Experts in COPD and evidence-based medicine from CHEST and the Canadian Thoracic Society have issued a clinical practice guideline Prevention of Acute Exacerbations of COPD. Recommendations are graded in accordance with the strength of the supporting evidence and take into account physician and patient preferences. Text and evidence tables provide information concerning supporting data for the thoughtful physician. Topics covered include pharmacologic treatments, nonpharmacologic treatments, and management strategies. Easy online access makes this guideline a useful, daily tool for the busy clinician.
Exacerbations are to COPD what myocardial infarctions are to coronary artery disease: they are acute, trajectory-changing, and often deadly manifestations of a chronic disease.