Chronic obstructive pulmonary disease diagnosis and management in older adults

Nalaka S. Gooneratne, Nirav P. Patel, Amy Corcoran

Research output: Contribution to journalReview article

43 Citations (Scopus)

Abstract

Chronic obstructive pulmonary disease (COPD) in older adults is a complex disorder with several unique age-related aspects. Underlying changes in pulmonary lung function and poor sensitivity to bronchoconstriction and hypoxia with advancing age can place older adults at greater risk of mortality or other complications from COPD. The establishment of the Global Initiative for Obstructive Lung Disease criteria, which can be effectively applied to older adults, has more rigorously defined the diagnosis and management of COPD. An important component of this approach is the use of spirometry for disease staging, a procedure that can be performed in most older adults. The management of COPD includes smoking cessation, influenza and pneumococcal vaccinations, and the use of short- and long-acting bronchodilators. Unlike with asthma, corticosteroid inhalers represent a third-line option for COPD. Combination therapy is frequently required. When using various inhaler designs, it is important to note that older adults, especially those with more-severe disease, may have inadequate inspiratory force for some dry-powder inhalers, although many older adults find the dry-powder inhalers easier to use than metered-dose inhalers. Other important treatment options include pulmonary rehabilitation, oxygen therapy, noninvasive positive airway pressure, and depression and osteopenia screening. Clinicians caring for older adults with an acute COPD exacerbation should also guard against prognostic pessimism. Although COPD is associated with significant disability, there is a growing range of treatment options to assist patients.

Original languageEnglish (US)
Pages (from-to)1153-1162
Number of pages10
JournalJournal of the American Geriatrics Society
Volume58
Issue number6
DOIs
StatePublished - Jun 1 2010

Fingerprint

Disease Management
Chronic Obstructive Pulmonary Disease
Dry Powder Inhalers
Nebulizers and Vaporizers
Lung
Obstructive Lung Diseases
Metered Dose Inhalers
Bronchoconstriction
Metabolic Bone Diseases
Bronchodilator Agents
Spirometry
Smoking Cessation
Therapeutics
Human Influenza
Disease Progression
Adrenal Cortex Hormones
Vaccination
Rehabilitation
Asthma
Depression

All Science Journal Classification (ASJC) codes

  • Geriatrics and Gerontology

Cite this

@article{68c7f626f9d54e82b34d73ad4302ccd1,
title = "Chronic obstructive pulmonary disease diagnosis and management in older adults",
abstract = "Chronic obstructive pulmonary disease (COPD) in older adults is a complex disorder with several unique age-related aspects. Underlying changes in pulmonary lung function and poor sensitivity to bronchoconstriction and hypoxia with advancing age can place older adults at greater risk of mortality or other complications from COPD. The establishment of the Global Initiative for Obstructive Lung Disease criteria, which can be effectively applied to older adults, has more rigorously defined the diagnosis and management of COPD. An important component of this approach is the use of spirometry for disease staging, a procedure that can be performed in most older adults. The management of COPD includes smoking cessation, influenza and pneumococcal vaccinations, and the use of short- and long-acting bronchodilators. Unlike with asthma, corticosteroid inhalers represent a third-line option for COPD. Combination therapy is frequently required. When using various inhaler designs, it is important to note that older adults, especially those with more-severe disease, may have inadequate inspiratory force for some dry-powder inhalers, although many older adults find the dry-powder inhalers easier to use than metered-dose inhalers. Other important treatment options include pulmonary rehabilitation, oxygen therapy, noninvasive positive airway pressure, and depression and osteopenia screening. Clinicians caring for older adults with an acute COPD exacerbation should also guard against prognostic pessimism. Although COPD is associated with significant disability, there is a growing range of treatment options to assist patients.",
author = "Gooneratne, {Nalaka S.} and Patel, {Nirav P.} and Amy Corcoran",
year = "2010",
month = "6",
day = "1",
doi = "10.1111/j.1532-5415.2010.02875.x",
language = "English (US)",
volume = "58",
pages = "1153--1162",
journal = "Journal of the American Geriatrics Society",
issn = "0002-8614",
publisher = "Wiley-Blackwell",
number = "6",

}

Chronic obstructive pulmonary disease diagnosis and management in older adults. / Gooneratne, Nalaka S.; Patel, Nirav P.; Corcoran, Amy.

In: Journal of the American Geriatrics Society, Vol. 58, No. 6, 01.06.2010, p. 1153-1162.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Chronic obstructive pulmonary disease diagnosis and management in older adults

AU - Gooneratne, Nalaka S.

AU - Patel, Nirav P.

AU - Corcoran, Amy

PY - 2010/6/1

Y1 - 2010/6/1

N2 - Chronic obstructive pulmonary disease (COPD) in older adults is a complex disorder with several unique age-related aspects. Underlying changes in pulmonary lung function and poor sensitivity to bronchoconstriction and hypoxia with advancing age can place older adults at greater risk of mortality or other complications from COPD. The establishment of the Global Initiative for Obstructive Lung Disease criteria, which can be effectively applied to older adults, has more rigorously defined the diagnosis and management of COPD. An important component of this approach is the use of spirometry for disease staging, a procedure that can be performed in most older adults. The management of COPD includes smoking cessation, influenza and pneumococcal vaccinations, and the use of short- and long-acting bronchodilators. Unlike with asthma, corticosteroid inhalers represent a third-line option for COPD. Combination therapy is frequently required. When using various inhaler designs, it is important to note that older adults, especially those with more-severe disease, may have inadequate inspiratory force for some dry-powder inhalers, although many older adults find the dry-powder inhalers easier to use than metered-dose inhalers. Other important treatment options include pulmonary rehabilitation, oxygen therapy, noninvasive positive airway pressure, and depression and osteopenia screening. Clinicians caring for older adults with an acute COPD exacerbation should also guard against prognostic pessimism. Although COPD is associated with significant disability, there is a growing range of treatment options to assist patients.

AB - Chronic obstructive pulmonary disease (COPD) in older adults is a complex disorder with several unique age-related aspects. Underlying changes in pulmonary lung function and poor sensitivity to bronchoconstriction and hypoxia with advancing age can place older adults at greater risk of mortality or other complications from COPD. The establishment of the Global Initiative for Obstructive Lung Disease criteria, which can be effectively applied to older adults, has more rigorously defined the diagnosis and management of COPD. An important component of this approach is the use of spirometry for disease staging, a procedure that can be performed in most older adults. The management of COPD includes smoking cessation, influenza and pneumococcal vaccinations, and the use of short- and long-acting bronchodilators. Unlike with asthma, corticosteroid inhalers represent a third-line option for COPD. Combination therapy is frequently required. When using various inhaler designs, it is important to note that older adults, especially those with more-severe disease, may have inadequate inspiratory force for some dry-powder inhalers, although many older adults find the dry-powder inhalers easier to use than metered-dose inhalers. Other important treatment options include pulmonary rehabilitation, oxygen therapy, noninvasive positive airway pressure, and depression and osteopenia screening. Clinicians caring for older adults with an acute COPD exacerbation should also guard against prognostic pessimism. Although COPD is associated with significant disability, there is a growing range of treatment options to assist patients.

UR - http://www.scopus.com/inward/record.url?scp=77953089834&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77953089834&partnerID=8YFLogxK

U2 - 10.1111/j.1532-5415.2010.02875.x

DO - 10.1111/j.1532-5415.2010.02875.x

M3 - Review article

C2 - 20936735

AN - SCOPUS:77953089834

VL - 58

SP - 1153

EP - 1162

JO - Journal of the American Geriatrics Society

JF - Journal of the American Geriatrics Society

SN - 0002-8614

IS - 6

ER -