66103
document
COPD detected with screening : impact on patient management and prognosis . It is uncertain whether screening of older persons for chronic obstructive pulmonary disease ( COPD ) is worthwhile because the effects on patient management and prognosis are unknown . We aimed to assess the short-term consequences of detecting COPD in frail elderly subjects with dyspnoea , considering pulmonary drug use , hospitalisations and all-cause mortality . Community-dwelling frail elderly subjects , aged 65 years and older , with dyspnoea , participating in a screening study on COPD and heart failure were included . Final diagnoses were assigned by an expert panel based on all data from the screening strategy , including spirometry . Follow-up data were collected from the general practitioners . Of the 386 patients , 84 ( 21.8 % ) were received a new diagnosis of COPD . Overall , changes in pulmonary drug prescription during 6 months of follow-up were infrequent ( n = 53 , 13.7 % ; among new cases of COPD , 15 ( 17.9 % ) out of 84 ) . Of all participants , 25.9 % were hospitalised in the first year of follow-up , with the highest rate in patients with newly detected COPD ( 32.1 % ) . Many new cases of COPD could be detected by screening frail elderly subjects with dyspnoea , but the impact on patient management seems limited . Our study underlines the importance of obtaining follow-up data to assess the true impact of a ( screen-detected ) diagnosis of COPD on patient management and outcome .
66104
Intervention_Physical
spirometry
66105
Outcome_Mental
patient management and prognosis .
66106
Outcome_Mental
patient management and prognosis
66107
Outcome_Other
pulmonary drug use
66108
Outcome_Other
hospitalisations
66109
Outcome_Mortality
all-cause mortality
66110
Outcome_Physical
changes in pulmonary drug prescription
66111
Outcome_Other
hospitalised
66112
Outcome_Physical
dyspnoea
66113
Outcome_Mental
patient management
66114
Outcome_Mental
patient management and outcome .