Titulo:
Tratamiento farmacológico y no farmacológico de la enfermedad pulmonar obstructiva crónica
.
Sumario:
Introducción. La enfermedad pulmonar obstructiva crónica (EPOC), caracterizada por limitación del flujo aéreo, constituye una patología con alta prevalencia y mortalidad a nivel mundial, representada por exacerbaciones que requieren escalonar el tratamiento; el abordaje se realiza por medio de medidas farmacológicas y no farmacológicas. Objetivo. Sintetizar los aspectos relevantes de las principales guías de manejo y de los artículos científicos acerca del tratamiento farmacológico y no farmacológico de la enfermedad pulmonar obstructiva crónica. Método. Revisión descriptiva sobre el tratamiento farmacológico y no farmacológico de la enfermedad&am... Ver más
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2539-2018
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2018-09-03
295
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Revista Investigación en Salud Universidad de Boyacá - 2018
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.
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Tratamiento farmacológico y no farmacológico de la enfermedad pulmonar obstructiva crónica Pharmacologic and non-pharmacologic treatment of chronic obstructive pulmonary disease Introducción. La enfermedad pulmonar obstructiva crónica (EPOC), caracterizada por limitación del flujo aéreo, constituye una patología con alta prevalencia y mortalidad a nivel mundial, representada por exacerbaciones que requieren escalonar el tratamiento; el abordaje se realiza por medio de medidas farmacológicas y no farmacológicas. Objetivo. Sintetizar los aspectos relevantes de las principales guías de manejo y de los artículos científicos acerca del tratamiento farmacológico y no farmacológico de la enfermedad pulmonar obstructiva crónica. Método. Revisión descriptiva sobre el tratamiento farmacológico y no farmacológico de la enfermedad pulmonar obstructiva crónica, a partir de la búsqueda de literatura publicada en bases de datos electrónicas especializadas en salud. Se encontraron 265 documentos, entre artículos y guías, que cumplían con los criterios de búsqueda, se seleccionaron 118, se excluyeron 60 y se analizaron 58 referencias. Conclusión. La enfermedad pulmonar obstructiva crónica tiene alta prevalencia y mortalidad a nivel mundial, por esto hay que diagnosticarla bajo los parámetros de la guía de referencia mundial Global Initiative for Chronic Obstructive Lung Disease y de acuerdo con esto, abordar al paciente de forma integral e instaurándole un manejo farmacológico y no farmacológico individualizado con el fin de aumentar la adherencia al tratamiento, disminuir los síntomas y las exacerbaciones y, por consiguiente, mejorar la calidad de vida. Introduction. Chronic obstructive pulmonary disease (COPD) is characterized by airflow limitation, this disease presents a high prevalence and mortality rateworldwide. It is represented by exacerbations requiring step therapy. The treatment approach is performed by means of pharmacological and non-pharmacological measures. Objective. To synthesize the most relevant aspects of the main management guidelines and scientific articles about the pharmacological and non-pharmacological treatment of chronic obstructive pulmonary disease. Method. Descriptive review of pharmacological and non-pharmacological treatment of chronic obstructive pulmonary disease, by means of a search of literature published by electronic databases specialized in health sciences. 265 documents were found, including articles and guides, which met the search criteria, 118 were selected, 60 were excluded and 58 references were analyzed. Conclusion. Chronic obstructive pulmonary disease has a high prevalence and mortality rate worldwide, thus, it is necessary to diagnose it by following the parameters set by the worldwide reference guide: Global Initiative for Chronic Obstructive Lung Disease.According to these guidelines it is necessary to treat the patient holistically and establish a pharmacological and non-pharmacological individualized management in order to increase adherence to the treatment, reduce symptoms and exacerbations, and thereby, improve the quality of life. Molina-Franky, Jessica Roa Cubaque, Marcela América Corredor Gamba, Sandra Patricia Polanía Robayo, Alba Yanira Rojas Laverde, Maria del Pilar medicina interna neumología enfermedad pulmonar obstructiva crónica hábito de fumar broncodilatadores internal medicine pulmonary medicine chronic obstructive pulmonary disease smoking bronchodilator agents medicina interna pneumologia doença pulmonar obstrutiva crônica hábito de fumar broncodilatadores 5 2 Núm. 2 , Año 2018 : Revista Investigación en Salud Universidad de Boyacá Artículo de revista Journal article 2018-09-03T00:00:00Z 2018-09-03T00:00:00Z 2018-09-03 application/pdf Universidad de Boyacá Revista Investigación en Salud Universidad de Boyacá 2389-7325 2539-2018 https://revistasdigitales.uniboyaca.edu.co/index.php/rs/article/view/345 10.24267/23897325.345 https://doi.org/10.24267/23897325.345 spa http://creativecommons.org/licenses/by-nc/4.0 Revista Investigación en Salud Universidad de Boyacá - 2018 Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0. 295 322 Thorpe O, Kumar S, Johnston K. Barriers to and enablers of physical activity in patients with COPD following a hospital admission: A qualitative study. Int J COPD. 2014;9:115-28. https://doi.org/10.2147/COPD.S54457 Ramon MA, Gimeno-Santos E, Ferrer J, Balcells E, Rodríguez E, De Batlle J, et al. Hospital admissions and exercise capacity decline in patients with COPD. Eur Respir J. 2014;43(4):1018-27. https://doi.org/10.1183/09031936.00088313 Raluy-Callado M, Lambrelli D, MacLachlan S, Khalid JM. Epidemiology, severity, and treatment of chronic obstructive pulmonary disease in the United Kingdom by GOLD 2013. Int J Chron Obstruct Pulmon Dis. 2015;10:925-37. https://doi.org/10.2147/COPD.S82064 Farias CC, Resqueti V, Dias FAL, Borghi-Silva A, Arena R, Fregonezi GA de F. Costs and benefits of Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease: a randomized controlled trial. Braz J Phys Ther. 2014;18(2):165-73. http://dx.doi.org/10.1590/S1413-35552012005000151 Osthoffa M, Jenkins C, Leuppi JD. Chronic obstructive pulmonary disease-A treatable disease. Swiss Med Wkly. 2013;143:1-8. https://doi.org/10.4414/smw.2013.13777 Health O, Assessment T. Chronic obstructive pulmonary disease (COPD) evidentiary framework. Ont Health Technol Assess Ser. 2012;12(2):1-97. Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (Revised 2012). 2012. 90 p. Koul P a, Khan UH, Asad R, Yousuf R, Broor S, Lal RB, et al. Contribution of influenza to acute exacerbations of chronic obstructive pulmonary disease in Kashmir, India, 2010-2012. Influenza Respir Viruses. 2015;9(1):40-42. https://doi.org/10.1111/irv.12291 López-Giraldo a, Rodriguez-Roisin R, Agustí A. Enfermedad pulmonar obstructiva crónica. Actualización 2014. Med Balear. 2014;29(1):43-48. https://doi.org/10.3306/MEDICINABALEAR.29.01.43 Bello S, Chamorro H, Barrientos A. Tratamiento del tabaquismo en pacientes con enfermedad pulmonar obstructiva crónica. Rev Chil Enf Respir. 2013;29:24-30. http://dx.doi.org/10.4067/S0717-73482013000100004. Londoño D. Guía de práctica clínica basada en la evidencia para la prevención, diagnóstico, tratamiento y seguimiento de la enfermedad pulmonar obstructiva crónica en población adulta. Ministerio de Salud y Protección Social-Colciencias. Minist Protección Soc Colomb. 2014;(28). Secretaría de salud de Boyacá. ASIS BOYACÁ. Tunja; 2011. Polatli M, Bilgin C, Saylan B, Baslilar S, Toprak E, Ergen H, et al. A cross sectional observational study on the influence of chronic obstructive pulmonary disease on activities of daily living: the COPD-Life study. Tuberk Toraks. 2012;60(1):1-12. https://doi.org/10.5578/tt.3414 Wurst KE, St Laurent S, Mullerova H, Davis KJ. Characteristics of patients with COPD newly prescribed a long-acting bronchodilator: a retrospective cohort study. Int J COPD. 2014;9:1021-1031. https://doi.org/10.2147/COPD.S58258 Hizawa N. LAMA/LABA vs ICS/LABA in the treatment of COPD in Japan based on the disease phenotypes. Int J Chron Obstruct Pulmon Dis. 2015;10:1093-1102. https://doi.org/10.2147/COPD.S72858 Horhota ST, van Noord JA, Verkleij CB, Bour LJ, Sharma A, Trunk M, et al. In Vitro, Pharmacokinetic, Pharmacodynamic, and Safety Comparisons of Single and Combined Administration of Tiotropium and Salmeterol in COPD Patients Using Different Dry Powder Inhalers. AAPS J. 2015;17(4):871-880. https://doi.org/10.1208/s12248-015-9751-7 Sundh J, Osterlund Efraimsson E, Janson C, Montgomery S, Stallberg B, Lisspers K. Management of COPD exacerbations in primary care: a clinical cohort study. Prim Care Respir J. 2013;22(4):393-9. https://doi.org/10.4104/pcrj.2013.00087 Magnussen H, Disse B, Rodriguez-Roisin R, Kirsten A, Watz H, Tetzlaff K, et al. Withdrawal of Inhaled Glucocorticoids and Exacerbations of COPD. N Engl J Med. 2014;371(14):1285-1294. https://doi.org/10.1056/NEJMoa1407154 Mehring M, Donnachie E, Fexer J, Hofmann F, Schneider A. Disease management programs for patients with COPD in Germany: A longitudinal evaluation of routinely collected patient records. Respir Care. 2014;59(7):1123-1132. https://doi.org/10.4187/respcare.02748 Merino-trujillo A. Como escribir documentos científicos (Parte 3). Artículo de revisión. Salud en Tabasco. 2011;17(1 y 2):36-40. Asociación latinoamericana de tórax. Recomendaciones para el Diagnóstico y Tratamiento de la Enfermedad Pulmonar Obstructiva Crónica (EPOC). 1.a ed. Respirar. 2011. p. 1-43 Molimard M, Colthorpe P. Inhaler Devices for Chronic Obstructive Pulmonary Disease: Insights from Patients and Healthcare Practitioners. J Aerosol Med Pulm Drug Deliv. 2015;28(3):219-228. https://doi.org/10.1089/jamp.2014.1142 Norris V, Ambery C. Bronchodilation and safety of supratherapeutic doses of salbutamol or ipratropium bromide added to single dose GSK961081 in patients with moderate to severe COPD. Pulm Pharmacol Ther. 2013;26(5):574-580. https://doi.org/10.1016/j.pupt.2013.03.009 Braido F, Baiardini I, Sumberesi M, Blasi F, Canonica GW. Obstructive lung diseases and inhaler treatment: results from a national public pragmatic survey. Respir Res. 2013;14(1):94. https://doi.org/10.1186/1465-9921-14-94 Calzetta L, Rogliani P, Matera MG, Cazzola M. A systematic review with meta-analysis of dual bronchodilation with LAMA/LABA for the treatment of stable chronic obstructive pulmonary disease. Chest. 2016;149 (5):1181-1196. https://doi.org/10.1016/j.chest.2016.02.646. Miravitlles M, Soler-Cataluña JJ, Calle M, Molina J, Almagro P, Quintano JA, et al. Guía Española de la EPOC (GesEPOC). Tratamiento farmacológico de la EPOC estable. Aten Primaria. 2012;44(7):425-37. https://doi.org/10.1016/j.aprim.2012.04.005 Tashkin DP, Ferguson GT. Combination bronchodilator therapy in the management of chronic obstructive pulmonary disease. Respir Res. 2013;14(1):49. https://doi.org/10.1186/1465-9921-14-49 Lindenauer PK, Shieh M-S, Pekow PS, Stefan MS. Use and Outcomes Associated with Long-acting Bronchodilators among Patients Hospitalized for Chronic Obstructive Pulmonary Disease. Ann Am Thorac Soc. 2014;11(8):1186-1194. https://doi.org/10.1513/AnnalsATS.201407-311OC Cazzola M, Page CP, Calzetta L, Matera MG. Pharmacology and Therapeutics of Bronchodilators. Pharmacol Rev. 2012;64(3):450-504. https://doi.org/10.1124/pr.111.004580 Tashkin DP, Li N, Kleerup EC, Halpin D, Celli B, Decramer M, et al. Acute bronchodilator responses decline progressively over 4 years in patients with moderate to very severe COPD. Respir Res. 2014;15(1):102. https://doi.org/10.1186/s12931-014-0102-5 Magnussen H, Paggiaro P, Schmidt H, Kesten S, Metzdorf N, Maltais F. Effect of combination treatment on lung volumes and exercise endurance time in COPD. Respir Med. 2012;106(10):1413-1420. https://doi.org/10.1016/j.rmed.2012.05.011 Menezes A, Macedo S. Pharmacological treatment of COPD. J Bras Pneumol. 2011;37(4):527-43. http://dx.doi.org/10.1590/S1806-37132011000400016 Harries TH, Seed PT, Jones S, Schofield P, White P. Chronic obstructive pulmonary disease hospital admissions and drugs--unexpected positive associations: a retrospective general practice cohort study. NPJ Prim Care Respir Med. 2014;24:14006. https://doi.org/10.1038/npjpcrm.2014.6 D´Urzo A, Donohue JF, Kardos P, Miravitlles M. A re-evaluation of the role of inhaled corticosteroids in the management of patients with chronic obstructive pulmonary disease. Expert Opin Pharmacother. 2015;16(12):1845-1860. https://doi.org/10.1517/14656566.2015.1067682 Oba Y, Lone NA. Comparative efficacy of inhaled corticosteroid and long-acting beta agonist combinations in preventing COPD exacerbations: a bayesian network meta-analysis. Int J COPD. 2014;9:469-479. https://doi.org/10.2147/COPD.S48492 Díaz G, Palmeiro G, Valiño M, Robles A et al. Adecuación del tratamiento inhalado en pacientes diagnosticados de enfermedad pulmonar obstructiva crónica. 2013;6(1):4-9. http://dx.doi.org/10.4321/S1699-695X2013000100002 Ferreira J, Drummond M, Pires N, Reis G, Alves C, Robalo-Cordeiro C. Optimal treatment sequence in COPD: Can a consensus be found? Rev Port Pneumol. 2016;22(1):39-49. https://doi.org/10.1016/j.rppnen.2015.10.009 Brill SE, Wedzicha J a. Oxygen therapy in acute exacerbations of chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis. 2014;9(1):1241-1252. https://doi.org/10.2147/COPD.S41476 Nishi SPE, Zhang W, Kuo Y-F, Sharma G. Oxygen therapy use in older adults with chronic obstructive pulmonary disease. PloS One. 2015;10(3):e0120684. https://doi.org/10.1371/journal.pone.0120684 Lou Peian, Chen Peipei, Zhang Pan, Yu Jiaxi, Wang Young, Chen Na, Zhang Li, Wu Hongmin ZJ. Efficiency and Safety of Pulmonary Rehabilitation in Acute Exacerbation of Chronic Obstructive Pulmonary Disease. Respir Care. 2015;60:102-12. https://doi.org/10.12659/MSM.892769 Arancibia Francisco PJ. Consenso chileno de rehabilitación respiratoria en el paciente con EPOC. Rev Chil Enf Respir. 2011;27:77-79. http://dx.doi.org/10.4067/S0717-73482011000200001 Cameron-Tucker HL, Wood-Baker R, Owen C, Joseph L, Walters EH. Chronic disease self-management and exercise in COPD as pulmonary rehabilitation: a randomized controlled trial. Int J Chron Obstruct Pulmon Dis. 2014;9:513-23. https://doi.org/10.2147/COPD.S58478 Ricci C, Terzoni S, Gaeta M, Sorgente A, Destrebecq A, Gigliotti F. Physical Training and Noninvasive Ventilation in COPD Patients: A Meta-Analysis. Respir Care. 2013;59(5):709-17. https://doi.org/10.4187/respcare.02626 Miyamoto N, Senjyu H, Tanaka T, Asai M, Yanagita Y, Yano Y, et al. Pulmonary rehabilitation improves exercise capacity and dyspnea in air pollution-related respiratory disease. Tohoku J Exp Med. 2014;232(1):1-8. https://doi.org/10.1620/tjem.232.1 Maltais F, Decramer M, Casaburi R, Barreiro E, Burelle Y, Debigaŕe R, et al. An official American thoracic society/european respiratory society statement: Update on limb muscle dysfunction in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2014;189(9):15-62. https://doi.org/10.1164/rccm.201402-0373ST McNamara RJ, McKeough ZJ, McKenzie DK, Alison JA. Water-based exercise in COPD with physical comorbidities: A randomised controlled trial. Eur Respir J. 2013;41(6):1284-1291. https://doi.org/10.1183/09031936.00034312 Iepsen UW, Jørgensen KJ, Ringbæk T, Hansen H, Skrubbeltrang C, Lange P. A combination of resistance and endurance training increases leg muscle strength in COPD: An evidence-based recommendation based on systematic review with meta-analyses. Chron Respir Dis. 2015;12(2):132-145. https://doi.org/10.1177/1479972315575318 Donaire-González D, Gimeno-Santos E, Balcells E, Rodríguez DA, Farrero E, De Batlle J, et al. Physical activity in COPD patients: Patterns and bouts. Eur Respir J. 2013;42(4):993-1002. https://doi.org/10.1183/09031936.00101512 McNamara RJ, McKeough ZJ, McKenzie DK, Alison JA. Obesity in COPD: The effect of water-based exercise. Eur Respir J. 2013;42(6):1737-9. https://doi.org/10.1183/09031936.00103613 Cecere L, Littman A. Obesity and COPD: associated symptoms, health-related quality of life, and medication use. Natl Inst Health Public Access. 2011;8(4):275-84. https://doi.org/10.3109/15412555.2011.586660 Organizacion Mundial de la Salud. Enfermedad pulmonar obstructiva crónica (EPOC) [Internet]. 315. 2015. p. 1. Disponible en: http://www.who.int/mediacentre/factsheets/fs315/es/ Warnier MJ, van Riet EES, Rutten FH, De Bruin ML, Sachs APE. Smoking cessation strategies in patients with COPD. Eur Respir J. 2013;41(3):727-34. https://doi.org/10.1183/09031936.00014012 Abu Hassan H, Abd Aziz N, Hassan Y, Hassan F. Does the duration of smoking cessation have an impact on hospital admission and health-related quality of life amongst COPD patients? Int J Chron Obstruct Pulmon Dis. 2014;9:493-8. https://doi.org/10.2147/COPD.S56637 Verma A, Harrison A, Torun P, Vestbo J, Edwards R, Thornton J. Are pharmacists reducing COPD’S impact through smoking cessation and assessing inhaled steroid use? Respir Med. 2012;106(2):230-4. https://doi.org/10.1016/j.rmed.2011.08.011 Stead LF, Lancaster T. Combined pharmacotherapy and behavioural interventions for smoking cessation. Cochrane Database Syst Rev. 2012;10(12):CD008286. https://doi.org/10.1002/14651858.CD008286.pub2 Lopez M, Mongilardi N CW. Enfermedad pulmonar obstructiva crónica por exposicion a humo de biomasa. Rev Peru Med Exp Salud Publica. 2014;31:94-9. Lee H, Kim J, Tagmazyan K. Treatment of stable chronic obstructive pulmonary disease: The GOLD guidelines. Am Fam Physician. 2013;88(10):655-63. https://revistasdigitales.uniboyaca.edu.co/index.php/rs/article/download/345/448 info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 http://purl.org/coar/resource_type/c_dcae04bc http://purl.org/redcol/resource_type/ARTREV info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Publication |
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UNIVERSIDAD DE BOYACÁ |
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https://nuevo.metarevistas.org/UNIVERSIDADDEBOYACA/logo.png |
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Colombia |
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Revista Investigación en Salud Universidad de Boyacá |
| title |
Tratamiento farmacológico y no farmacológico de la enfermedad pulmonar obstructiva crónica |
| spellingShingle |
Tratamiento farmacológico y no farmacológico de la enfermedad pulmonar obstructiva crónica Molina-Franky, Jessica Roa Cubaque, Marcela América Corredor Gamba, Sandra Patricia Polanía Robayo, Alba Yanira Rojas Laverde, Maria del Pilar medicina interna neumología enfermedad pulmonar obstructiva crónica hábito de fumar broncodilatadores internal medicine pulmonary medicine chronic obstructive pulmonary disease smoking bronchodilator agents medicina interna pneumologia doença pulmonar obstrutiva crônica hábito de fumar broncodilatadores |
| title_short |
Tratamiento farmacológico y no farmacológico de la enfermedad pulmonar obstructiva crónica |
| title_full |
Tratamiento farmacológico y no farmacológico de la enfermedad pulmonar obstructiva crónica |
| title_fullStr |
Tratamiento farmacológico y no farmacológico de la enfermedad pulmonar obstructiva crónica |
| title_full_unstemmed |
Tratamiento farmacológico y no farmacológico de la enfermedad pulmonar obstructiva crónica |
| title_sort |
tratamiento farmacológico y no farmacológico de la enfermedad pulmonar obstructiva crónica |
| title_eng |
Pharmacologic and non-pharmacologic treatment of chronic obstructive pulmonary disease |
| description |
Introducción. La enfermedad pulmonar obstructiva crónica (EPOC), caracterizada por limitación del flujo aéreo, constituye una patología con alta prevalencia y mortalidad a nivel mundial, representada por exacerbaciones que requieren escalonar el tratamiento; el abordaje se realiza por medio de medidas farmacológicas y no farmacológicas. Objetivo. Sintetizar los aspectos relevantes de las principales guías de manejo y de los artículos científicos acerca del tratamiento farmacológico y no farmacológico de la enfermedad pulmonar obstructiva crónica. Método. Revisión descriptiva sobre el tratamiento farmacológico y no farmacológico de la enfermedad pulmonar obstructiva crónica, a partir de la búsqueda de literatura publicada en bases de datos electrónicas especializadas en salud. Se encontraron 265 documentos, entre artículos y guías, que cumplían con los criterios de búsqueda, se seleccionaron 118, se excluyeron 60 y se analizaron 58 referencias. Conclusión. La enfermedad pulmonar obstructiva crónica tiene alta prevalencia y mortalidad a nivel mundial, por esto hay que diagnosticarla bajo los parámetros de la guía de referencia mundial Global Initiative for Chronic Obstructive Lung Disease y de acuerdo con esto, abordar al paciente de forma integral e instaurándole un manejo farmacológico y no farmacológico individualizado con el fin de aumentar la adherencia al tratamiento, disminuir los síntomas y las exacerbaciones y, por consiguiente, mejorar la calidad de vida.
|
| description_eng |
Introduction. Chronic obstructive pulmonary disease (COPD) is characterized by airflow limitation, this disease presents a high prevalence and mortality rateworldwide. It is represented by exacerbations requiring step therapy. The treatment approach is performed by means of pharmacological and non-pharmacological measures. Objective. To synthesize the most relevant aspects of the main management guidelines and scientific articles about the pharmacological and non-pharmacological treatment of chronic obstructive pulmonary disease. Method. Descriptive review of pharmacological and non-pharmacological treatment of chronic obstructive pulmonary disease, by means of a search of literature published by electronic databases specialized in health sciences. 265 documents were found, including articles and guides, which met the search criteria, 118 were selected, 60 were excluded and 58 references were analyzed. Conclusion. Chronic obstructive pulmonary disease has a high prevalence and mortality rate worldwide, thus, it is necessary to diagnose it by following the parameters set by the worldwide reference guide: Global Initiative for Chronic Obstructive Lung Disease.According to these guidelines it is necessary to treat the patient holistically and establish a pharmacological and non-pharmacological individualized management in order to increase adherence to the treatment, reduce symptoms and exacerbations, and thereby, improve the quality of life.
|
| author |
Molina-Franky, Jessica Roa Cubaque, Marcela América Corredor Gamba, Sandra Patricia Polanía Robayo, Alba Yanira Rojas Laverde, Maria del Pilar |
| author_facet |
Molina-Franky, Jessica Roa Cubaque, Marcela América Corredor Gamba, Sandra Patricia Polanía Robayo, Alba Yanira Rojas Laverde, Maria del Pilar |
| topicspa_str_mv |
medicina interna neumología enfermedad pulmonar obstructiva crónica hábito de fumar broncodilatadores |
| topic |
medicina interna neumología enfermedad pulmonar obstructiva crónica hábito de fumar broncodilatadores internal medicine pulmonary medicine chronic obstructive pulmonary disease smoking bronchodilator agents medicina interna pneumologia doença pulmonar obstrutiva crônica hábito de fumar broncodilatadores |
| topic_facet |
medicina interna neumología enfermedad pulmonar obstructiva crónica hábito de fumar broncodilatadores internal medicine pulmonary medicine chronic obstructive pulmonary disease smoking bronchodilator agents medicina interna pneumologia doença pulmonar obstrutiva crônica hábito de fumar broncodilatadores |
| citationvolume |
5 |
| citationissue |
2 |
| citationedition |
Núm. 2 , Año 2018 : Revista Investigación en Salud Universidad de Boyacá |
| publisher |
Universidad de Boyacá |
| ispartofjournal |
Revista Investigación en Salud Universidad de Boyacá |
| source |
https://revistasdigitales.uniboyaca.edu.co/index.php/rs/article/view/345 |
| language |
spa |
| format |
Article |
| rights |
http://creativecommons.org/licenses/by-nc/4.0 Revista Investigación en Salud Universidad de Boyacá - 2018 Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0. info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 |
| references |
Thorpe O, Kumar S, Johnston K. Barriers to and enablers of physical activity in patients with COPD following a hospital admission: A qualitative study. Int J COPD. 2014;9:115-28. https://doi.org/10.2147/COPD.S54457 Ramon MA, Gimeno-Santos E, Ferrer J, Balcells E, Rodríguez E, De Batlle J, et al. Hospital admissions and exercise capacity decline in patients with COPD. Eur Respir J. 2014;43(4):1018-27. https://doi.org/10.1183/09031936.00088313 Raluy-Callado M, Lambrelli D, MacLachlan S, Khalid JM. Epidemiology, severity, and treatment of chronic obstructive pulmonary disease in the United Kingdom by GOLD 2013. Int J Chron Obstruct Pulmon Dis. 2015;10:925-37. https://doi.org/10.2147/COPD.S82064 Farias CC, Resqueti V, Dias FAL, Borghi-Silva A, Arena R, Fregonezi GA de F. Costs and benefits of Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease: a randomized controlled trial. Braz J Phys Ther. 2014;18(2):165-73. http://dx.doi.org/10.1590/S1413-35552012005000151 Osthoffa M, Jenkins C, Leuppi JD. Chronic obstructive pulmonary disease-A treatable disease. Swiss Med Wkly. 2013;143:1-8. https://doi.org/10.4414/smw.2013.13777 Health O, Assessment T. Chronic obstructive pulmonary disease (COPD) evidentiary framework. Ont Health Technol Assess Ser. 2012;12(2):1-97. Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (Revised 2012). 2012. 90 p. Koul P a, Khan UH, Asad R, Yousuf R, Broor S, Lal RB, et al. Contribution of influenza to acute exacerbations of chronic obstructive pulmonary disease in Kashmir, India, 2010-2012. Influenza Respir Viruses. 2015;9(1):40-42. https://doi.org/10.1111/irv.12291 López-Giraldo a, Rodriguez-Roisin R, Agustí A. Enfermedad pulmonar obstructiva crónica. Actualización 2014. 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