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  1. Nov 2022
    1. Seemungal et al. reported a 7-day prodrome prior to diagnosis ofexacerbation [6]. With this in mind, the use of respiratory RPM has thepotential to reduce COPD treatment delays leading to improved care.Increased respiratory rate has demonstrated predictive ability for ex-acerbations of COPD [7,8]. Shah et al. observed an increased respiratoryrate in the 5 days preceding hospitalization for COPD exacerbations,highlighting the window of opportunity for intervention [7].

      Detalles importantes:

      Seemungal determinó un periodo prodrómico de 7 días. Sin embargo, hay que recordar que las exacerbaciones tienen diferentes presentaciones.

      RR parece ser un predictor importante. Se eleva 5 días antes de la hospitalización

      6 T.A. Seemungal, G.C. Donaldson, A. Bhowmik, D.J. Jeffries, J.A. Wedzicha, Time course and recovery of exacerbations in patients with chronic obstructive pulmonary disease, Am. J. Respir. Crit. Care Med. 161 (5) (2000 May) 1608–1613, https://doi.org/10.1164/ajrccm.161.5.9908022. PMID: 10806163.

      7 S.A. Shah, C. Velardo, A. Farmer, L. Tarassenko, Exacerbations in chronic obstructive pulmonary disease: identification and prediction using a digital Health system, J. Med. Internet Res. 19 (3) (2017) e69, https://doi.org/10.2196/ jmir.7207. Published 2017 Mar 7.

      8 A.M. Ya ̃nez, D. Guerrero, R. P ́erez de Alejo, F. Garcia-Rio, J.L. Alvarez-Sala, M. Calle-Rubio, R.M. de Molina, M. Valle Falcones, P. Ussetti, J. Sauleda, E. Z. García, J.M. Rodríguez-Gonz ́alez-Moro, M. Franco Gay, M. Torrent, A. Agustí, Monitoring breathing rate at home allows early identification of COPD exacerbations, Chest 142 (6) (2012) 1524–1529.