COPD and Multimorbidity
Recognizing and Addressing a Syndemic Occurrence?
Clusters of Common Morbidities
Frequently Present in COPD
Using a Proactive Complementary Approach to
Detect Comorbidities in All Patients With COPD
Comorbidities in COPD Are Often
Underdiagnosed
Definition of COPD-Multimorbidity
Syndemics
Syndemic Prototypes: COPD, Diabetes,
and CVD
Exacerbations Drive COPD Outcomes
Comorbid Conditions May Mimic or Worsen COPD
Exacerbations and Require Careful Evaluation[1,2]
Differential Diagnosis of Suspected
COPD Exacerbations in the Acute Care
Setting
Precise Diagnosis Allows Effective Management
of Both COPD Exacerbations and Comorbidities
Intensified Diagnostics and Multimorbidity Evaluation
Are Recommended During Worsening Episodes
Managing COPD With Multimorbidity
Requires a Person-Centered Approach
Conclusions
What Are COPD Exacerbations?
COPD In-Hospital Mortality
Comorbidities During and After COPD
Exacerbations
The COPD Spiral of Decline After
Exacerbation
What Happens During an
Exacerbation?
Comorbidities Lead to Increased
Patient Needs in COPD
Comorbidities Lead to Increased
Patient Needs in COPD
Managing Comorbidities Following a COPD
Exacerbation
GOLD Discharge Criteria and Follow-Up Recommendations
Managing Comorbidities Following a COPD
Exacerbation
GOLD Discharge Criteria and Follow-Up Recommendations (cont)
Interventions That Reduce COPD Exacerbation
Frequency
GOLD Recommendations
Interventions That Reduce COPD Exacerbation
Frequency
GOLD Recommendations
Interventions That Reduce COPD Exacerbation
Frequency
GOLD Recommendations
Interventions That Reduce COPD Exacerbation
Frequency
GOLD Recommendations
Interventions That Reduce COPD Exacerbation
Frequency
GOLD Recommendations
Interventions That Reduce COPD Exacerbation
Frequency
GOLD Recommendations
Evidence Supporting Reduction in Mortality With
Pharmacotherapy and Nonpharmacotherapy in Patients With
COPD
Key Takeaways
Case Study
History
Case Study
Examinations and Tests at Admission
Case Study
Diagnosis and Initial Treatment
Case Study
Treatment Adjustment (cont)
Case Study
Treatment Adjustment (cont)
Case Study
Follow-Up 2 Weeks After Discharge
Case Study
Follow-Up 2 Weeks After Discharge
Assessments Required for Diagnosis
and Differential Diagnosis in This
Patient
Assessments Required for Diagnosis
and Differential Diagnosis in This
Patient
Assessments Required for Diagnosis
and Differential Diagnosis in This
Patient
Assessments Required for Diagnosis
and Differential Diagnosis in This
Patient
Assessments Required for Diagnosis
and Differential Diagnosis in This
Patient
How to Triage the Patient for Early
Intervention
and Prevention
Asthma and COPD May Coexist
What Drives It and How We Treat It
Key Takeaways
Patient Case
Mechanisms Linking COPD and T2DM
Major CV Risks Elevated in Patients With COPD and
T2DM
Management of T2DM in Patients With Multimorbid
COPD
Pharmacological Considerations in
Comorbid COPD and T2DM
Pharmacological Considerations in
Comorbid COPD and T2DM
Pleiotropic Effects of Incretins, Gliptins,
and Glifozins
2023 AACE Algorithms for Managing
Prediabetes and Diabetes
Complications
Conclusions
Patient Case
Patient Case (cont)
Patient Case (cont)
Anxiety and Depression Are Frequent,
Yet Underdiagnosed, Comorbidities in
COPD
Untreated, These Psychiatric
Conditions May Lead to Other Issues
Key Clinical Considerations
The GOLD Strategy Report
Screening Tools
Management
Pulmonary Rehabilitation, Self-Management, and
Integrative Care Are Important Parts of Managing COPD
COPD Follow-Up Checklist
Coexisting Comorbidities - Advancing Holistic Care in COPD.pptx

Coexisting Comorbidities - Advancing Holistic Care in COPD.pptx