American Thoracic Society/European Respiratory Society Statement on Pulmonary Rehabilitation

Nici, Linda; Donner, Claudio F.; Wouters, Emiel F.M.; ZuWallack, Richard; Ambrosino, Nicolino; Bourbeau, Jean; Carone, Mauro; Celli, Bartolomé R.; Engelen, M.P.; Fahy, Bonnie; Garvey, Chris; Goldstein, Roger; Gosselink, Rik; Lareau, Suzanne C.; MacIntyre, Neil R.; Maltais, François; Morgan, Mike; O’Donnell, Denis E.; Prefault, Christian; Reardon, Jane; Rochester, Carolyn L.; Schols, A.M.W.J.; Singh, Sally; Troosters, Thierry

doi:10.1164/rccm.200508-1211st

Cited by 1,607 publications

(1,454 citation statements)

References 350 publications

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“…Disability can be identified in each disease stage of COPD (Braido et al., 2011). As the disease worsens, there is a progressive decrease in the ability to perform ADL (Nici et al., 2006). Patients with cerebral edema develop cerebral hypermetabolism (Zetterling et al., 2010), which may increase the energy demand in the brain.…”

Section: Introductionmentioning

confidence: 99%

Vasogenic cerebral edema associated with the disability in activities of daily living in patients with chronic obstructive pulmonary disease

et al. 2018

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IntroductionThe aim of this study was to explore whether patients with chronic obstructive pulmonary disease (COPD) develop vasogenic cerebral edema, and whether this edema contributes to the COPD‐related disability.MethodsEighteen stable patients with COPD and 17 matched healthy volunteers were enrolled. Apparent diffusion coefficient (ADC) values were calculated by voxel‐based analysis using DTI‐Studio software based on diffusion tensor imaging. COPD‐related disability was calculated using activities of daily living (ADL) scale.ResultsIn patients with COPD, ADC increased in the white matter fiber tracts including the bilateral anterior cingulum and posterior corpus callosum and in the white matter fibers connecting the bilateral insular cortices, sub‐lobar cortices, and pars triangularis cortices and the left rectus and olfactory gyrus. However, after further controlling for cigarette smoking, the difference in ADC values in the posterior corpus callosum between groups disappeared. Patients with COPD had significantly higher scores in ADL than that in controls. Moreover, ADL scores were positively correlated with the increased regional ADC values.ConclusionVasogenic cerebral edema occurs in patients with COPD. Cigarette smoking may be a risk factor for COPD‐related vasogenic edema. Vasogenic cerebral edema may be related to the COPD‐related ADL impairment.

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Section: Introductionmentioning

confidence: 99%

Vasogenic cerebral edema associated with the disability in activities of daily living in patients with chronic obstructive pulmonary disease

et al. 2018

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“…For Symptom-reducing actions, person-centred outcomes are important, such as control of symptoms, the ability to perform daily activities, exercise performance, and improved quality of life (ATS/ERS, 2006). Several COPD-specific instruments are available to measure the effectiveness of Symptom-reducing actions (ATS/ERS, 2006; Roman-Rodriguez, Pardo, Lopez, Ruiz, & Van Boven, 2016). …”

Section: Resultsmentioning

confidence: 99%

“…Antecedents to the symptoms experience include demographic, disease, and individual factors. Consequences include the impact on mood state, psychological status, functional status, quality of life, disease progression, and survival.American Thoracic Society/European Respiratory Society (ATS/ERS) 2006 Am J Respir Crit Care Med Statement of pulmonary rehabilitation(description of symptoms, outcomes, measurement)Provides a definition of Pulmonary rehabilitation. Patients with COPD often suffer from exercise intolerance, dyspnea, fatigue, anxiety, depression, poor motivation, cardiac ischemia, musculoskeletal problems, osteoporosis, nutritional problems, being underweight or overweight, urine incontinence, decreased quality of life, sexual problems, concentration/memory/cognitive dysfunction, social isolation, feelings of guilt, and sleep disorders.…”

Section: Methodsmentioning

confidence: 99%

“…Pulmonary rehabilitation is known to be one of the most effective treatments of COPD, and is defined by American Thoracic Society/European Respiratory Society (ATS/ERS) as being ‘designed to reduce symptoms, optimize functional status, increase participation and reduce health care costs through stabilizing or reversing systemic manifestations of the disease’ (ATS/ERS, 2006, p. 1391). The concept of patient education is one of many in this field, and the concept of Symptom-reducing actions is a suitable way to describe the specific work of COPD nurses.…”

Section: Introductionmentioning

confidence: 99%

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Symptom-reducing actions: a concept analysis in the context of chronic obstructive pulmonary disease

Zakrisson

2017

International Journal of Qualitative Studies on Health and Well

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Patients with Chronic Obstructive Pulmonary Disease (COPD) have multiple symptoms. Nursing care is based on six core competencies and one of them is person-centred care that includes the aspect of professional symptom relief. The aim was to clarify a meaning of the concept of Symptom-reducing actions in the context of COPD. Databases MEDLINE and CINAHL were searched between 1982 and February 2016 and 26 publications were found. Two dictionaries and three books were investigated. The method of Walker & Avant was followed. The use of the concept of Symptom-reducing actions may be categorized by the sub-concepts of supervision, information, and patient education. Exploration of defining attributes was symptom management, instructions, support, motivation, explanation, advice, teaching, and learning. Antecedent occurrences were related to factors that affect the patient’s level of function such as physical performance and cognitive function. Symptom-reducing actions offer a way to support patients with COPD in self-management. Symptom-reducing actions can mediate facts in a purposeful process performed by the nurse to enable the patient to take control over and manage unpleasant symptoms by a person-centred, planned process. The nurse can achieve this via supervision, information, and patient education with an integrated emotional component. Evaluating the outcomes is needed.

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“…The objective of pulmonary rehabilitation is to reduce the symptoms of dyspnea and to improve exercise capacity and health-related quality of life 9) . Therefore, pulmonary rehabilitation is recommended as an integral part of the management of COPD patients 10) .…”

Section: Introductionmentioning

confidence: 99%

Skeletal muscle dysfunction and oxidative stress in patients with chronic obstructive lung disease

Oh‐ishi

Nemoto

Saito

2015

JPFSM

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Chronic obstructive pulmonary disease (COPD) is an increasingly important global health problem, including Japan. COPD is associated with an enhanced inflammatory response to irritants in the airways and lungs, in particular cigarette smoke. Cigarette smoke contains gaseous and particulate oxidants, and is considered to be the major etiological factor in the development of COPD. The oxidants in cigarette smoke induce inflammation, and chronic inflammation causes narrowing of the small airways and destruction of the lung parenchyma. Inflammation and oxidative stress are intricately related and seem to play a critical role in the development and/or progression of COPD. There is growing evidence that systemic inflammation exists in patients with stable COPD, leading to extra-pulmonary manifestations including skeletal muscle dysfunction and other comorbidities. Oxidative stress is also observed in skeletal muscle of COPD patients. Therefore, both systemic inflammation and oxidative stress may be associated with skeletal muscle dysfunction in COPD patients, resulting in reduced limb muscle strength and exercise endurance and poor health status and quality of life. Pulmonary rehabilitation is important to improve exercise capacity and health-related quality of life for COPD patients. However, physical exercise, the main component of pulmonary rehabilitation, may increase oxidative stress in the skeletal muscle of such patients. Therefore, rehabilitation programs that not only improve exercise capacity and quality of life, but also reduce exerciseinduced oxidative stress should be established in the future.

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American Thoracic Society/European Respiratory Society Statement on Pulmonary Rehabilitation

Cited by 1,607 publications

References 350 publications

Vasogenic cerebral edema associated with the disability in activities of daily living in patients with chronic obstructive pulmonary disease

Vasogenic cerebral edema associated with the disability in activities of daily living in patients with chronic obstructive pulmonary disease

Symptom-reducing actions: a concept analysis in the context of chronic obstructive pulmonary disease

Skeletal muscle dysfunction and oxidative stress in patients with chronic obstructive lung disease

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