COPD: Umgang mit Exazerbationen – Diagnostik, Therapie und Nachsorge

Abstract

Exacerbations are major events in the disease process in patients with chronic obstructive pulmonary disease (COPD). They have a negative effect on the quality of life and the progression of the disease. Frequent exacerbations are associated with increased mortality. In addition to the optimal therapy, the prevention of further exacerbations and the attention to concomitant diseases are prognostically crucial for the patients. In this review article, current recommendations for the diagnosis, therapy and follow-up care of COPD exacerbations are summarized.

Exazerbationen sind bedeutende Ereignisse im Krankheitsverlauf bei Patienten mit chronisch obstruktiver Lungenerkrankung (COPD). Sie wirken sich negativ auf die Lebensqualität und die Progression der Erkrankung aus. Häufige Exazerbationen sind mit einer erhöhten Mortalität assoziiert. Dieser Beitrag fasst die aktuellen Empfehlungen zur Diagnostik, optimalen Therapie und Prävention weiterer Exazerbationen zusammen.

Schlüsselwörter

chronisch obstruktive Lungenerkrankung - Exazerbation - Prognose - Nachsorge

Key words

chronic obstructive pulmonary disease - disease exacerbation - prognosis - follow-up care

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