The value of the combined assessment of COPD in accurate characterization of stable COPD

Hdl Handle:
http://hdl.handle.net/10147/595279
Title:
The value of the combined assessment of COPD in accurate characterization of stable COPD
Authors:
Sahadevan, A; Cusack, R; O’Kelly, B; Amoran, O; Lane, SJ
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Jan-2016
URI:
http://hdl.handle.net/10147/595279
Abstract:
There is evidence showing a tendency to upgrade COPD severity previously staged with spirometric-based GOLD (GOLD 1234) when using the new GOLD combined disease assessment (GOLD ABCD). 1,2 The aim of our study was to compare the GOLD 1234 classification in a population of stable COPD patients with the GOLD ABCD classification to determine whether stable COPD was upgraded when using this new classification. After an observational study of a stable COPD cohort (n=112), 61 patients (54.5%) had an increase in their COPD severity when moving from the old GOLD 1234 classification to the current GOLD ABCD assessment (p<0.01). 42 patients (37.5%) had no change in severity of COPD. 9 patients COPD were assessed to be better on using GOLD ABCD. This study highlights previously missed high-risk patients when reviewing stable COPD. Continued incorporation of GOLD ABCD will translate into better evidence-based management.
Item Type:
Article
Language:
en
Keywords:
CHRONIC OBSTRUCTIVE PULMONARY DISEASE; RESPIRATORY DISORDER

Full metadata record

DC FieldValue Language
dc.contributor.authorSahadevan, Aen
dc.contributor.authorCusack, Ren
dc.contributor.authorO’Kelly, Ben
dc.contributor.authorAmoran, Oen
dc.contributor.authorLane, SJen
dc.date.accessioned2016-01-29T15:18:29Zen
dc.date.available2016-01-29T15:18:29Zen
dc.date.issued2016-01en
dc.identifier.urihttp://hdl.handle.net/10147/595279en
dc.description.abstractThere is evidence showing a tendency to upgrade COPD severity previously staged with spirometric-based GOLD (GOLD 1234) when using the new GOLD combined disease assessment (GOLD ABCD). 1,2 The aim of our study was to compare the GOLD 1234 classification in a population of stable COPD patients with the GOLD ABCD classification to determine whether stable COPD was upgraded when using this new classification. After an observational study of a stable COPD cohort (n=112), 61 patients (54.5%) had an increase in their COPD severity when moving from the old GOLD 1234 classification to the current GOLD ABCD assessment (p<0.01). 42 patients (37.5%) had no change in severity of COPD. 9 patients COPD were assessed to be better on using GOLD ABCD. This study highlights previously missed high-risk patients when reviewing stable COPD. Continued incorporation of GOLD ABCD will translate into better evidence-based management.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectCHRONIC OBSTRUCTIVE PULMONARY DISEASEen
dc.subjectRESPIRATORY DISORDERen
dc.titleThe value of the combined assessment of COPD in accurate characterization of stable COPDen
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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