COPD: Heterogeneity and Personalized Treatment

COPD: Heterogeneity and Personalized Treatment

This book explains how analysis of the heterogeneity of chronic obstructive pulmonary disease (COPD) enhances understanding of the condition and leads to improved, personalized treatment. State of the art knowledge is presented... read more

Steer Clear of Magnesium for COPD

Steer Clear of Magnesium for COPD

Knowingly or not, we in emergency medicine tend to lean into the Dutch hypothesis, a 1960s postulate that asthma and COPD are part of a spectrum of common disease (chronic obstructive lung disease), and should be considered... read more

Association Between Pre-Existing Respiratory Disease and COVID-19

Association Between Pre-Existing Respiratory Disease and COVID-19

Previous studies suggested that the prevalence of chronic respiratory disease in patients hospitalised with COVID-19 was lower than its prevalence in the general population. The aim of this study was to assess whether... read more

Expanding Post-Discharge Readmission Metrics in Patients with COPD

Expanding Post-Discharge Readmission Metrics in Patients with COPD

Of 1,384,025 hospitalizations, 11,304 encounters from 8097 patients met criteria to be index hospitalizations. Most index hospitalizations were inpatient hospitalizations (74.8%) versus observation hospitalizations (25.2%).... read more

Temporal Changes in the Epidemiology, Management, and Outcome from ARDS

Temporal Changes in the Epidemiology, Management, and Outcome from ARDS

The frequency of and outcome from ARDS remained relatively stable between 2002 and 2012. Plateau pressure >ā€‰29 cmH2O and driving pressure >ā€‰14 cmH2O on the first day of mechanical ventilation but not tidal volume >ā€‰8... read more

Prediction Model for Severe CAP among Patients with Diabetes Mellitus

Prediction Model for Severe CAP among Patients with Diabetes Mellitus

Diabetes is an independent risk factor for the development of severe community-acquired pneumonia (CAP) and associated with pneumonia-related hospitalization as well as mortality. Here, we assessed several selected biomarkers... read more

The voice of people living with COPD: what I learned from doing qualitative research

The voice of people living with COPD: what I learned from doing qualitative research

As a general respiratory physician, schooled in the clinical world of evidence-based medicine (EBM), I shared a common view that qualitative research was, well, flaky. Where was the science? The statistical significance?... read more

All Intensivists Are Not Created Equal

All Intensivists Are Not Created Equal

Iā€™d like to preface this story by saying that the majority of the intensivists I have worked with have been exceptional, caring, and professional. We had all established a good camaraderie, and we had mutual respect for... read more

Asthma Among Hospitalized Patients with COVID-19 and Related Outcomes

Asthma Among Hospitalized Patients with COVID-19 and Related Outcomes

Among hospitalized patients 65 years or younger with severe COVID-19, asthma diagnosis was not associated with worse outcomes, regardless of age, obesity, or other high-risk comorbidities. Future population-based studies... read more

Critical Care / ICU, Fluids, Electrolytes and Nutrition

Critical Care / ICU, Fluids, Electrolytes and Nutrition

Filled with detailed work-ups, treatments, pearls, illustrations, differential diagnosis and references. Everything you ever needed to know about critical care and nutrition issues in an easy to read and navigate format created... read more

The Dyspnoea-inactivity Vicious Circle in COPD: Development and External Validation of a Conceptual Model

The Dyspnoea-inactivity Vicious Circle in COPD: Development and External Validation of a Conceptual Model

The vicious circle of dyspnoea-inactivity has been proposed, but never validated empirically, to explain the clinical course of chronic obstructive pulmonary disease (COPD). We aimed to develop and validate externally... read more

Health Coaching to Increase Appropriate Inhaler Use in COPD

Health Coaching to Increase Appropriate Inhaler Use in COPD

Health coaching may provide a scalable model that can improve care for people living with chronic obstructive pulmonary disease (COPD). Baseline adherence and inhaler technique were uniformly poor and did not differ by... read more

Activin Type II Receptor Blockade for Treatment of Muscle Depletion in COPD

Activin Type II Receptor Blockade for Treatment of Muscle Depletion in COPD

Blocking the action of negative muscle regulators through the activin type II receptors with bimagrumab treatment safely increased skeletal muscle mass but did not improve functional capacity in patients with COPD and low... read more

The Association of Clinical Variables and the Development of Specified Chronic Conditions in ICU Survivors

The Association of Clinical Variables and the Development of Specified Chronic Conditions in ICU Survivors

Clinical variables, especially the reason for ICU admission, are associated with the development of chronic conditions after ICU discharge. Therefore, these clinical variables should be considered when organizing follow-up... read more