Identifying COPD exacerbations early

Monitoring breathing rate at home allows early identification of COPD exacerbations¹

Yañez AM, Guerrero D, Pérez de Alejo R, Garcia-Rio F, Alvarez-Sala JL, Calle-Rubio M, Malo de Molina R, Valle Falcones M, Ussetti P, Sauleda J, Zamora García E, Rodríguez-González- Moro JM, Franco Gay M, Torrent M, Agustí A.

Background

During exacerbations of COPD (ECOPD), respiratory frequency increases. This study tested the hypothesis that this increase can be detected at home before the patient is hospitalised.

Methods

89 patients with COPD (FEV₁, 42.3% ± 14.0%; reference) who were receiving domiciliary oxygen therapy (9.6 ± 4.0 h/d) had their respiratory frequency tested at home.

Results

In 70% of patients, mean respiratory frequency increased during the five days that preceded hospitalisation. This was not the case in patients without ECOPD (16.1 ± 4.8/min vs 15.9 ± 4.9/min).

COPD_exacerbations_graph

Mean breathing rate of three different day-time periods (8:00 am to 4:00 pm, 4:00 pm to 12:00 am, and 12:00 am to 8:00 am) in one patient who required hospitalisation because of ECOPD during follow-up. An upward trend in respiratory frequency occurred prior to exacerbation. Adapted from Yanez et al.

Conclusions

By monitoring respiratory frequency at home in patients with COPD receiving domiciliary oxygen therapy, an increase in breathing rate can signal the onset of ECOPD. This may offer a window of opportunity for early intervention.

References

Yanez AM et al. Monitoring breathing rate at home allows early identification of COPD exacerbations. Chest 2012;142(6):1524–1529