Loading…
Treatment of chronic obstructive pulmonary disease in hospitalized geriatric patients
Background Chronic obstructive pulmonary disease (COPD) is frequent in older subjects due to deterioration of pulmonary function and lifelong exposure to risk factors. Furthermore, COPD is often underreported because of the gradual onset of symptoms and reduced perception of symptoms in the elderly....
Saved in:
| Published in: | Zeitschrift für Gerontologie und Geriatrie 2014-06, Vol.47 (4), p.288-292 |
|---|---|
| Main Authors: | , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c397t-4843bffc61b7b9707fc8f118c93a238246e750c75292723f33b5b8ca4ba16fcc3 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c397t-4843bffc61b7b9707fc8f118c93a238246e750c75292723f33b5b8ca4ba16fcc3 |
| container_end_page | 292 |
| container_issue | 4 |
| container_start_page | 288 |
| container_title | Zeitschrift für Gerontologie und Geriatrie |
| container_volume | 47 |
| creator | Schlitzer, J. Haubaum, S. Frohnhofen, H. |
| description | Background
Chronic obstructive pulmonary disease (COPD) is frequent in older subjects due to deterioration of pulmonary function and lifelong exposure to risk factors. Furthermore, COPD is often underreported because of the gradual onset of symptoms and reduced perception of symptoms in the elderly. There is thus a risk of undertreatment of COPD in older subjects.
Methods
We retrospectively analyzed dossiers of 229 hospitalized geriatric patients with COPD, complete assessment datasets and successful lung function tests.
Results
The sample comprised 78 men (38 %; mean age 77 ± 7 years) and 151 women (66 %; mean age 81 ± 6 years). The number of untreated patients decreased from 68 (28 %) at admission to 35 (14 %) at discharge (p |
| doi_str_mv | 10.1007/s00391-014-0645-6 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1562662474</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1562662474</sourcerecordid><originalsourceid>FETCH-LOGICAL-c397t-4843bffc61b7b9707fc8f118c93a238246e750c75292723f33b5b8ca4ba16fcc3</originalsourceid><addsrcrecordid>eNp9kL1OwzAYRS0EoqXwACwoI4vBf7GTEVX8SZVY2tlyXJu6SuJgO0jw9LhKYWT6hu_eI90DwDVGdxghcR8RojWGCDOIOCshPwFzzGgJMeH1KZijmlWQC8Rm4CLGPUJYCI7PwYywClGE6znYrINRqTN9Krwt9C743unCNzGFUSf3aYphbDvfq_BVbF00KprC9cXOx8El1bpvsy3eTXAqhdwbVHIZFS_BmVVtNFfHuwCbp8f18gWu3p5flw8rqGktEmQVo421muNGNLVAwurKYlzpmipCK8K4ESXSoiQ1EYRaSpuyqbRijcLcak0X4HbiDsF_jCYm2bmoTduq3vgxSlxywjlhguUonqI6-BiDsXIIrsuzJEbyYFNONmW2KQ82Jc-dmyN-bDqz_Wv86ssBMgVifvXZg9z7MfR58j_UHx8_gM4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1562662474</pqid></control><display><type>article</type><title>Treatment of chronic obstructive pulmonary disease in hospitalized geriatric patients</title><source>Springer Link</source><creator>Schlitzer, J. ; Haubaum, S. ; Frohnhofen, H.</creator><creatorcontrib>Schlitzer, J. ; Haubaum, S. ; Frohnhofen, H.</creatorcontrib><description>Background
Chronic obstructive pulmonary disease (COPD) is frequent in older subjects due to deterioration of pulmonary function and lifelong exposure to risk factors. Furthermore, COPD is often underreported because of the gradual onset of symptoms and reduced perception of symptoms in the elderly. There is thus a risk of undertreatment of COPD in older subjects.
Methods
We retrospectively analyzed dossiers of 229 hospitalized geriatric patients with COPD, complete assessment datasets and successful lung function tests.
Results
The sample comprised 78 men (38 %; mean age 77 ± 7 years) and 151 women (66 %; mean age 81 ± 6 years). The number of untreated patients decreased from 68 (28 %) at admission to 35 (14 %) at discharge (p < 0.01). Absence of treatment was associated with severity of disease: mild COPD was less likely to be treated. During the hospital stay, the prescription of metered dose inhalers (MDIs) decreased and the prescription of nebulizers increased, most likely due to the coordination problems associated with using inhalers.
Conclusion
Undertreatment of COPD is frequent among hospitalized geriatric patients. There is a need for adaption of current guidelines to the needs of older patients with frailty or cognitive impairment.</description><identifier>ISSN: 0948-6704</identifier><identifier>EISSN: 1435-1269</identifier><identifier>DOI: 10.1007/s00391-014-0645-6</identifier><identifier>PMID: 24803019</identifier><language>eng</language><publisher>Darmstadt: Steinkopff-Verlag</publisher><subject>Administration, Oral ; Adrenal Cortex Hormones - administration & dosage ; Adrenergic beta-Agonists - administration & dosage ; Age Factors ; Aged ; Aged, 80 and over ; Aging ; Beiträge zum Themenschwerpunkt ; Bronchodilator Agents - administration & dosage ; Cholinergic Antagonists - administration & dosage ; Comorbidity ; Drug Therapy, Combination ; Female ; Forced Expiratory Volume - drug effects ; Geriatric Assessment ; Geriatrics/Gerontology ; Germany ; Hospitalization ; Humans ; Internal Medicine ; Male ; Medicine ; Medicine & Public Health ; Metered Dose Inhalers ; Nebulizers and Vaporizers ; Pulmonary Disease, Chronic Obstructive - classification ; Pulmonary Disease, Chronic Obstructive - diagnosis ; Pulmonary Disease, Chronic Obstructive - drug therapy ; Retrospective Studies ; Social Sciences ; Vital Capacity - drug effects</subject><ispartof>Zeitschrift für Gerontologie und Geriatrie, 2014-06, Vol.47 (4), p.288-292</ispartof><rights>Springer-Verlag 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c397t-4843bffc61b7b9707fc8f118c93a238246e750c75292723f33b5b8ca4ba16fcc3</citedby><cites>FETCH-LOGICAL-c397t-4843bffc61b7b9707fc8f118c93a238246e750c75292723f33b5b8ca4ba16fcc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24803019$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schlitzer, J.</creatorcontrib><creatorcontrib>Haubaum, S.</creatorcontrib><creatorcontrib>Frohnhofen, H.</creatorcontrib><title>Treatment of chronic obstructive pulmonary disease in hospitalized geriatric patients</title><title>Zeitschrift für Gerontologie und Geriatrie</title><addtitle>Z Gerontol Geriat</addtitle><addtitle>Z Gerontol Geriatr</addtitle><description>Background
Chronic obstructive pulmonary disease (COPD) is frequent in older subjects due to deterioration of pulmonary function and lifelong exposure to risk factors. Furthermore, COPD is often underreported because of the gradual onset of symptoms and reduced perception of symptoms in the elderly. There is thus a risk of undertreatment of COPD in older subjects.
Methods
We retrospectively analyzed dossiers of 229 hospitalized geriatric patients with COPD, complete assessment datasets and successful lung function tests.
Results
The sample comprised 78 men (38 %; mean age 77 ± 7 years) and 151 women (66 %; mean age 81 ± 6 years). The number of untreated patients decreased from 68 (28 %) at admission to 35 (14 %) at discharge (p < 0.01). Absence of treatment was associated with severity of disease: mild COPD was less likely to be treated. During the hospital stay, the prescription of metered dose inhalers (MDIs) decreased and the prescription of nebulizers increased, most likely due to the coordination problems associated with using inhalers.
Conclusion
Undertreatment of COPD is frequent among hospitalized geriatric patients. There is a need for adaption of current guidelines to the needs of older patients with frailty or cognitive impairment.</description><subject>Administration, Oral</subject><subject>Adrenal Cortex Hormones - administration & dosage</subject><subject>Adrenergic beta-Agonists - administration & dosage</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Beiträge zum Themenschwerpunkt</subject><subject>Bronchodilator Agents - administration & dosage</subject><subject>Cholinergic Antagonists - administration & dosage</subject><subject>Comorbidity</subject><subject>Drug Therapy, Combination</subject><subject>Female</subject><subject>Forced Expiratory Volume - drug effects</subject><subject>Geriatric Assessment</subject><subject>Geriatrics/Gerontology</subject><subject>Germany</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metered Dose Inhalers</subject><subject>Nebulizers and Vaporizers</subject><subject>Pulmonary Disease, Chronic Obstructive - classification</subject><subject>Pulmonary Disease, Chronic Obstructive - diagnosis</subject><subject>Pulmonary Disease, Chronic Obstructive - drug therapy</subject><subject>Retrospective Studies</subject><subject>Social Sciences</subject><subject>Vital Capacity - drug effects</subject><issn>0948-6704</issn><issn>1435-1269</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp9kL1OwzAYRS0EoqXwACwoI4vBf7GTEVX8SZVY2tlyXJu6SuJgO0jw9LhKYWT6hu_eI90DwDVGdxghcR8RojWGCDOIOCshPwFzzGgJMeH1KZijmlWQC8Rm4CLGPUJYCI7PwYywClGE6znYrINRqTN9Krwt9C743unCNzGFUSf3aYphbDvfq_BVbF00KprC9cXOx8El1bpvsy3eTXAqhdwbVHIZFS_BmVVtNFfHuwCbp8f18gWu3p5flw8rqGktEmQVo421muNGNLVAwurKYlzpmipCK8K4ESXSoiQ1EYRaSpuyqbRijcLcak0X4HbiDsF_jCYm2bmoTduq3vgxSlxywjlhguUonqI6-BiDsXIIrsuzJEbyYFNONmW2KQ82Jc-dmyN-bDqz_Wv86ssBMgVifvXZg9z7MfR58j_UHx8_gM4</recordid><startdate>20140601</startdate><enddate>20140601</enddate><creator>Schlitzer, J.</creator><creator>Haubaum, S.</creator><creator>Frohnhofen, H.</creator><general>Steinkopff-Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140601</creationdate><title>Treatment of chronic obstructive pulmonary disease in hospitalized geriatric patients</title><author>Schlitzer, J. ; Haubaum, S. ; Frohnhofen, H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c397t-4843bffc61b7b9707fc8f118c93a238246e750c75292723f33b5b8ca4ba16fcc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Administration, Oral</topic><topic>Adrenal Cortex Hormones - administration & dosage</topic><topic>Adrenergic beta-Agonists - administration & dosage</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Beiträge zum Themenschwerpunkt</topic><topic>Bronchodilator Agents - administration & dosage</topic><topic>Cholinergic Antagonists - administration & dosage</topic><topic>Comorbidity</topic><topic>Drug Therapy, Combination</topic><topic>Female</topic><topic>Forced Expiratory Volume - drug effects</topic><topic>Geriatric Assessment</topic><topic>Geriatrics/Gerontology</topic><topic>Germany</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metered Dose Inhalers</topic><topic>Nebulizers and Vaporizers</topic><topic>Pulmonary Disease, Chronic Obstructive - classification</topic><topic>Pulmonary Disease, Chronic Obstructive - diagnosis</topic><topic>Pulmonary Disease, Chronic Obstructive - drug therapy</topic><topic>Retrospective Studies</topic><topic>Social Sciences</topic><topic>Vital Capacity - drug effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schlitzer, J.</creatorcontrib><creatorcontrib>Haubaum, S.</creatorcontrib><creatorcontrib>Frohnhofen, H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Zeitschrift für Gerontologie und Geriatrie</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schlitzer, J.</au><au>Haubaum, S.</au><au>Frohnhofen, H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of chronic obstructive pulmonary disease in hospitalized geriatric patients</atitle><jtitle>Zeitschrift für Gerontologie und Geriatrie</jtitle><stitle>Z Gerontol Geriat</stitle><addtitle>Z Gerontol Geriatr</addtitle><date>2014-06-01</date><risdate>2014</risdate><volume>47</volume><issue>4</issue><spage>288</spage><epage>292</epage><pages>288-292</pages><issn>0948-6704</issn><eissn>1435-1269</eissn><abstract>Background
Chronic obstructive pulmonary disease (COPD) is frequent in older subjects due to deterioration of pulmonary function and lifelong exposure to risk factors. Furthermore, COPD is often underreported because of the gradual onset of symptoms and reduced perception of symptoms in the elderly. There is thus a risk of undertreatment of COPD in older subjects.
Methods
We retrospectively analyzed dossiers of 229 hospitalized geriatric patients with COPD, complete assessment datasets and successful lung function tests.
Results
The sample comprised 78 men (38 %; mean age 77 ± 7 years) and 151 women (66 %; mean age 81 ± 6 years). The number of untreated patients decreased from 68 (28 %) at admission to 35 (14 %) at discharge (p < 0.01). Absence of treatment was associated with severity of disease: mild COPD was less likely to be treated. During the hospital stay, the prescription of metered dose inhalers (MDIs) decreased and the prescription of nebulizers increased, most likely due to the coordination problems associated with using inhalers.
Conclusion
Undertreatment of COPD is frequent among hospitalized geriatric patients. There is a need for adaption of current guidelines to the needs of older patients with frailty or cognitive impairment.</abstract><cop>Darmstadt</cop><pub>Steinkopff-Verlag</pub><pmid>24803019</pmid><doi>10.1007/s00391-014-0645-6</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0948-6704 |
| ispartof | Zeitschrift für Gerontologie und Geriatrie, 2014-06, Vol.47 (4), p.288-292 |
| issn | 0948-6704 1435-1269 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1562662474 |
| source | Springer Link |
| subjects | Administration, Oral Adrenal Cortex Hormones - administration & dosage Adrenergic beta-Agonists - administration & dosage Age Factors Aged Aged, 80 and over Aging Beiträge zum Themenschwerpunkt Bronchodilator Agents - administration & dosage Cholinergic Antagonists - administration & dosage Comorbidity Drug Therapy, Combination Female Forced Expiratory Volume - drug effects Geriatric Assessment Geriatrics/Gerontology Germany Hospitalization Humans Internal Medicine Male Medicine Medicine & Public Health Metered Dose Inhalers Nebulizers and Vaporizers Pulmonary Disease, Chronic Obstructive - classification Pulmonary Disease, Chronic Obstructive - diagnosis Pulmonary Disease, Chronic Obstructive - drug therapy Retrospective Studies Social Sciences Vital Capacity - drug effects |
| title | Treatment of chronic obstructive pulmonary disease in hospitalized geriatric patients |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T08%3A57%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Treatment%20of%20chronic%20obstructive%20pulmonary%20disease%20in%20hospitalized%20geriatric%20patients&rft.jtitle=Zeitschrift%20f%C3%BCr%20Gerontologie%20und%20Geriatrie&rft.au=Schlitzer,%20J.&rft.date=2014-06-01&rft.volume=47&rft.issue=4&rft.spage=288&rft.epage=292&rft.pages=288-292&rft.issn=0948-6704&rft.eissn=1435-1269&rft_id=info:doi/10.1007/s00391-014-0645-6&rft_dat=%3Cproquest_cross%3E1562662474%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c397t-4843bffc61b7b9707fc8f118c93a238246e750c75292723f33b5b8ca4ba16fcc3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1562662474&rft_id=info:pmid/24803019&rfr_iscdi=true |