Skip to main content
 

Main menu

  • Home
  • Content
    • Current Issue
    • Editor's Commentary
    • Coming Next Month
    • Archives
    • Top 10 Papers in 2020
  • Authors
    • Author Guidelines
    • Submit a Manuscript
  • Reviewers
    • Reviewer Information
    • Create Reviewer Account
    • Appreciation of Reviewers
  • CRCE
    • Through the Journal
    • JournalCasts
    • AARC University
    • PowerPoint Template
  • Open Forum
    • Call for Abstracts 2021
    • 2020 Abstracts
    • Previous Open Forums
  • Podcast
    • English
    • Portugûes
    • 国语

User menu

  • Subscribe
  • My alerts
  • Log in

Search

  • Advanced search
American Association for Respiratory Care
  • Subscribe
  • My alerts
  • Log in
American Association for Respiratory Care

Advanced Search

  • Home
  • Content
    • Current Issue
    • Editor's Commentary
    • Coming Next Month
    • Archives
    • Top 10 Papers in 2020
  • Authors
    • Author Guidelines
    • Submit a Manuscript
  • Reviewers
    • Reviewer Information
    • Create Reviewer Account
    • Appreciation of Reviewers
  • CRCE
    • Through the Journal
    • JournalCasts
    • AARC University
    • PowerPoint Template
  • Open Forum
    • Call for Abstracts 2021
    • 2020 Abstracts
    • Previous Open Forums
  • Podcast
    • English
    • Portugûes
    • 国语
  • Follow aarc on Twitter
  • Visit aarc on Facebook
Meeting ReportPFTs, Pulmonary Disease, Homecare, and Equipment

Inhaled Maintenance Regimen Changes from pMDI and/or DPI to SMI and/or Nebulizer Therapy and Education to Improve Medication Effectiveness With Measurement by CAT Score

Krystal Craddock, Michael Schivo and Brooks Kuhn
Respiratory Care October 2020, 65 (Suppl 10) 3449274;
Krystal Craddock
Respiratory Care, University of California Davis Health, Sacramento, California, United States
Respiratory Care MSRC Program, Boise State University, Boise, Idaho, United States
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michael Schivo
Pulmonary and Critical Care Medicine, University of California Davis Health, Sacramento, California, United States
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Brooks Kuhn
Pulmonary and Critical Care Medicine, University of California Davis Health, Sacramento, California, United States
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • References
  • Info & Metrics
Loading

Abstract

Background: Misunderstanding and incorrect inhaler technique is prevalent in COPD. Incorrect device usage of DPI’s and MDI’s include failure to exhale fully before inhaling, incorrect preparation, and lack of breath hold after inhalation. Several DPI’s require a minimum PIFR of 30 L/min causing inability of patients to meet requirements. Limited studies have compared SMI’s with alternative like medication in DPI form warranting further research. Additionally, recommendations for regular inhaler technique checks have been published, however not all outpatient centers have resources to complete assessments. UC Davis Comprehensive COPD Clinic integrates RCP assessment and education of inhaled medication and delivery devices to see if patients need further education, meet PIFR requirements, and/or require an alternative device. We hypothesize that changing MDI/ DPI regimens to SMI and/or nebulized regimens made an improvement in CAT scores.

Methods: Retrospective analysis of 241 patients enrolled in the COPD Clinic QI registry with IRB approval. Sixty-four patients had a follow up appointment with pre and post CAT scores, 131 patients had either no follow up CAT score, did not have or follow up with an appointment, or have a future appointment scheduled. The 64 patients were all assessed and had education on their current inhaled regimens and/or education to their changes that were made to their inhaled medication regimen during their clinic visit. A limited number of five patients had MDI and/or DPI regimens to SMI and/or nebulized regimens made with no changes in their baseline inhaled medication classification. Descriptive statistical analysis was performed with Chi square, Student t-test, and 95% confidence intervals when appropriate.

Results: All 64 patients had a mean CAT score of 20.9 (±2.1, 95% CI) with a follow up CAT of 18.9 (±2.1, 95% CI), an improvement of 2.04. The five patients that had MDI and/or DPI regimens to SMI and/or nebulized regimens had a baseline CAT of mean 29 (±6.7, 95% CI) with a CAT mean at follow up change of 23.4 (±5, 95% CI).

Conclusions: This under-powered limited exploratory study demonstrates that further research is necessary to demonstrate overall symptom improvement when changing maintenance medication regimens from MDI and/or DPI to SMI and/or nebulized regimens. Continued outpatient assessments, education, regimen changes when warranted, and individualized patient care attributes to improvements in CAT scores with appropriate outpatient management of COPD patients.

Footnotes

  • Commercial Relationships: Monaghan Medical, Grifols, and Theravance.

  • Copyright © 2020 by Daedalus Enterprises
PreviousNext
Back to top

In this issue

Respiratory Care
Vol. 65, Issue Suppl 10
1 Oct 2020
  • Table of Contents
  • Index by author
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Association for Respiratory Care.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Inhaled Maintenance Regimen Changes from pMDI and/or DPI to SMI and/or Nebulizer Therapy and Education to Improve Medication Effectiveness With Measurement by CAT Score
(Your Name) has sent you a message from American Association for Respiratory Care
(Your Name) thought you would like to see the American Association for Respiratory Care web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Inhaled Maintenance Regimen Changes from pMDI and/or DPI to SMI and/or Nebulizer Therapy and Education to Improve Medication Effectiveness With Measurement by CAT Score
Krystal Craddock, Michael Schivo, Brooks Kuhn
Respiratory Care Oct 2020, 65 (Suppl 10) 3449274;

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
Inhaled Maintenance Regimen Changes from pMDI and/or DPI to SMI and/or Nebulizer Therapy and Education to Improve Medication Effectiveness With Measurement by CAT Score
Krystal Craddock, Michael Schivo, Brooks Kuhn
Respiratory Care Oct 2020, 65 (Suppl 10) 3449274;
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
  • Info & Metrics
  • References

Related Articles

Cited By...

Info For

  • Subscribers
  • Institutions
  • Advertisers

About Us

  • About Us
  • Editorial Board
  • Reprints/Permissions

AARC

  • Membership
  • Meetings
  • Clinical Practice Guidelines

More

  • Contact Us
  • RSS
American Association for Respiratory Care

Print ISSN: 0020-1324        Online ISSN: 1943-3654

© Daedalus Enterprises, Inc.

Powered by HighWire