TY - JOUR
T1 - Outpatient management of severe COPD
AU - Niewoehner, Dennis E.
PY - 2010/4/15
Y1 - 2010/4/15
N2 - A 67-year-old man presents with a history of dyspnea, which has progressed for the past several years. He began smoking cigarettes at 15 years of age and continues to smoke one pack per day. Worsening breathlessness forced him to retire as a laborer, and he has sought emergency care for what he calls bronchitis twice in the past year. His physical examination is notable for diminished breath sounds on auscultation, with a prolonged expiratory phase. Spirometry reveals severe airflow obstruction (ratio of forced expiratory volume in 1 second [FEV1] to forced vital capacity [FVC], 0.43; FEV 1, 34% of the predicted value). How should this case be managed?
AB - A 67-year-old man presents with a history of dyspnea, which has progressed for the past several years. He began smoking cigarettes at 15 years of age and continues to smoke one pack per day. Worsening breathlessness forced him to retire as a laborer, and he has sought emergency care for what he calls bronchitis twice in the past year. His physical examination is notable for diminished breath sounds on auscultation, with a prolonged expiratory phase. Spirometry reveals severe airflow obstruction (ratio of forced expiratory volume in 1 second [FEV1] to forced vital capacity [FVC], 0.43; FEV 1, 34% of the predicted value). How should this case be managed?
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U2 - 10.1056/NEJMcp0912556
DO - 10.1056/NEJMcp0912556
M3 - Article
C2 - 20393177
AN - SCOPUS:77950995260
SN - 0028-4793
VL - 362
SP - 1407
EP - 1416
JO - New England Journal of Medicine
JF - New England Journal of Medicine
IS - 15
ER -
