Chronic obstructive pulmonary disease (COPD) and old age?
Chronic obstructive pulmonary disease (COPD) and old age?
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DOI：
10.1177/1479972311407218
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发表时间：
2011-05-01
影响因子：
4.1
通讯作者：
Jarad, Nabil
中科院分区：
文献类型：
--
作者：
Jarad, Nabil
老年慢性阻塞性肺疾病（COPD）是一个日益严重的问题。了解老年COPD患者的特征对于引入有效的干预措施和为卫生资源分配提供信息非常重要。对老年具有重要意义的特征包括非吸烟者慢性阻塞性肺病患病率增加和全身合并症发生率上升。此外，老年患者急性发作的结果较差，表现为住院率增加、住院时间延长、再住院率增加和死亡率增加。认知功能受损以及影响手部关节的问题使吸入药物的使用不太可靠，从而导致护理结果进一步恶化。即使对于那些有能力使用吸入器的人，其对老年患者的疗效证据也不确定。
Chronic obstructive pulmonary disease (COPD) in old age is an increasing problem. Understanding the features of COPD in older patients is important in order to introduce effective interventions and to inform efforts for health resource allocation. Features of importance to old age include increased prevalence of COPD in non-smokers and rise in the rate of systemic comorbidities. In addition, acute exacerbations in older patients have poorer outcome, manifesting by increase in the rate of hospitalisation, greater length of stay, increase of the rate of re-hospitalisation and in mortality rate. Impaired cognitive functions as well as problems affecting hand joints make using inhaled medications less reliable which leads to further deterioration of outcome of care. Even for those who are competent in using inhalers, the evidence for their efficacy in older patients is not certain.