Background: Acute exacerbations of COPD (AECOPD) have a negative impact on patients' health status and disease progression, regardless of the severity. However, their clinical presentation is heterogenous and still little understood. Improving our understanding of AECOPD, during their occurrence, from patients' own lived experience may allow the development of person-centred interventions and enhance recovery. Thus, we aimed to explore patients' experiences during a mild to moderate AECOPD.Methods: Semi-structured interviews with patients with a mild or moderate AECOPD treated in the community were conducted, at their homes, within 48h of the diagnosis. Interviews were audio recorded, transcribed in full and analysed by deductive thematic analysis using the Web Qualitative Data Analysis software. A preliminary analysis focused on the impact of AECOPD was conducted and illustrated with representative quotes.Results: 11 patients (9 male, 67±10y, FEV1 41±16pp) participated. 7 subthemes demonstrating high impact of AECOPD emerged: symptoms, limitations in activities of daily living, emotional challenges, physiological changes, limitations in recreational and social activities, work and family disturbances (Fig. 1).Conclusion: AECOPD, even when not requiring hospital admission, have a huge impact on patients' daily lives.This study contributes with a foundation for the development of meaningful person-centred interventions duringGiving voice to patients -experiences during acute exacerbations of CO... https://erj.ersjournals.com/content/58/suppl_65/PA330
The incidence of benign obstructive central airway disease has been increasing. There are several causes for this type of obstruction. The most common appears after orotracheal intubation and post-tracheotomy. The diagnosis of tracheal stenosis requires clinical suspicion and complementary diagnostic tests. The authors describe the case of a patient who showed respiratory distress and dyspnoea that had biphasic stridor, with no changes in cardiopulmonary auscultation or in blood samples. Chest X-ray revealed severe narrowing of the tracheal air column at C7 level, confirmed by CT scan. This report shows a rare case of tracheal stenosis, with images of clinical interest and relevance, that can alert scientific community to this situation.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.