Chronic obstructive pulmonary disease in patients admitted with heart failure
Population
532 consecutive patients admitted with heart failure requiring medical treatment with diuretics and an…
Design
Cross-sectional
Authors
Discussion
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Member takes
Implication
Self-reported COPD is unreliable in HF admissions; leaves open whether spirometry screening improves outcomes.
Structured PICO
P
Population
532 consecutive patients admitted with heart failure requiring medical treatment with diuretics and an episode with symptoms corresponding to NYHA class III-IV within a month prior to admission.
I
Intervention
Spirometry (FEV1 and FVC) and echocardiography
O
Outcome
Prevalence of COPD and accuracy of self-reported COPD
COPD is highly prevalent (35%) in patients admitted with heart failure, but self-reporting is highly inaccurate for diagnosis.
Cite This Study
Iversen et al. (2008) studied this question.