based sex, age, body mass index apnoea–hypopnea at baseline. Results After matching, had more severe hypoxia, lower efficiency presented higher prevalences arterial hypertension, ischaemic heart disease failure compared OSA. was associated a significant decrease (mean difference (β) −3.0%, 95% CI −4.7 −1.3) nocturnal mean peripheral oxyhaemoglobin saturation ( S pO 2 ) (β −1.1%, −1.5 −0.7). Further revealed that forced expiratory volume 1 s oxygen tension related . A COPD diagnosis increased odds having by 1.75 (95% 1.15–2.67) systemic hypertension 1.36 1.07–1.73). Nocturnal hypoxia strongly comorbidities; T90 (increase time below 90%) diabetes but desaturation only diabetes. Conclusion Patients sleep-related reduced risk for hypertension.
Язык: Английский
Процитировано
16
Expert Review of Respiratory Medicine, Год журнала: 2020, Номер 15(1), С. 131 - 142
Опубликована: Ноя. 23, 2020
Introduction: Chronic obstructive pulmonary disease (COPD) is a complex and heterogenous that associated with range of respiratory non-respiratory symptoms, which highly contribute to the daily burden disease. Symptoms remains high despite optimal bronchodilator therapy, but rehabilitation (PR) an effective intervention improve patients' symptoms. A comprehensive interdisciplinary approach within framework PR program warranted tackle these symptoms their consequences.Areas covered: This narrative review describes how dyspnea, fatigue, cough, sputum, anxiety, depression, pain, sleep disturbances, cognitive decline arise in COPD can several non-pulmonary manifestations It also evidence effectiveness programs counteract literature search was performed on PubMed Scopus between June July 2020.Expert opinion: Respiratory are prevalent, often not comprehensively assessed, result extra-pulmonary (physical, emotional social). Interdisciplinary negative through different pathways, contributing for symptoms' management. thorough assessment (beyond dyspnea) should be routinely may support identification treatable traits, allowing tailoring interventions real-life impact.
Язык: Английский
Процитировано
30
European Journal of Internal Medicine, Год журнала: 2020, Номер 78, С. 8 - 16
Опубликована: Май 17, 2020
Язык: Английский
Процитировано
28
Sleep research., Год журнала: 2025, Номер unknown
Опубликована: Янв. 15, 2025
Abstract The impact of obstructive sleep apnea (OSA)‐chronic pulmonary disease (COPD) overlap syndrome (OVS) should not be ignored. Increased upper airway resistance, systemic inflammatory response, and increased sympathetic nerve activity contributed to the adverse clinical outcomes in overlapping patients. Compared with COPD or OSA alone, those OVS have more severe daytime hypoxemia hypercapnia, leading frequency severity exacerbations. Consequently, patients experience rates hospitalization all‐cause mortality, alongside a markedly elevated risk cardiovascular events. Continuous positive pressure (CPAP) as treatment can improve oxygenation lung function reduce exacerbation death. However, individual differences effectiveness suggest need for individualized regiments compliance monitoring. In addition, current research evidence on is insufficient, large‐sample, multicenter studies are needed evaluate prognosis different phenotypes establish uniform evaluation guidelines optimize management OVS.
Язык: Английский
Процитировано
0
Respiratory Medicine, Год журнала: 2025, Номер 238, С. 107987 - 107987
Опубликована: Фев. 5, 2025
Highlights•The presence of insomnia in patients with AECOPD significantly impacts their quality life and exacerbates COPD-related symptoms.•Factors such as gender, education level, medication use patterns were identified key contributors to patients.•Patients experiencing more severe tend have COPD symptoms.•The study highlights the importance early screening improve individualized treatment clinical outcomes.AbstractAimExplore risk factors contributing its severity Acute Exacerbation Chronic Obstructive Pulmonary Disease (AECOPD).MethodsThe included 155 from Chaohu Hospital, Anhui Medical University, treated between September 2022 October 2023. Patients categorized into groups (mild, moderate, severe) a control group based on Insomnia Severity Index Scale (ISI) scores. Sleep assessed using Pittsburgh Quality (PSQI), CAT score, mMRC classification. Clinical data, pathology, results various laboratory tests collected. Details current admission treatment, including ventilator usage, types, administration methods, documented for comparisons.ResultsThis patients, over 70% high-risk OSA. Among them, 87 68 comparison group. The comprised 46 mild, 36 5 cases. Female those lower education, shorter smoking history, higher PSQI scores, frequent hospital admissions, oral or intravenous glucocorticoids likely experience insomnia. In moderate subgroup, had scores longer hospitalization than mild No significant differences found quinolones, glucocorticoid administration, use, resuscitation behaviors among levels.ConclusionInsomnia coexisting is prevalent, patient's educational symptoms, type influencing sleep status.
Язык: Английский
Процитировано
0
Sleep And Breathing, Год журнала: 2025, Номер 29(2)
Опубликована: Май 1, 2025
Язык: Английский
Процитировано
0