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Screening for comorbidities in COPD

Delphine Natali, Georges Cloatre, Philippe Hovette, Belinda Cochrane
Breathe 2020 16: 190315; DOI: 10.1183/20734735.0315-2019
Delphine Natali
1Respiratory Medicine Dept, Hanoi French Hospital, Hanoi, Vietnam
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  • For correspondence: delphinenatali@gmail.com
Georges Cloatre
2Cardiology Dept, Hanoi French Hospital, Hanoi, Vietnam
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Philippe Hovette
3Internal Medicine Dept, Hanoi French Hospital, Hanoi, Vietnam
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Belinda Cochrane
4Dept of Respiratory and Sleep Medicine, Campbelltown Hospital, Sydney, Australia
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  • Article
  • Figures & Data
  • Info & Metrics
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Tables

  • Table 1

    Proposed list of conditions that warrant screening in COPD

    • Cardiovascular disease

    •  Coronary artery disease

    •  Peripheral artery disease

    •  Arrhythmia

    •  Heart failure

    • Metabolic disease

    •  Diabetes mellitus

    •  Osteoporosis

    •  Obesity

    •  Cachexia

    •  Sarcopenia

    •  Malnutrition

    • Psychological disorders

    •  Anxiety

    •  Depression

    • Swallowing and digestive disorders

    •  Swallowing disorders

    •  GORD

    • Haematological disorders

    •  Anaemia

    Lung cancer
    Sleep breathing disorders
  • Table 2

    Proposed comorbidity checklist during routine consultations for COPD

    Past medical historySymptomsPhysical examinationScreening tests
    High blood pressure
    Diabetes mellitus
    Dyslipidaemia
    Inactivity/exercise
    Smoking
    GORD
    Falls
    Osteoporosis/fractures
    Psychological disorders
    Other respiratory disease
    Usual treatment
    History of exacerbations
    Angina pectoris
    Dyspnoea on exertion
    Orthopnoea
    Palpitations
    Claudication
    Weight changes
    Musculoskeletal pain
    Snoring, apnoea and daytime sleepiness
    Sinus issues
    Dental issues
    Swallowing disorders
    Depression or anxiety
    BMI
    Pulse palpation
    Arterial blood pressure
    SpO2
    Focus on respiratory, cardiovascular and musculoskeletal systems
    Low-dose thorax CT scan
    Resting ECG
    Echocardiography
    CTCA and calcium score
    5-step approach for osteoporosis
    Anxiety and depression scores (HADS, HSCL-25, CCQ, BDI)
    EAT-10 or other screening tests for dysphagia
    Blood tests:
     Haemoglobin, iron studies
     BNP or NT-proBNP
     Fasting lipid profile
     Fasting blood glucose level, HbA1c
     Vitamin D, serum calcium, phosphate
     Creatinine

    SpO2: oxygen saturation measured by pulse oximetry; NT-proBNP: N-terminal pro-BNP; HbA1c: glycated haemoglobin.

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    Screening for comorbidities in COPD
    Delphine Natali, Georges Cloatre, Philippe Hovette, Belinda Cochrane
    Breathe Mar 2020, 16 (1) 190315; DOI: 10.1183/20734735.0315-2019

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    Screening for comorbidities in COPD
    Delphine Natali, Georges Cloatre, Philippe Hovette, Belinda Cochrane
    Breathe Mar 2020, 16 (1) 190315; DOI: 10.1183/20734735.0315-2019
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    • Article
      • Abstract
      • Abstract
      • Definitions
      • Which comorbidities should we screen in COPD?
      • Why is it relevant to screen for comorbidity during a chronic illness?
      • Mechanisms for interactions between COPD and its associated comorbidities
      • How to screen for comorbidities in COPD
      • Proposed comorbidity checklist during routine consultations for COPD
      • Future directions
      • Conclusion
      • Footnotes
      • References
    • Figures & Data
    • Info & Metrics
    • PDF

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