COPD Exacerbations, Air Pollutant Fluctuations, and Individual-Level Factors in the Pandemic Era
International Journal of COPD,
Год журнала:
2025,
Номер
Volume 20, С. 735 - 751
Опубликована: Март 1, 2025
Pandemic-era
associations
between
air
pollutant
exposures
and
exacerbations
of
chronic
obstructive
pulmonary
disease
(COPD)
are
under-explored.
Given
the
considerable
observed
pandemic-era
fluctuations,
these
were
investigated
along
with
possible
individual-level
risk
factors.
Participants
spirometry-confirmed
COPD
from
Canadian
Cohort
Obstructive
Lung
Disease
(CanCOLD)
included,
data
collected
before
("pre-pandemic")
during
("pandemic")
COVID-19
pandemic.
Nitrogen
dioxide
(NO2),
fine
particulate
matter
(PM2.5),
ground-level
ozone
(O3),
total
oxidant
(Ox)
weather
obtained
national
databases.
Associations
each
"symptom-based"
(increased
dyspnea
or
sputum
volume/purulence
≥48hrs)
"event-based"
("symptom-based"
plus
requiring
antibiotics,
corticosteroids,
unscheduled
healthcare
use)
estimated
in
separate
models.
Generalized
estimating
equations
(GEE)
models
reported
as
rate
ratios
(RRs)
per
interquartile
range
(IQR)
increment
concentration
95%
confidence
intervals
(95%
CIs).
NO2,
PM2.5,
Ox
(NO2+O3)
concentrations
(but
not
O3)
fell
significantly
In
673
participants
both
symptom-based
event-based
exacerbation
rates
likewise
higher
pre-pandemic
period.
During
period,
was
positively
associated
(RR:
1.21
[1.08,1.36]).
pandemic
(1.46
[1.13,1.89])
(1.43
[1.00,2.05])
exacerbations.
Fewer
self-reported
protective
behaviors,
viral
infectious
symptoms,
also
stepwise
multivariable
risk-factor
analyses,
female
gender
(1.23
[1.04,1.45]
1.41
[1.13,1.76])
co-morbid
asthma
(1.65
[1.34,2.03]
1.54
[1.19,2.00])
exacerbations,
respectively,
blood
eosinophils
(1.42
[1.10,1.84])
IQR
(1.31
[1.06,1.61]).
exposure
consistently
gender,
asthma,
eosinophilia
found
to
be
relevant
Язык: Английский
Nursing interventions to promote dyspnea self-management of complex chronic patients: An integrated review
International Journal of Nursing Sciences,
Год журнала:
2024,
Номер
11(2), С. 241 - 257
Опубликована: Март 7, 2024
Chronic
dyspnea,
a
distressing
symptom
in
patients
with
complex
chronic
conditions,
is
linked
to
higher
risks
of
mortality.
This
study
aimed
identify
nursing
interventions
that
could
improve
self-management
for
patients,
thereby
enhancing
control
over
dyspnea.
The
findings
intend
guide
care
strategies
promote
among
this
population.
Язык: Английский
Designing a Socially Assistive Robot to Assist Older Patients with Chronic Obstructive Pulmonary Disease in Managing Indoor Air Quality
Applied Sciences,
Год журнала:
2024,
Номер
14(13), С. 5647 - 5647
Опубликована: Июнь 28, 2024
Chronic
obstructive
pulmonary
disease
(COPD)
stems
from
airflow
blockage
and
lung
damage,
indoor
air
pollution
exacerbates
COPD,
underscoring
the
necessity
for
proactive
management.
Older
COPD
patients,
prone
to
respiratory
heat-related
issues,
require
crucial
assistance,
yet
their
reduced
awareness
necessitates
ongoing
education
identify
enhance
quality.
To
tackle
this
challenge,
we
developed
a
socially
assistive
robot
(SAR)
integrating
IoT
quality
sensors
guide
patients
in
improving
(IAQ).
This
study
evaluated
IAQ
enhancement
among
older
using
technology,
uncovering
significant
reduction
‘poor
alerts’
with
clear
linear
trend.
Although
‘good
remained
consistent,
machine
learning
models
predicted
improved
post-alerts.
Consistent
alerts
serve
as
motivating
factor
maintain
standards.
However,
barriers
SAR
utilization,
such
psychological
operational
hurdles,
need
be
addressed
future
research
endeavors.
Язык: Английский