2023 Editor’s Choice articles

8 June 2023
7 June 2023

Table of Contents

Open Access

Development and implementation of an aspiration pneumonia cause investigation algorithm

Development and implementation of an aspiration pneumonia cause investigation algorithm

Aspiration pneumonia remains an underdiagnosed and unestablished diagnosis. We propose the use of an algorithm (developed based on the JRS guidelines) to enable adequate management of older adults with pneumonia. When implemented in an acute setting, the algorithm enhanced the diagnosis of causative conditions, swallow screening, and preventative measures.

Open Access

Effect of compliance to continuous positive airway pressure on exacerbations, lung function and symptoms in patients with chronic obstructive pulmonary disease and obstructive sleep apnea (overlap syndrome)

Effect of compliance to continuous positive airway pressure on exacerbations, lung function and symptoms in patients with chronic obstructive pulmonary disease and obstructive sleep apnea (overlap syndrome)

This study assessed the effects of continuous positive airway pressure (CPAP) compliance on acute exacerbations of COPD, symptoms and pulmonary function in patients with overlap syndrome (OS). In total, 59 patients (54 males) with OS were followed for 12 months and divided post hoc according to CPAP compliance into those with good (≥4 h CPAP use/night, n = 29) and those with poor (<4 h CPAP use/night, n = 30) CPAP compliance. COPD exacerbations decreased in patients with good CPAP compliance from baseline to 12 months (17 before vs. 5 after, p = 0.001), but not in those with poor compliance (15 before vs. 15 after, p = 1).

Open Access

‘Teach me how to look after myself’: What people with bronchiectasis want from education in a pulmonary rehabilitation setting

‘Teach me how to look after myself’: What people with bronchiectasis want from education in a pulmonary rehabilitation setting

In the education component of pulmonary rehabilitation, people with bronchiectasis seek to obtain greater clarity on the underlying cause of their condition and its prognosis. Further knowledge about self-management strategies, treatment for extra-pulmonary symptoms and the role of exercise outside of pulmonary rehabilitation as part of management were also desired.

Open Access

Aspergillus infection in chronic obstructive pulmonary diseases

Aspergillus infection in chronic obstructive pulmonary diseases

COPD is susceptible to aspergillus, and this review will summarise the diagnosis and treatment of IPA, CPA and aspergillus sensitisation in COPD patients.

Open Access

High flow nasal cannula for acute respiratory failure due to COVID-19 in patients with a ‘do-not-intubate’ order: A survival analysis

High flow nasal cannula for acute respiratory failure due to COVID-19 in patients with a ‘do-not-intubate’ order: A survival analysis

High flow nasal cannula (HFNC) reduces the need for intubation in patients with hypoxaemic acute respiratory failure (ARF). Our data suggest that a trial of HFNC could be considered to increase chances of survival in patients with ARF due to coronavirus disease 2019 (COVID-19) pneumonitis and a do-not-intubate (DNI) order, especially in those with a good WHO performance status.

Open Access

Gender differences in clinical characteristics of patients with non-cystic fibrosis bronchiectasis in different age groups in northern China

Gender differences in clinical characteristics of patients with non-cystic fibrosis bronchiectasis in different age groups in northern China

The association between gender and clinical characteristics of non-cystic fibrosis bronchiectasis was investigated in attempt to improve better management. Our findings demonstrate that significant disparities are found between the male group and the female group in terms of the clinical characteristics of bronchiectasis.