Outpatient monitoring of patients with chronic obstructive pulmonary disease by a primary care physician. Guidelines

Chronic obstructive pulmonary disease (COPD) ranks high among chronic respiratory diseases, including as a cause of death. COPD is associated with the risk of other diseases with unfavorable prognosis, including cardiovascular ones. Outpatient monitoring of patients with COPD is the main approach to the prevention and early diagnosis of exacerbations, complications and progression of the disease, the implementation of medical rehabilitation and early diagnosis of comorbid pathology. The guidelines describe the algorithm for outpatient consultation of patients with COPD by a primary care physician and supporting materials.

The guidelines are intended for district internists, general practitioners (family doctors), district internists of the shop medical district, as well as for secondary medical personnel working with these doctors, for paramedics of paramedic-obstetric stations (paramedic health centers) in case they are assigned the functions of the attending physician.

The guidelines can be used by public health physicians, heads of primary health care facilities and their divisions.

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