Cognitive function and inhaler technique following recovery from exacerbations of COPD

Benjamin E. Henkle; Rebecca L. Freese; Mary Dahlheimer; Catherine Kane; Karin F. Hoth; Ken M. Kunisaki

doi:10.1183/23120541.00627-2022

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Cognitive function and inhaler technique following recovery from exacerbations of COPD

Letter/Communication

Open access

Cognitive function and inhaler technique following recovery from exacerbations of COPD

Benjamin E. Henkle, Rebecca L. Freese, Mary Dahlheimer, Catherine Kane, Karin F. Hoth and Ken M. Kunisaki

ERJ open research, Vol.9(3), 00627-2022

07/2023

DOI: 10.1183/23120541.00627-2022

PMCID: PMC10152261

PMID: 37143839

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Abstract

Persons with COPD are at elevated risk of cognitive impairment. Cognitive deficits may be more common in those with very low lung function [1], in those requiring supplemental oxygen [2] and during hospitalisations for acute exacerbations [3]. Cognitive impairment is also associated with poor medication adherence and inhaler technique [4]. However, cognitive function is not currently assessed as part of routine management of COPD. The effect of cognitive function on inhaler technique and COPD-related healthcare use such as hospitalisations or emergency department (ED) visits is not well known. To investigate this, we conducted a prospective observational study of cognitive function and inhaler technique among patients with COPD at high risk of increased healthcare utilisation by virtue of having a recent acute severe COPD exacerbation. Cognitive impairment is highly prevalent in COPD outpatients during the post-exacerbation recovery period and is associated with poor inhaler technique https://bit.ly/3XkCvCv

Research Letters

Details

Title: Subtitle: Cognitive function and inhaler technique following recovery from exacerbations of COPD
Creators: Benjamin E. Henkle - Minneapolis VA Health Care System
Rebecca L. Freese - Minneapolis VA Health Care System, Minneapolis, MN, USA University of Minnesota, Minneapolis, MN, USA Clinical and Translational Science Institute, Biostatistical Design and Analysis Center, University of Minnesota, Minneapolis, MN, USA Department of Psychiatry and Iowa Neuroscience Institute, University of Iowa, Iowa City, IA, USA
Mary Dahlheimer - Minneapolis VA Health Care System, Minneapolis, MN, USA University of Minnesota, Minneapolis, MN, USA Clinical and Translational Science Institute, Biostatistical Design and Analysis Center, University of Minnesota, Minneapolis, MN, USA Department of Psychiatry and Iowa Neuroscience Institute, University of Iowa, Iowa City, IA, USA
Catherine Kane - Minneapolis VA Health Care System, Minneapolis, MN, USA University of Minnesota, Minneapolis, MN, USA Clinical and Translational Science Institute, Biostatistical Design and Analysis Center, University of Minnesota, Minneapolis, MN, USA Department of Psychiatry and Iowa Neuroscience Institute, University of Iowa, Iowa City, IA, USA
Karin F. Hoth - University of Iowa
Ken M. Kunisaki - University of Iowa
Resource Type: Letter/Communication
Publication Details: ERJ open research, Vol.9(3), 00627-2022
DOI: 10.1183/23120541.00627-2022
PMID: 37143839
PMCID: PMC10152261
NLM abbreviation: ERJ Open Res
ISSN: 2312-0541
eISSN: 2312-0541
Publisher: European Respiratory Society
Grant note: UL1TR002494 / ;
Alternative title: Cognitive function and inhaler technique
Language: English
Date published: 07/2023
Academic Unit: Psychiatry; Iowa Neuroscience Institute
Record Identifier: 9984400639902771

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