Die akute Exazerbation der COPD

Zusammenfassung

Die Früherkennung von Exazerbationen könnte ein entscheidender Ansatzpunkt bei der telemedizinischen Überwachung von Patienten mit COPD sein. Akute Exazerbationen sind von großer klinischer und ökonomischer Relevanz, weil sie zu einer vermehrten stationären Behandlungsnotwendigkeit, einem Verlust an noch funktionsfähigem Lungenparenchym, einer eingeschränkten Lebensqualität sowie einer signifikant erhöhten Mortalität führen. Eine frühzeitige Diagnostik könnte eine richtungsweisende medikamentöse Therapie initiieren und stationäre Aufenthalte verhindern. Ob die telemedizinische Überwachung von Patienten mit COPD und die frühzeitige Erkennung einer Exazerbation tatsächlich eine nachhaltige Verbesserung der Patientenversorgung und der Kostenstruktur mit sich bringen können, ist bislang jedoch nicht geklärt.

Abstract

A major problem associated with COPD is exacerbation. Symptoms include increased shortness of breathing, coughing, wheezing and sputum production. The frequency and severity of exacerbations are associated with a higher mortality risk. Early recognition and treatment have been shown to reduce severity of exacerbations, consecutive morbidity and hospital admissions. Telemonitoring of (nocturnal) lungsounds, oxygen saturation and frequency of breathing may offer the opportunity to detect symptoms of exacerbations very early. Therefore further research is needed to clarify precisely the role of telemonitoring in patients with COPD and exacerbations.

Schlüsselwörter

chronisch obstruktive Lungenkrankheit (COPD) - Exazerbation - Telemedizin

Keywords

chronic obstructive pulmonary disease (COPD) - exacerbation - telemedicine

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