Архивъ внутренней медицины (Aug 2016)

DIFFICULTY OF COPD PREDICTING AS A CHALLENGE TO MODERN CLINICAL PULMONOLOGY

  • M. A. Karnaushkina,
  • S. V. Fedosenko,
  • A. E. Sazonov,
  • V. A. Petrov,
  • R. M. Vakoluyk,
  • L. I. Dvoretckiy,
  • L. M. Ogorodova

DOI
https://doi.org/10.20514/2226-6704-2016-6-4-14-20
Journal volume & issue
Vol. 6, no. 4
pp. 14 – 20

Abstract

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In recent years, medical community has come to the conclusion that the currently used prognostic criteria of the course of COPD, do not allow to predict the further development of the disease, its complications and outcomes with high accuracy. The most popular predictor in clinical practice remains the determination of the level of FEV1. However, the need to expand the list of criteria for determination of a more precise prognosis and clinical outcome of the disease is obvious. The main task of modern pulmonology is the search for prognostic markers of several complex parameters, capable of ensuring the timely prognosis and choice of adequate therapy. The presence of comorbid diseases and high frequency of exacerbations in COPD patients should be treated as such markers.

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