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Exacerbation of Chronic Obstructive Pulmonary Disease

Prevalence
Clinical features
Differential Diagnosis
Investigations
Therapy
Prevention
Prognosis
Prognosis

The risk is increased with b
  • symptoms of bronchitis
  • daily wheeze
  • frequent exacerbations in the past 

Note:

Symptoms of bronchitis, frequent exacerbations, and daily wheeze increase the risk of COPD exacerbations

Patient Prognostic Factor Outcome CER OR
(95% CI)
NNF+
(95% CI)
COPD b symptoms of bronchitis
independent

3 or more exacerbations of COPD at 12 months
46%
(34% to 57%)
1.56 9
  frequent exacerbations in the past
independent
    1.43 11
  daily wheeze
independent
    1.34 14

 

Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   N R   Anthonisen
CAT Writers   B   Phillips , CJ   Wotton , CM   Ball