Gelorma Belmonte
Academy for Urban School Leadership
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Italian Journal of Medicine | 2011
Gelorma Belmonte; Marilena Muratori; Paolo Leandri; Angelo Pasquale; Massimo Reta; Roberto Nardi
Summary Introduction Chronic obstructive pulmonary disease (COPD) is the second leading cause of hospitalization in Internal Medicine departments in Italy and the fourth leading cause of death all over the word. By 2020, COPD will be the third leading cause of death and the fifth leading cause of disability. It is – along with chronic congestive heart failure – one of the most common causes of unscheduled hospital readmissions, and as such it represents a significant economic burden for the health-care system. Exacerbations of COPD are important events in the natural history of this prevalent condition. Discussion This review provides a comprehensive state-of-the-art look at prevention and management of COPD exacerbations. Treatment of these episodes has to be tailored to the severity of the clinical presentation. We now have a wide range of therapeutic available options, based on the results of clinical trials. Management of the acute event should include the necessary measures (mainly the administration of inhaled short-acting bronchodilators, inhaled or oral corticosteroids, and antibiotics), with or without oxygen and ventilator support. Conclusions To improve the management of COPD exacerbations, the focus of care must be shifted from the episodic acute complications to their systematic prevention. The management of COPD, which is often associated with multiple co-morbidities, is complex and requires a tailored, multifaceted and multidisciplinary approach. Integrated care for COPD also requires that patients be informed about their condition, that they participate actively in their care, and that they have easy access to the necessary health-care services.
Italian Journal of Medicine | 2013
Gelorma Belmonte; Marilena Muratori; Paolo Leandri; Angelo Pasquale; Massimo Reta; Roberto Nardi
Introduction: Chronic obstructive pulmonary disease (COPD) is the second leading cause of hospitalization in Internal Medicine departments in Italy and the fourth leading cause of death all over the word. By 2020, COPD will be the third leading cause of death and the fifth leading cause of disability. It is — along with chronic congestive heart failure — one of the most common causes of unscheduled hospital readmissions, and as such it represents a significant economic burden for the health-care system. Exacerbations of COPD are important events in the natural history of this prevalent condition. Discussion: This review provides a comprehensive state-of-the-art look at prevention and management of COPD exacerbations. Treatment of these episodes has to be tailored to the severity of the clinical presentation. We now have a wide range of therapeutic available options, based on the results of clinical trials. Management of the acute event should include the necessary measures (mainly the administration of inhaled short-acting bronchodilators, inhaled or oral corticosteroids, and antibiotics), with or without oxygen and ventilator support. Conclusions: To improve the management of COPD exacerbations, the focus of care must be shifted from the episodic acute complications to their systematic prevention. The management of COPD, which is often associated with multiple co-morbidities, is complex and requires a tailored, multifaceted and multidisciplinary approach. Integrated care for COPD also requires that patients be informed about their condition, that they participate actively in their care, and that they have easy access to the necessary health-care services.
Italian Journal of Medicine | 2009
Roberto Nardi; Tatiana Fabbri; Gelorma Belmonte; Paolo Leandri; Magda Mazzetti; Angelo Pasquale; Massimo Reta; Claudia Rizzi; Giovanni Scanelli; Ido Iori; Gualberto Gussoni; Claudio Pedace; Giovanni Mathieu; Antonino Mazzone
Italian Journal of Medicine | 2013
Roberto Nardi; Franco Berti; Antonio Greco; Giovanni Scanelli; Paolo Leandri; Massimo Reta; Magda Mazzetti; Angelo Pasquale; Gelorma Belmonte; Mirco Magnani; Stefania Frasson; Concetta Baldo; Gualberto Gussoni; Giorgio Vescovo; Micaela La Regina; Mauro Campanini; Ido Iori; Giovanni Mathieu; Antonino Mazzone; Carlo Nozzoli
Italian Journal of Medicine | 2013
Roberto Nardi; Tatiana Fabbri; Gelorma Belmonte; Paolo Leandri; Magda Mazzetti; Angelo Pasquale; Massimo Reta; Claudia Rizzi; Giovanni Scanelli; Ido Iori; Gualberto Gussoni; Claudio Pedace; Giovanni Mathieu; Antonino Mazzone
Italian Journal of Medicine | 2011
Roberto Nardi; Lorenzo Corbetta; Marilena Muratori; Gelorma Belmonte; Giovanni Scanelli; Giovanni Mathieu
Italian Journal of Medicine | 2014
Paolo Leandri; Maurizio Ongari; Gelorma Belmonte; Angelo Pasquale; Magda Mazzetti; Daniela Domenica Giannini; Amedeo Evangelisti; Mauro Righi; Altin Stafa; Luigi Simonetti; Roberto Nardi
Italian Journal of Medicine | 2013
Marco Bassi; Gelorma Belmonte; Paola Billi; Angelo Pasquale; Massimo Reta; Paolo Leandri; F. Ferrara; Stefania Ghersi; Nicola D’Imperio; Roberto Nardi
Italian Journal of Medicine | 2013
Marco Bassi; Gelorma Belmonte; Carmelo Luigiano; Paola Billi; Angela Salerno; F. Ferrara; Stefania Ghersi; Silvia Giovanelli; Mirco Magnani; Roberto Nardi; Nicola D’Imperio
Italian Journal of Medicine | 2012
Gelorma Belmonte; Paolo Leandri; Massimo Reta; Paolo Emilio Orlandi; Andrea Ciorba; Claudia Aimoni; Giovanni Scanelli; Roberto Nardi