El tratamiento broncodilatador en la prevención de las exacerbaciones de la EPOC

  1. P. Sobradillo Ecenarro 2
  2. J.L. García-Rivero 1
  3. J.C. López Caro 3
  1. 1 Servicio de Neumología, Hospital de Laredo, Laredo, Cantabria, España
  2. 2 Servicio de Neumología, Hospital Universitario de Cruces, Baracaldo, Vizcaya, España
  3. 3 Centro de Salud Cotolino, Castro Urdiales, Cantabria, España
Aldizkaria:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Argitalpen urtea: 2019

Zenbakia: 7

Orrialdeak: 479-488

Mota: Artikulua

DOI: 10.1016/J.SEMERG.2019.03.009 DIALNET GOOGLE SCHOLAR

Beste argitalpen batzuk: Semergen: revista española de medicina de familia

Garapen Iraunkorreko Helburuak

Laburpena

The natural course of chronic obstructive pulmonary disease usually includes exacerbations. chronic obstructive pulmonary disease patients suffer from 1-4 exacerbations per year on average. These are associated with worsening quality of life and increased mortality. Reducing and controlling the number of exacerbations is one of the main goals of chronic obstructive pulmonary disease treatment. Among current treatments, tiotropium is the active substance with the strongest evidence in the reduction of moderate/severe exacerbations, together with a good safety and tolerability profile. The addition of olodaterol to tiotropium offers well-tolerated and effective double bronchodilation for improving lung function, quality of life, and decreased dyspnoea compared to its single components. This also reduces the annual rate of moderate/severe exacerbations vs. tiotropium by 7%, although not reaching the pre-specified statistical significance level of P<.01.

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