Navigating COPD in Aging Populations: Insights Into Pathophysiology and Comprehensive Care.

IF 2.3 3区医学 Q2 CRITICAL CARE MEDICINE Seminars in respiratory and critical care medicine Pub Date : 2024-10-01 Epub Date: 2024-11-12 DOI:10.1055/s-0044-1792112

William T Atchley, Amy Montgomery, Rohan Seth, Tanmay Gandhi, Shannon Brewer

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Abstract

Chronic obstructive pulmonary disease (COPD) poses a significant and growing health burden among aging populations, marked by increasing prevalence and complex management challenges specific to elderly patients. This review explores the multifaceted interplay between COPD and aging, highlighting overlapping pathophysiological processes and comorbidities that complicate diagnosis and treatment. We examine age-specific management strategies, emphasizing the need for tailored approaches that account for the unique physical, cognitive, and health-related quality of life impacts on older adults. Additionally, we discuss preventive treatments and the critical roles of mental health, end-of-life care, and caregiver support in comprehensive disease management. The importance of integrative approaches to enhancing health care delivery is also underscored. Finally, we outline future directions, focusing on novel treatment pathways and the identification of biomarkers for early detection. Addressing these elements is essential for optimizing care in this vulnerable population and alleviating the significant societal and economic impacts of COPD among aging patients.

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老龄人群慢性阻塞性肺病的护理：洞察病理生理学和综合护理。

慢性阻塞性肺疾病（COPD）给老龄人口带来了巨大且日益加重的健康负担，其特点是发病率越来越高，并且面临老年患者特有的复杂管理挑战。这篇综述探讨了慢性阻塞性肺病与老龄化之间多方面的相互作用，强调了重叠的病理生理过程以及使诊断和治疗复杂化的合并症。我们探讨了针对不同年龄段的管理策略，强调有必要根据老年人在身体、认知和健康相关生活质量方面的独特影响，采取量身定制的方法。此外，我们还讨论了预防性治疗以及心理健康、临终关怀和护理人员支持在综合疾病管理中的关键作用。我们还强调了综合方法在改善医疗服务方面的重要性。最后，我们概述了未来的发展方向，重点是新型治疗途径和用于早期检测的生物标志物的鉴定。解决这些问题对于优化这一脆弱人群的护理以及减轻慢性阻塞性肺病对老年患者造成的重大社会和经济影响至关重要。

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来源期刊

Seminars in respiratory and critical care medicine 医学-呼吸系统

CiteScore

6.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal focuses on new diagnostic and therapeutic procedures, laboratory studies, genetic breakthroughs, pathology, clinical features and management as related to such areas as asthma and other lung diseases, critical care management, cystic fibrosis, lung and heart transplantation, pulmonary pathogens, and pleural disease as well as many other related disorders.The journal focuses on new diagnostic and therapeutic procedures, laboratory studies, genetic breakthroughs, pathology, clinical features and management as related to such areas as asthma and other lung diseases, critical care management, cystic fibrosis, lung and heart transplantation, pulmonary pathogens, and pleural disease as well as many other related disorders.