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老年患者慢性阻塞性肺疾病(COPD)的诊断:老年患者肺病学工作组共识声明

Diagnosis of chronic obstructive pulmonary disease (COPD) in older patients : Consensus statement of the Working Group on Pneumology in Older Patients.

作者信息

Stenmanns C, Netzer N, Münks-Lederer C, Schlesinger A, Stieglitz S, Frohnhofen H

机构信息

Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Düsseldorf an der Heinrich-Heine-Universität, Düsseldorf, Germany.

, Bozen, Italy.

出版信息

Z Gerontol Geriatr. 2025 Mar;58(2):91-96. doi: 10.1007/s00391-025-02409-5. Epub 2025 Jan 27.

DOI:10.1007/s00391-025-02409-5
PMID:39871051
Abstract

Chronic obstructive pulmonary disease (COPD) is a frequent disease from which approximately 8% of individuals aged 40 years and above suffer. The prevalence increases up to fivefold as age advances. Following an introduction including the etiology, measurement, characteristic features and classification of COPD, this article presents the consensus recommendations of the German Working Group on Pneumology in Older Patients. These include statements on the screening for frailty, dysphagia, malnutrition and cognitive impairment. The results are summarized with the final conclusion that adequate treatment of COPD can also slow the progression of cognitive decline and could potentially prevent or delay the onset of dementia.

摘要

慢性阻塞性肺疾病(COPD)是一种常见疾病,40岁及以上人群中约8%的人患有此病。随着年龄增长,患病率会增加至五倍。在介绍了COPD的病因、测量方法、特征和分类之后,本文呈现了德国老年患者肺病学工作组的共识性建议。这些建议包括关于筛查衰弱、吞咽困难、营养不良和认知障碍的声明。文章总结了相关结果,并得出最终结论:对COPD进行充分治疗也可以减缓认知衰退的进程,并有可能预防或延缓痴呆症的发作。

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本文引用的文献

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Estimating the global prevalence of chronic obstructive pulmonary disease (COPD): a systematic review and meta-analysis.估算慢性阻塞性肺疾病(COPD)的全球患病率:一项系统评价与荟萃分析
BMC Public Health. 2024 Jan 25;24(1):297. doi: 10.1186/s12889-024-17686-9.
2
Diagnostic accuracy of the 'Dysphagia Screening Tool for Geriatric Patients' (DSTG) compared to Flexible Endoscopic Evaluation of Swallowing (FEES) for assessing dysphagia in hospitalized geriatric patients - a diagnostic study.用于评估住院老年患者吞咽困难的“老年患者吞咽障碍筛查工具”(DSTG)与纤维内镜吞咽功能检查(FEES)的诊断准确性比较:一项诊断研究。
BMC Geriatr. 2023 Dec 14;23(1):856. doi: 10.1186/s12877-023-04516-7.
3
GOLD COPD report: 2024 update.
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Lancet Respir Med. 2024 Jan;12(1):15-16. doi: 10.1016/S2213-2600(23)00461-7. Epub 2023 Dec 4.
4
A Literature Review on the Coexisting Chronic Obstructive Pulmonary Disease and Heart Failure.慢性阻塞性肺疾病与心力衰竭并存的文献综述
Cureus. 2023 Oct 29;15(10):e47895. doi: 10.7759/cureus.47895. eCollection 2023 Oct.
5
The occurence of cancer in ageing populations at global and regional levels, 1990 to 2019.全球和区域老龄化人口中癌症的发生情况,1990 年至 2019 年。
Age Ageing. 2023 Sep 1;52(9). doi: 10.1093/ageing/afad043.
6
Prevalence and clinical impact of frailty in COPD: a systematic review and meta-analysis.COPD 患者衰弱的患病率和临床影响:系统评价和荟萃分析。
BMC Pulm Med. 2023 May 12;23(1):164. doi: 10.1186/s12890-023-02454-z.
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Frailty transitions and prevalence in an ageing population: longitudinal analysis of primary care data from an open cohort of adults aged 50 and over in England, 2006-2017.衰弱的转变和在老年人群体中的流行:对英格兰一个开放队列的 50 岁及以上成年人的初级保健数据进行的纵向分析,2006-2017 年。
Age Ageing. 2023 May 1;52(5). doi: 10.1093/ageing/afad058.
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