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Self-Treatment Results In Lower Overall Health Care Costs For COPD Patients
Dutch researchers presented their findings on Sunday, May 17, at the American Thoracic Society's 105th International Conference in San Diego."The course of COPD is characterized by episodes of acute deteriorations in respiratory health, termed 'exacerbations,'" said lead author Tanja Effing, Ph.D., a researcher with the Department of Pulmonary Disease at the Medisch Spectrum Twente in Enschede, the Netherlands.
"These exacerbations account for much of the morbidity, mortality and hospital admissions in COPD patients."The investigators tracked the outcomes of 142 patients divided into two groups. Participants in the first group were instructed in individual drug therapy and other responses to take in the event of an exacerbation.
Patients in the second group received no instruction in the self-treatment of exacerbations. Exacerbations were defined as a clearly negative change in two major symptoms, or one major symptom and one minor symptom. Major symptoms included breathlessness and mucous production and color, while minor symptoms included cough, wheeze, running nose, sore throat and fever.
Patients in both groups were also instructed to maintain journals recording any COPD-related events, as well as medication routines.In comparing the results of the two groups, researchers noted a significant decrease in doctor's office visits during the study period for the group that received self-treatment training.
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