The impact of cognitive impairment on self-management in chronic obstructive pulmonary disease: A systematic review.

Abstract:

OBJECTIVE:To determine the characteristics of persons with cognitive impairment being able to self-manage in chronic obstructive pulmonary disease (COPD). METHODS:In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance this systematic review examined all studies in English from 1st January 2000 to 20 February 2016, describing the relationship between cognition and COPD self-management domains in older community dwelling persons with dementia or cognitive impairment. RESULTS:Of 4474 studies identified, thirteen studies were eligible for inclusion. No studies differentiated populations into recognized dementia subtypes. Study aims were variable; most (n = 7) examined inhaler competency alone. Studies identified a link between worsening cognition and the need for assistance in activities of daily living. Only one study evaluated the impact of cognition on overall self-management and found no association between cognitive impairment and self-rated self-management. Mild degrees of cognitive impairment were associated with reduced symptom recall. Cognitive impairment in COPD was associated with high degrees of inhaler incompetency. Basic cognitive screening tests were able to predict inhaler incompetence with reduced overall cognitive function, dyspraxia, and/or executive function identified as predictors of incompetency. CONCLUSIONS:Multiple measures of disability consistently demonstrated that cognitive impairment in COPD significantly increased the need for assistance in many aspects of daily living, treatment adherence, and effective self-management. Given the nature of neuropsychological deficits seen in COPD, dedicated screening tools are required. Future research should investigate the impact of cognitive dysfunction in COPD and identify how to support those that lack capacity to self-manage.

journal_name

Respir Med

journal_title

Respiratory medicine

authors

Baird C,Lovell J,Johnson M,Shiell K,Ibrahim JE

doi

10.1016/j.rmed.2017.06.006

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

130-139

eissn

0954-6111

issn

1532-3064

pii

S0954-6111(17)30172-5

journal_volume

129

pub_type

杂志文章,评审
  • DNA amplification by the polymerase chain reaction to detect sub-clinical Pneumocystis carinii colonization in HIV-positive and HIV-negative male homosexuals with and without respiratory symptoms.

    abstract::Pneumocystis carinii colonization was studied in 90 men using the polymerase chain reaction. These comprised ten heterosexual controls; ten HIV-seronegative homosexual controls; 20 HIV-seropositive homosexuals with blood CD4 count > 400 x 10(6) l-1; 20 HIV-seropositive homosexuals with CD4 < 400 x 10(6) l-1; ten HIV-s...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/0954-6111(93)90008-n

    authors: Leigh TR,Kangro HO,Gazzard BG,Jeffries DJ,Collins JV

    更新日期:1993-10-01 00:00:00

  • Changes in forced expiratory volume in 1 second over time in patients with controlled asthma at baseline.

    abstract:BACKGROUND:A predominant feature of asthma is an accelerated rate of decline in forced expiratory volume in 1 s (FEV1), but data on the variability and factors associated with this change in patients with controlled asthma are largely unknown. METHODS:140 patients with controlled asthma were enrolled based on the Glob...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2014.04.014

    authors: Matsunaga K,Ichikawa T,Oka A,Morishita Y,Kanai K,Hiramatsu M,Akamatsu H,Kawabata H,Kikuchi T,Akamatsu K,Hirano T,Kou Y,Nakanishi M,Minakata Y,Yamamoto N

    更新日期:2014-07-01 00:00:00

  • Efficacy of treatments in primary spontaneous pneumothorax: A systematic review and network meta-analysis of randomized clinical trials.

    abstract:BACKGROUND:Primary spontaneous pneumothorax (PSP) remains a significant global health problem. Despite general agreement, an official algorithm for the management of PSP still does not exist. OBJECTIVES:Evaluating the efficacy of all available treatments in PSP. METHODS:A systematic search of 12 electronic databases ...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.rmed.2018.03.009

    authors: Vuong NL,Elshafay A,Thao LP,Abdalla AR,Mohyeldin IA,Elsabaa K,Omran ES,Yu F,Hirayama K,Huy NT

    更新日期:2018-04-01 00:00:00

  • The prevalence of asthma and wheezing illnesses amongst 10-year-old schoolchildren.

    abstract::Asthma and wheezing illnesses carry a significant burden of disease during childhood. Prevalence studies have the capacity to provide invaluable insights into the nature of these common conditions. As part of the Isle of Wight Whole Population Birth Cohort Study (n=1456) we have examined wheezing and asthma developmen...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1053/rmed.2001.1236

    authors: Kurukulaaratchy RJ,Fenn M,Twiselton R,Matthews S,Arshad SH

    更新日期:2002-03-01 00:00:00

  • Invasive pulmonary aspergillosis complicating allergic bronchopulmonary aspergillosis.

    abstract::Invasive pulmonary aspergillosis is a frequent complication in immunocompromised patients. The role of the prolonged use of steroids in predisposing to invasive aspergillosis has been recognized, but exceptionally described in asthmatic patients. We report the case of a 59-year-old woman with bronchial asthma treated ...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/0954-6111(95)90198-1

    authors: Ganassini A,Cazzadori A

    更新日期:1995-02-01 00:00:00

  • Effect of budesonide/formoterol pMDI on COPD exacerbations: a double-blind, randomized study.

    abstract:BACKGROUND:Treatment with an inhaled corticosteroid (ICS) and long-acting bronchodilator is recommended for severe/very severe chronic obstructive pulmonary disease (COPD) patients with repeated exacerbations. This randomized, double-blind, double-dummy, parallel-group, 12-month multicenter study evaluated the effect o...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.rmed.2011.07.020

    authors: Sharafkhaneh A,Southard JG,Goldman M,Uryniak T,Martin UJ

    更新日期:2012-02-01 00:00:00

  • Effect of smoking status on lung function, patient-reported outcomes, and safety among patients with COPD treated with indacaterol/glycopyrrolate: Pooled analysis of the FLIGHT1 and FLIGHT2 studies.

    abstract:BACKGROUND:Smoking continues to be a major risk factor for COPD and may impact the efficacy of COPD treatments, with guidelines supporting the crucial importance for current smokers of smoking cessation. A post-hoc analysis of the FLIGHT1 and FLIGHT2 studies assessed the impact of smoking status on the efficacy and saf...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2019.07.019

    authors: Tashkin DP,Goodin T,Bowling A,Price B,Ozol-Godfrey A,Sharma S,Sanjar S

    更新日期:2019-08-01 00:00:00

  • The Spacehaler for delivery of salbutamol: a comparison with the standard metered-dose inhaler plus Volumatic spacer device.

    abstract::The Spacehaler is a new, compact, pressurized aerosol device that uses the same canister as a conventional metered-dose inhaler (MDI). Its design, however, reduces the velocity of the aerosol cloud that emerges from the inhaler, thereby reducing the amount of the non-respirable fraction of the drug delivered to the pa...

    journal_title:Respiratory medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0954-6111(97)90035-4

    authors: Gunawardena KA,Sohal T,Jones JI,Upchurch FC,Crompton GK

    更新日期:1997-05-01 00:00:00

  • A profile of volatile organic compounds in breath discriminates COPD patients from controls.

    abstract:BACKGROUND:Chronic obstructive pulmonary disease (COPD) is an inflammatory condition characterized by oxidative stress and the formation of volatile organic compounds (VOCs) secreted via the lungs. We recently developed a methodological approach able to identify profiles of VOCs in breath unique for patient groups. Her...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2009.10.018

    authors: Van Berkel JJ,Dallinga JW,Möller GM,Godschalk RW,Moonen EJ,Wouters EF,Van Schooten FJ

    更新日期:2010-04-01 00:00:00

  • Capsaicin inhalation test for identification of sensory hyperreactivity.

    abstract:BACKGROUND:Patients with upper and lower airway symptoms and with pronounced sensitivity to chemical odours, such as perfumes, flower scents and tobacco smoke, have been suggested to have sensory hyperreactivity (SHR). The symptoms have been difficult to identify with physiological measurements and the effects of vario...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1053/rmed.2002.1340

    authors: Johansson A,Löwhagen O,Millqvist E,Bende M

    更新日期:2002-09-01 00:00:00

  • Asthma and COPD in an Italian adult population: role of BMI considering the smoking habit.

    abstract::Smoking and body mass index (BMI) are well-documented risk factors that contribute substantially to chronic obstructive pulmonary disease (COPD) and asthma. However, the relations among smoking, obesity, and COPD or asthma remain to be clarified. We conducted a population-based cross-sectional epidemiologic study to e...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2013.04.021

    authors: Cazzola M,Calzetta L,Lauro D,Bettoncelli G,Cricelli C,Di Daniele N,Rogliani P

    更新日期:2013-09-01 00:00:00

  • DQA1*03011 allele: protective or an adverse effect on the development of sarcoidosis; preliminary study.

    abstract:BACKGROUND:Sarcoidosis (SA) is a multisystem granulomatous disorder of unknown etiology. It seems likely that in genetically different predisposed hosts, the same antigen(s) may cause the development of sarcoid Th1 response. The interaction of the T-cell receptor with the human leukocyte antigen-DQA1*03011 peptide-comp...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2007.06.004

    authors: Dubaniewicz A,Dubaniewicz A,Dubaniewicz A,Moszkowska G

    更新日期:2007-10-01 00:00:00

  • Multiplex PCR for the simultaneous detection of Chlamydia pneumoniae, Mycoplasma pneumoniae and Legionella pneumophila in community-acquired pneumonia.

    abstract::A multiplex polymerase chain reaction (PCR) was developed for the simultaneous detection of Chlamydia pneumoniae, Mycoplasma pneumoniae and Legionella pneumophila. Oligonucleotide primers for the amplification of the DNA of these three organisms were optimized for use in combination in the same reaction. PCR products ...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2003.11.012

    authors: Miyashita N,Saito A,Kohno S,Yamaguchi K,Watanabe A,Oda H,Kazuyama Y,Matsushima T,CAP Study Group.

    更新日期:2004-06-01 00:00:00

  • Post-9/11 sarcoidosis in WTC-exposed firefighters and emergency medical service workers.

    abstract:INTRODUCTION:The World Trade Center (WTC) disaster released a huge quantity and variety of toxicants into the environment. To-date, studies from each of the three major cohorts of WTC-exposed workers have suggested "greater than expected" numbers of post-9/11 cases in some workers. We undertook this study to estimate t...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2017.06.004

    authors: Webber MP,Yip J,Zeig-Owens R,Moir W,Ungprasert P,Crowson CS,Hall CB,Jaber N,Weiden MD,Matteson EL,Prezant DJ

    更新日期:2017-11-01 00:00:00

  • Evaluation of a respiratory symptom diary for clinical studies of idiopathic pulmonary fibrosis.

    abstract:BACKGROUND:There are no validated patient diaries for evaluating respiratory symptoms in idiopathic pulmonary fibrosis (IPF). PURPOSE:To evaluate the performance properties of the chronic obstructive pulmonary disease (COPD) Evaluating Respiratory Symptoms™ (E-RS™: COPD) measure in patients with IPF. METHODS:Concept ...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2017.11.011

    authors: Bacci ED,O'Quinn S,Leidy NK,Murray L,Vernon M

    更新日期:2018-01-01 00:00:00

  • Genetic influences on Chronic Obstructive Pulmonary Disease - a twin study.

    abstract:BACKGROUND:Genes that contribute to the risk of developing Chronic Obstructive Pulmonary Disease (COPD) have been identified, but an attempt to accurately quantify the total genetic contribution to COPD has to our knowledge never been conducted. METHODS:Hospital discharge diagnoses data on COPD were analysed in 22,422...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2010.05.004

    authors: Ingebrigtsen T,Thomsen SF,Vestbo J,van der Sluis S,Kyvik KO,Silverman EK,Svartengren M,Backer V

    更新日期:2010-12-01 00:00:00

  • Smoking, obesity and risk of sarcoidosis: A population-based nested case-control study.

    abstract:BACKGROUND:Smoking and obesity might alter the risk of sarcoidosis. However, the data remained inconclusive. METHODS:A cohort of Olmsted County, Minnesota residents diagnosed with sarcoidosis between January 1, 1976 and December 31, 2013 was identified based on individual medical record review. For each sarcoidosis su...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2016.10.003

    authors: Ungprasert P,Crowson CS,Matteson EL

    更新日期:2016-11-01 00:00:00

  • Does the 'oxygen cost diagram' reflect changes in six minute walking distance in follow up studies?

    abstract::The oxygen cost diagram (OCD) is a simple scale for quantifying a patient's evaluation of his tolerance to exercise frequently used in clinical trials; it has been shown to be well correlated with objective measures of capacity of ambulation such as the 6 min walk test (6' W). This study aimed to determine whether the...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/s0954-6111(99)90266-4

    authors: Janssens JP,Breitenstein E,Rochat T,Fitting JW

    更新日期:1999-11-01 00:00:00

  • Identification of individuals with alpha-1-antitrypsin deficiency by a targeted screening program.

    abstract:BACKGROUND:Alpha-1-antitrypsin deficiency (AATD) is significantly underdiagnosed. The early detection of AATD would enable affected persons to make lifestyle changes such as quitting smoking. It was the aim of the study to determine whether the combination of an awareness program with the offer of a cost-free diagnosti...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2007.02.024

    authors: Bals R,Koczulla R,Kotke V,Andress J,Blackert K,Vogelmeier C

    更新日期:2007-08-01 00:00:00

  • NT-proBNP in chronic hypercapnic respiratory failure: a marker of disease severity, treatment effect and prognosis.

    abstract:BACKGROUND:Natriuretic peptides are considered as reliable indicators of left-heart failure (HF) and are useful for differential diagnosis of dyspnoea. AIM:We evaluated the clinical significance of N-terminal pro-brain natriuretic peptide (NT-proBNP) in patients with chronic hypercapnic respiratory failure (CHRF). ME...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2007.04.001

    authors: Budweiser S,Luchner A,Jörres RA,Heinemann F,Hitzl AP,Schmidbauer K,Riegger G,Pfeifer M

    更新日期:2007-09-01 00:00:00

  • Prevalence of work-related symptoms and serum-specific antibodies to wheat flour in exposed workers in the bakery industry.

    abstract:BACKGROUND:Although baker's asthma (BA) is a common occupational asthma, there have been few reports on this disease in Korean subjects. OBJECTIVES:We evaluated the prevalence of serum-specific IgE, IgG1, and IgG4 antibodies in relation to work-related respiratory symptoms in a single industrial bakery. METHODS:Three...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2007.11.015

    authors: Hur GY,Koh DH,Kim HA,Park HJ,Ye YM,Kim KS,Park HS

    更新日期:2008-04-01 00:00:00

  • The role of inspiratory flow in selection and use of inhaled therapy for patients with chronic obstructive pulmonary disease.

    abstract::Inhalation therapy is the mainstay of chronic obstructive pulmonary disease management, and inhaler selection can have a profound impact on drug delivery and medication adherence, as well as on treatment outcomes. Although multiple delivery systems, such as pressurized metered-dose inhalers, dry powder inhalers, slow-...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.rmed.2019.105857

    authors: Mahler DA

    更新日期:2020-01-01 00:00:00

  • Potential utility of BCG test in excluding tuberculosis in adults.

    abstract::In developing countries, many sputum-negative suspects of pulmonary tuberculosis (PTB) are given antituberculous medication just because tuberculosis (TB) could not be excluded in them. Many studies have shown that BCG test is nearly 100% sensitive, except in those with severe malnutrition, steroid therapy and other c...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1053/rmed.2003.1478

    authors: Mathur ML,Raman S

    更新日期:2003-05-01 00:00:00

  • A review of the etiology and clinical presentation of non-cystic fibrosis bronchiectasis: A tertiary care experience.

    abstract:INTRODUCTION:Non-cystic fibrosis(CF) bronchiectasis has been recognized in children for the past 200 years. Early childhood pneumonia and underlying conditions such as immunodeficiency, primary ciliary dyskinesia(PCD), and congenital lung pathology should be considered in the etiology. The aim of our study was to descr...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.rmed.2018.02.013

    authors: Satırer O,Mete Yesil A,Emiralioglu N,Tugcu GD,Yalcın E,Dogru D,Kiper N,Ozcelik U

    更新日期:2018-04-01 00:00:00

  • Predicting the need for ICU admission in community-acquired pneumonia.

    abstract:BACKGROUND:Multiple criteria have been proposed to define community-acquired pneumonia (CAP) severity and predict ICU admission. Validity studies have found differing results. We tested four models to assess severe CAP built upon the criteria included in the 2007 IDSA/ATS guidelines, hypothesizing that a model providin...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2019.07.007

    authors: Gearhart AM,Furmanek S,English C,Ramirez J,Cavallazzi R

    更新日期:2019-08-01 00:00:00

  • Risk factors for development of asthma in children and adolescents: findings from a longitudinal population study.

    abstract:BACKGROUND:The prevalence of asthma appears to be on the increase, and risk factors are not well established. To investigate risk factors for the development of asthma, a population sample of children and adolescents, aged 7-17 years at enrolment, were studied in 1986. Initial examinations were repeated at follow-up in...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/s0954-6111(96)90021-9

    authors: Ulrik CS,Backer V,Hesse B,Dirksen A

    更新日期:1996-11-01 00:00:00

  • Stepping down from combination asthma therapy: The predictors of outcome.

    abstract:BACKGROUND:Stepping down from combination asthma therapy (inhaled corticosteroids (ICS) + long-acting β2 agonists (LABA)) is often avoided due to fear of exacerbations, which may lead to overmedication in well-controlled asthma. A better knowledge about the predictors of outcome might encourage clinicians to start step...

    journal_title:Respiratory medicine

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.rmed.2016.06.010

    authors: Koskela HO,Purokivi MK,Kokkarinen J

    更新日期:2016-08-01 00:00:00

  • Peak circulatory power is a strong prognostic factor in patients with idiopathic pulmonary arterial hypertension.

    abstract:BACKGROUND:Studies have shown that peak circulatory power (peak CircP; peak oxygen uptake × peak systolic blood pressure) is a variable predictor of prognosis in patients with left heart failure. It remains unknown whether peak CircP also predicts outcome in patients with idiopathic pulmonary arterial hypertension (IPA...

    journal_title:Respiratory medicine

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.rmed.2018.01.003

    authors: Tang Y,Yao L,Liu Z,Xie W,Ma X,Luo Q,Zhao Z,Huang Z,Gao L,Jin Q,Yu X,Xiong C,Ni X,Yan Y,Qi W

    更新日期:2018-02-01 00:00:00

  • A study of loculated tuberculous pleural effusions treated with intrapleural urokinase.

    abstract:AIM:To assess the effect of intrapleural urokinase, vis-à-vis simple pleural drainage, on residual pleural thickening in a series of patients suffering from loculated tuberculous pleural effusion. PATIENTS AND METHOD:Twenty-nine patients (21 males and 8 females) with loculated pleural effusion were studied. These pati...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.rmed.2006.02.010

    authors: Cases Viedma E,Lorenzo Dus MJ,González-Molina A,Sanchis Aldás JL

    更新日期:2006-11-01 00:00:00

  • Quality control for multiple breath washout tests in multicentre bronchiectasis studies: Experiences from the BRONCH-UK clinimetrics study.

    abstract:INTRODUCTION:Multiple Breath Washout (MBW) to measure Lung Clearance Index (LCI) is increasingly being used as a secondary endpoint in multicentre bronchiectasis studies. LCI data quality control or "over-reading" is resource intensive and the impact is unclear. OBJECTIVES:To assess the proportion of MBW tests deemed ...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2018.10.030

    authors: O'Neill K,Lakshmipathy GR,Ferguson K,Cosgrove D,Hill AT,Loebinger MR,Carroll M,Chalmers JD,Gatheral T,Johnson C,DeSoyza A,Hurst JR,Bradbury I,Elborn JS,Bradley JM

    更新日期:2018-12-01 00:00:00