Understanding the Gaps in the Reporting of COPD Exacerbations by Patients: A Review.
Paul JonesAshraf AlzaabiAlejandro Casas HerreraMehmet PolatliMarcelo Fouad RabahiArturo Cortes TellesBhumika AggarwalSudeep AcharyaAbdelkader El HasnaouiChris ComptonPublished in: COPD (2024)
Exacerbations of chronic obstructive pulmonary disease (COPD) are associated with loss of lung function, poor quality of life, loss of exercise capacity, risk of serious cardiovascular events, hospitalization, and death. However, patients underreport exacerbations, and evidence suggests that unreported exacerbations have similar negative health implications for patients as those that are reported. Whilst there is guidance for physicians to identify patients who are at risk of exacerbations, they do not help patients recognise and report them. Newly developed tools, such as the COPD Exacerbation Recognition Tool (CERT) have been designed to achieve this objective. This review focuses on the underreporting of COPD exacerbations by patients, the factors associated with this, the consequences of underreporting, and potential solutions.
Keyphrases
- chronic obstructive pulmonary disease
- end stage renal disease
- lung function
- ejection fraction
- cystic fibrosis
- chronic kidney disease
- cardiovascular events
- prognostic factors
- primary care
- public health
- type diabetes
- emergency department
- physical activity
- patient reported outcomes
- risk assessment
- air pollution
- body composition
- climate change
- health information
- mechanical ventilation