Thomashow Byron, Crapo James D, Drummond M Bradley, Han MeiLan K, Kalhan Ravi, Malanga Elisha, Malanga Vinny, Mannino David M, Rennard Stephen, Sciurba Frank C, Willard Kristen S, Wise Robert, Yawn Barbara
Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University, New York.
Division of Pulmonary, Critical Care and Sleep Medicine, National Jewish Health, Denver, Colorado.
Chronic Obstr Pulm Dis. 2019 Jul 24;6(3):210-220. doi: 10.15326/jcopdf.6.3.2018.0167.
The COPD Foundation has tried to address gaps in chronic obstructive pulmonary disease (COPD) care by providing COPD Pocket Consultant Guide cards to U.S. health care providers. Since launching the card in 2007, there have been numerous updates and more than 800,000 of these cards have been distributed at no charge to health care professionals. The most recent versions have concentrated on presenting an algorithm for COPD management based on 7 severity domains: spirometry, symptoms, exacerbations, oxygen requirements, the presence of chronic bronchitis or emphysema and comorbidities. To increase the usability and reach of this tool, the COPD Pocket Consultant Guide is now available as an app for iOS and Android. This updated version of the app includes new COPD and asthma/COPD overlap flow charts; an interactive therapy chart that takes into account modified Medical Research Council (mMRC), COPD Assessment Test (CAT), and spirometry scores; anxiety and depression screeners; up-to-date medication charts in both brand and generic formats; a checklist to aid in determining when a patient should be referred to a pulmonologist and more. Potential use of the COPD Pocket Consultant Guide app in clinical care is discussed.
慢性阻塞性肺疾病（COPD）基金会通过向美国医疗服务提供者提供COPD袖珍咨询指南卡片，试图填补慢性阻塞性肺疾病护理方面的空白。自2007年推出该卡片以来，已进行了多次更新，超过80万张此类卡片已免费分发给医疗专业人员。最新版本集中于呈现一种基于7个严重程度领域的COPD管理算法：肺功能测定、症状、急性加重、氧需求、慢性支气管炎或肺气肿的存在以及合并症。为了提高该工具的可用性和覆盖面，COPD袖珍咨询指南现在可作为适用于iOS和安卓系统的应用程序使用。该应用程序的更新版本包括新的COPD和哮喘/COPD重叠流程图；一个交互式治疗图表，该图表考虑了改良的医学研究委员会（mMRC）、COPD评估测试（CAT）和肺功能测定分数；焦虑和抑郁筛查工具；品牌和通用格式的最新药物图表；一个有助于确定患者何时应转诊至肺科医生的检查表等。文中还讨论了COPD袖珍咨询指南应用程序在临床护理中的潜在用途。
