Spanish Guideline for COPD (GesEPOC). Update 2014
2014; Elsevier BV; Volume: 50; Linguagem: Inglês
10.1016/s1579-2129(14)70070-9
ISSN1885-6195
AutoresMarc Miravitlles, Juan José Soler‐Cataluña, Myriam Calle, Jesús Molina, Pere Almagro, José Antonio Quintano, Juan Antonio Riesco, Juan Antonio Trigueros, Pascual Piñera, Adolfo Simón, Juan Luis Rodríguez Hermosa, Ester Marco, Daniel López, Ramón Coll, Roser Coll-Fernández, Miguel Ángel Lobo, Jesús Díez‐Manglano, Joan B. Soriano, Julio Ancochea,
Tópico(s)Nursing Diagnosis and Documentation
ResumoChronic obstructive pulmonary disease (COPD), a very common disease, is the third leading cause of death worldwide. Due to the significant heterogeneity of clinical phenotypes of COPD there is no single method suitable for predicting patients' health status and outcomes, and therefore multidimensional indices, assessing different components of the disease, were developed and are recommended for clinical practice by international guidelines. Several indices have been widely accepted: BODE and its modifications, ADO, DOSE, CODEX, COTE. They differ in their composition and aim, while they are more accurate and better validated in specific settings and populations. We review the characteristics, strengths and limitations of these indices, and we discuss their role in routine management of patients with COPD, as well as in specific clinical scenarios, such as resuscitation and ceiling of care, or decisions to offer more invasive treatments. This analysis may help clinicians to use those indexes in a more practical and appropriate way.
Referência(s)