Inhaled Corticosteroids in Chronic Obstructive Pulmonary Disease: Benefits and Risks.

Abstract:

:Inhaled corticosteroids (ICSs), when used in combination with long-acting bronchodilators, reduce the risk of exacerbations and improve health-related quality of life in patients with chronic obstructive pulmonary disease (COPD) compared with bronchodilator or ICS therapy alone. Potential side effects of ICSs include adverse effects on glycemic control, bone density, cataract formation, skin changes, oral candidiasis, and pulmonary infections. Pneumonia is observed at increased rates in COPD patients, in particular those with greater airflow limitation, low body mass index, advanced age, and male gender, and ICSs may increase this risk. Risk assessment is essential in selecting appropriate patients for ICS-containing therapy.

journal_name

Clin Chest Med

authors

Mkorombindo T,Dransfield MT

doi

10.1016/j.ccm.2020.05.006

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

475-484

issue

3

eissn

0272-5231

issn

1557-8216

pii

S0272-5231(20)30032-0

journal_volume

41

pub_type

杂志文章,评审
  • Hyper-IgE Syndromes and the Lung.

    abstract::Elevated serum IgE has many etiologies including parasitic infection, allergy and asthma, malignancy, and immune dysregulation. The hyper-IgE syndromes caused by mutations in STAT3, DOCK8, and PGM3 are monogenic primary immunodeficiencies associated with high IgE, eczema, and recurrent infections. These primary immuno...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2016.04.016

    authors: Freeman AF,Olivier KN

    更新日期:2016-09-01 00:00:00

  • Hemodynamic monitoring in the intensive care unit.

    abstract::Hemodynamic monitoring is a diagnostic tool. Because hemodynamic monitoring often requires invasive procedures, it can be associated with an increased incidence of untoward events. Like any diagnostic tool, its ability to improve outcome will be primarily related to the survival benefit enjoyed by specific therapies t...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0272-5231(03)00095-9

    authors: Pinsky MR

    更新日期:2003-12-01 00:00:00

  • Lung transplantation for primary pulmonary hypertension.

    abstract::Recent progress in medical therapies has diminished the role of transplantation in the management of PPH during the past decade. Drug therapy is not effective in some patients, responses to therapy are not sustained over time in others, and drug side effects eventually limit the benefits of treatment in a few more. Lu...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0272-5231(05)70293-8

    authors: Trulock EP

    更新日期:2001-09-01 00:00:00

  • Autoimmune Biomarkers, Antibodies, and Immunologic Evaluation of the Patient with Fibrotic Lung Disease.

    abstract::This review summarizes the current state of knowledge on experimental and clinical biomarkers of autoimmunity and aims to highlight important aspects of the immunologic evaluation of a patient with fibrotic lung disease. ...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2019.06.002

    authors: Tzouvelekis A,Karampitsakos T,Bouros E,Tzilas V,Liossis SN,Bouros D

    更新日期:2019-09-01 00:00:00

  • Chronic thromboembolic pulmonary hypertension.

    abstract::The description of organized thrombus in major pulmonary arteries can be found in autopsy reports dating back to the late nineteenth and early twentieth centuries. Not until the 1950s was the antemortem diagnosis and clinical syndrome of chronic thrombotic obstruction of the major pulmonary arteries better characteriz...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2006.11.009

    authors: Auger WR,Kim NH,Kerr KM,Test VJ,Fedullo PF

    更新日期:2007-03-01 00:00:00

  • Molecular, pharmacologic, and clinical aspects of oxygen-induced lung injury.

    abstract::The pathogenesis of O2 toxicity involves intracellular production of partially reduced O2 metabolites, which increases with O2 partial pressure. Cytotoxic O2 metabolites impair enzyme function and inhibit DNA, protein, and surfactant lipid biosynthesis. Compounds used clinically that increase O2 metabolism or that are...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Jackson RM

    更新日期:1990-03-01 00:00:00

  • Etiology of ventilator-associated pneumonia.

    abstract::This review focuses on the top ten causes of ventilator-associated pneumonia (VAP), updating an earlier study. These pathogens have specific risk factors, different patterns of clinical resolution, and a wide range of attributable mortality. The discussion herein analyzes these aspects, placing particular emphasis on ...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2004.10.017

    authors: Rello J,Díaz E,Rodríguez A

    更新日期:2005-03-01 00:00:00

  • New modalities of mechanical ventilation: high-frequency oscillatory ventilation and airway pressure release ventilation.

    abstract::Management of acute lung injury (ALI) and the acute respiratory distress syndrome (ARDS) is largely supportive, with the use of mechanical ventilation being a central feature. Recent advances in the understanding of ALI/ARDS and mechanical ventilation have revealed that lung-protective ventilation strategies may atten...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2006.06.008

    authors: Fan E,Stewart TE

    更新日期:2006-12-01 00:00:00

  • Physiologic and pathologic abnormalities in severe asthma.

    abstract::Severe asthma remains poorly understood and frustrating to treat, partly because it is a heterogeneous disease. Recent improvements in the definition of severe asthma have allowed better characterization of the phenotypes of severe asthma and the related physiologic and pathologic abnormalities. Early-onset severe ast...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2005.10.002

    authors: Wenzel S

    更新日期:2006-03-01 00:00:00

  • Chylothorax and pseudochylothorax.

    abstract::Both chylothorax and pseudochylothorax are characterized by milky or turbid pleural effusions. The importance of distinguishing these two conditions cannot be overemphasized because the prognosis and management are different. ...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章

    doi:

    authors: Sassoon CS,Light RW

    更新日期:1985-03-01 00:00:00

  • Pulmonary function testing in children.

    abstract::This article concentrates on those factors that are particularly important for performing and interpreting lung function tests in children. Specifically, technical considerations such as equipment, personnel, test performance, and bronchoprovocation procedures are discussed. Changes in lung function with growth and ap...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Eisenberg JD,Wall MA

    更新日期:1987-12-01 00:00:00

  • Evaluation of respiratory disease.

    abstract::The spectrum of HIV-associated pulmonary diseases is broad. Opportunistic infections, neoplasms, and noninfectious complications are all major considerations. Clinicians caring for persons infected with HIV must have a systematic approach. The approach begins with a thorough history and physical examination and often ...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2013.02.005

    authors: Tokman S,Huang L

    更新日期:2013-06-01 00:00:00

  • Respiratory physiology in upper abdominal surgery.

    abstract::This article describes the pathophysiology of the respiratory system after upper abdominal surgery, emphasizing the role of respiratory muscle dysfunction. The history of current techniques to measure respiratory muscle function are reviewed. The authors describe the postoperative pattern of breathing, speculate on th...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Ford GT,Rosenal TW,Clergue F,Whitelaw WA

    更新日期:1993-06-01 00:00:00

  • Conventional mechanical ventilation.

    abstract::Mechanical ventilation has become a very common and well-accepted practice in modern intensive care units. The use of the mechanical ventilator has progressed from being a support system during surgery and for acutely ill patients to being used in both moderate and long-term life support in patients with inadequate ve...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Grum CM,Chauncey JB

    更新日期:1988-03-01 00:00:00

  • Primary graft dysfunction.

    abstract::Primary graft dysfunction (PGD) is the most important cause of early morbidity and mortality following lung transplantation. PGD affects up to 25% of all lung transplant procedures and currently has no proven preventive therapy. Lung transplant recipients who recover from PGD may have impaired long-term function and a...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2011.02.007

    authors: Lee JC,Christie JD

    更新日期:2011-06-01 00:00:00

  • Decision making in obstructive sleep-disordered breathing. Putting it all together.

    abstract::Obstructive sleep-disordered breathing consists of a spectrum ranging from the upper airway resistance syndrome to complete apnea. Although this disorder is relatively common, it is still under-recognized, resulting in a significant increase in morbidity and mortality. In this article, we describe the rationale for tr...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0272-5231(05)70434-2

    authors: Bahammam A,Kryger M

    更新日期:1998-03-01 00:00:00

  • The evaluation and management of hypoxemia in the chronic critically ill patient.

    abstract::Hypoxemia is a prevalent problem in the chronically critically ill patient. This article reviews the pathophysiologic mechanisms of hypoxemia in this patient population, discusses how oxygenation is evaluated, and reviews methods for delivery of oxygen. Other topics directly related to oxygen use, such as oxygen toxic...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0272-5231(05)70029-0

    authors: White AC

    更新日期:2001-03-01 00:00:00

  • Early lung cancer: methods for detection.

    abstract::Early detection and surgical resection are essential for the treatment of lung cancer. It would be ideal to be able to detect and treat preinvasive bronchial lesions, defined as dysplasia and carcinoma in situ before progressing to invasive cancer. Advanced airway-assessment techniques have opened an avenue for early ...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2013.04.005

    authors: Nakajima T,Yasufuku K

    更新日期:2013-09-01 00:00:00

  • Controversies involving inhaled beta-agonists and inhaled corticosteroids in the treatment of asthma.

    abstract::Controversy over the use of inhaled beta-agonists has dated almost from their introduction as a treatment for asthma. Their effectiveness as bronchodilators is not disputed, but there is concern that they may worsen asthma control if used regularly and that excessive use may increase the risk of death from asthma. Fiv...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Fahy JV,Boushey HA

    更新日期:1995-12-01 00:00:00

  • Airway stents.

    abstract::Stents are used for palliation of symptoms of central airway obstruction caused by either malignant or benign conditions. Stents may be applied for maintaining airway patency after dilatation of postinflammatory and infectious strictures, for airway dehiscence after lung transplantation, and for the management of trac...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2009.08.002

    authors: Lee P,Kupeli E,Mehta AC

    更新日期:2010-03-01 00:00:00

  • Extrapulmonary tuberculosis in high prevalence of tuberculosis and low prevalence of HIV.

    abstract::The authors' data show a higher rate of pleural and meningeal involvement among extrapulmonary TB cases than expected by previous works. Special attention should be given to tuberculous meningitis cases among all extrapulmonary TB cases because of its high mortality rate. The most common extrapulmonary involvement is ...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章

    doi:10.1016/s0272-5231(02)00002-3

    authors: Ozbay B,Uzun K

    更新日期:2002-06-01 00:00:00

  • Drug-induced bronchiolitis obliterans organizing pneumonia.

    abstract::Several medications have been associated with the development of the BOOP lesion. Often, symptoms include nonproductive cough and shortness of breath with bilateral crackles by examination. Occasionally, there is fever and rash, and, rarely, eosinophilia. The chest radiograph usually shows bilateral patchy infiltrates...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/S0272-5231(03)00140-0

    authors: Epler GR

    更新日期:2004-03-01 00:00:00

  • Asthma in pregnancy.

    abstract::Most gravidas with asthma can be managed with an inhaled beta-adrenergic agonist (terbutaline or epinephrine) and beclomethasone dipropionate. The administration of prednisone to control exacerbation of asthma is appropriate and should not be withheld if current medications are inadequate. The outcome of pregnancy in ...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Greenberger PA

    更新日期:1992-12-01 00:00:00

  • Management of Low-Risk Pulmonary Embolism.

    abstract::Pulmonary embolism remains a leading cause of morbidity and mortality in the United States. However, with improved recognition and diagnosis, the risk of death diminishes. The diagnosis depends on the clinician's suspicion. Pulmonary emboli are categorized into low, intermediate, or high risk based on the scoring scal...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2018.04.013

    authors: Islam EA,Winn RE,Test V

    更新日期:2018-09-01 00:00:00

  • Current issues in quality improvement in cystic fibrosis.

    abstract::The modern history of cystic fibrosis (CF) is one of continuous improvement. Guidelines and evidence-based medicine provide a general roadmap for directing improvement efforts. Data and measurement are central to quality improvement (QI), a way of keeping score and staying on track. This article describes the history ...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2007.02.013

    authors: Quinton HB,O'Connor GT

    更新日期:2007-06-01 00:00:00

  • Pulmonary manifestations of Sjögren's syndrome.

    abstract::Sjögren's syndrome is one of the most common systemic rheumatic diseases. Pulmonary disease is prevalent in Sjögren's syndrome; respiratory manifestations include chronic cough, obstructive airways disease, pulmonary lymphoma, and interstitial lung disease that may progress to severe pulmonary fibrosis. ...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0272-5231(05)70110-6

    authors: Cain HC,Noble PW,Matthay RA

    更新日期:1998-12-01 00:00:00

  • Update in surgical therapy for chronic obstructive pulmonary disease.

    abstract::Bullectomy for giant bullae, lung volume reduction surgery, and lung transplantation are three surgical therapies that may benefit highly selected patients with advanced chronic obstructive pulmonary disease. In this article, each procedure is reviewed, with an emphasis on guidelines for patient selection and clinical...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2007.05.004

    authors: Lederer DJ,Arcasoy SM

    更新日期:2007-09-01 00:00:00

  • Barriers and Challenges to the Successful Implementation of an Intensive Care Unit Mobility Program: Understanding Systems and Human Factors in Search for Practical Solutions.

    abstract::ICU-acquired weakness is a common problem and carries significant morbidity. Despite evidence that early mobility can mitigate this, implementation outside of the research setting is lagging. Understanding barriers at the systems as well as individual level is a crucial step in successful implementation of an ICU mobi...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccm.2015.05.006

    authors: Honiden S,Connors GR

    更新日期:2015-09-01 00:00:00

  • Pneumonia caused by Mycoplasma pneumoniae infection.

    abstract::The features characterizing pneumonia due to Mycoplasma pneumoniae are described. Typical cases, along with chest radiographs of laboratory-documented cases, are presented. ...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Luby JP

    更新日期:1991-06-01 00:00:00

  • Interpretation of metabolic function of the lung. Influence of perfusion, kinetics, and injury.

    abstract::Quantitative assessment of pulmonary metabolic function has been shown to be a novel and important approach to obtaining specific and subtle biochemical information regarding endothelial cell function in the normal and diseased lung. A primary consideration in this measurement of whole organ metabolism, whether it be ...

    journal_title:Clinics in chest medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Pitt BR,Lister G

    更新日期:1989-03-01 00:00:00