id sid tid token lemma pos cord-007444-c9vu8ako 1 1 key key JJ cord-007444-c9vu8ako 1 2 : : : cord-007444-c9vu8ako 1 3 cord-007444-c9vu8ako cord-007444-c9vu8ako NN cord-007444-c9vu8ako 1 4 authors author NNS cord-007444-c9vu8ako 1 5 : : : cord-007444-c9vu8ako 1 6 Sherk Sherk NNP cord-007444-c9vu8ako 1 7 , , , cord-007444-c9vu8ako 1 8 Peter Peter NNP cord-007444-c9vu8ako 1 9 A. A. NNP cord-007444-c9vu8ako 1 10 ; ; : cord-007444-c9vu8ako 1 11 Grossman Grossman NNP cord-007444-c9vu8ako 1 12 , , , cord-007444-c9vu8ako 1 13 Ronald Ronald NNP cord-007444-c9vu8ako 1 14 F. F. NNP cord-007444-c9vu8ako 1 15 title title NN cord-007444-c9vu8ako 1 16 : : : cord-007444-c9vu8ako 1 17 The the DT cord-007444-c9vu8ako 1 18 Chronic Chronic NNP cord-007444-c9vu8ako 1 19 Obstructive obstructive JJ cord-007444-c9vu8ako 1 20 Pulmonary Pulmonary NNP cord-007444-c9vu8ako 1 21 Disease Disease NNP cord-007444-c9vu8ako 1 22 Exacerbation Exacerbation NNP cord-007444-c9vu8ako 1 23 date date NN cord-007444-c9vu8ako 1 24 : : : cord-007444-c9vu8ako 1 25 2000 2000 CD cord-007444-c9vu8ako 1 26 - - SYM cord-007444-c9vu8ako 1 27 12 12 CD cord-007444-c9vu8ako 1 28 - - HYPH cord-007444-c9vu8ako 1 29 01 01 CD cord-007444-c9vu8ako 1 30 journal journal NN cord-007444-c9vu8ako 1 31 : : : cord-007444-c9vu8ako 1 32 Clin Clin NNP cord-007444-c9vu8ako 1 33 Chest Chest NNP cord-007444-c9vu8ako 1 34 Med Med NNP cord-007444-c9vu8ako 1 35 DOI doi NN cord-007444-c9vu8ako 1 36 : : : cord-007444-c9vu8ako 1 37 10.1016 10.1016 CD cord-007444-c9vu8ako 1 38 / / SYM cord-007444-c9vu8ako 1 39 s0272 s0272 NNP cord-007444-c9vu8ako 1 40 - - HYPH cord-007444-c9vu8ako 1 41 5231(05)70179 5231(05)70179 NNP cord-007444-c9vu8ako 1 42 - - SYM cord-007444-c9vu8ako 1 43 9 9 CD cord-007444-c9vu8ako 1 44 sha sha NN cord-007444-c9vu8ako 1 45 : : : cord-007444-c9vu8ako 1 46 2c9475aa7971ae4c5ae18329ae9895b2c1b8bbe7 2c9475aa7971ae4c5ae18329ae9895b2c1b8bbe7 CD cord-007444-c9vu8ako 1 47 doc_id doc_id CD cord-007444-c9vu8ako 1 48 : : : cord-007444-c9vu8ako 1 49 7444 7444 CD cord-007444-c9vu8ako 1 50 cord_uid cord_uid NNS cord-007444-c9vu8ako 1 51 : : : cord-007444-c9vu8ako 2 1 c9vu8ako c9vu8ako . cord-007444-c9vu8ako 3 1 nan nan NNP cord-007444-c9vu8ako 3 2 Peter Peter NNP cord-007444-c9vu8ako 3 3 A. a. NN cord-007444-c9vu8ako 3 4 Sherk Sherk NNP cord-007444-c9vu8ako 3 5 , , , cord-007444-c9vu8ako 3 6 MD MD NNP cord-007444-c9vu8ako 3 7 , , , cord-007444-c9vu8ako 3 8 and and CC cord-007444-c9vu8ako 3 9 Ronald Ronald NNP cord-007444-c9vu8ako 3 10 F. F. NNP cord-007444-c9vu8ako 3 11 Grossman Grossman NNP cord-007444-c9vu8ako 3 12 , , , cord-007444-c9vu8ako 3 13 MD MD NNP cord-007444-c9vu8ako 3 14 , , , cord-007444-c9vu8ako 3 15 FRCPC FRCPC NNP cord-007444-c9vu8ako 3 16 Chronic Chronic NNP cord-007444-c9vu8ako 3 17 obstructive obstructive JJ cord-007444-c9vu8ako 3 18 pulmonary pulmonary JJ cord-007444-c9vu8ako 3 19 disease disease NN cord-007444-c9vu8ako 3 20 ( ( -LRB- cord-007444-c9vu8ako 3 21 COPD COPD NNP cord-007444-c9vu8ako 3 22 ) ) -RRB- cord-007444-c9vu8ako 3 23 is be VBZ cord-007444-c9vu8ako 3 24 characterized characterize VBN cord-007444-c9vu8ako 3 25 by by IN cord-007444-c9vu8ako 3 26 the the DT cord-007444-c9vu8ako 3 27 presence presence NN cord-007444-c9vu8ako 3 28 of of IN cord-007444-c9vu8ako 3 29 airflow airflow NNP cord-007444-c9vu8ako 3 30 obstruction obstruction NN cord-007444-c9vu8ako 3 31 caused cause VBN cord-007444-c9vu8ako 3 32 by by IN cord-007444-c9vu8ako 3 33 chronic chronic JJ cord-007444-c9vu8ako 3 34 bronchitis bronchitis NN cord-007444-c9vu8ako 3 35 or or CC cord-007444-c9vu8ako 3 36 emphysema emphysema NN cord-007444-c9vu8ako 3 37 . . . cord-007444-c9vu8ako 4 1 This this DT cord-007444-c9vu8ako 4 2 airflow airflow NN cord-007444-c9vu8ako 4 3 obstruction obstruction NN cord-007444-c9vu8ako 4 4 is be VBZ cord-007444-c9vu8ako 4 5 generally generally RB cord-007444-c9vu8ako 4 6 progressive progressive JJ cord-007444-c9vu8ako 4 7 , , , cord-007444-c9vu8ako 4 8 may may MD cord-007444-c9vu8ako 4 9 be be VB cord-007444-c9vu8ako 4 10 accompanied accompany VBN cord-007444-c9vu8ako 4 11 by by IN cord-007444-c9vu8ako 4 12 airway airway NNP cord-007444-c9vu8ako 4 13 hyperreactivity hyperreactivity NNP cord-007444-c9vu8ako 4 14 , , , cord-007444-c9vu8ako 4 15 and and CC cord-007444-c9vu8ako 4 16 often often RB cord-007444-c9vu8ako 4 17 is be VBZ cord-007444-c9vu8ako 4 18 partially partially RB cord-007444-c9vu8ako 4 19 re re VBN cord-007444-c9vu8ako 5 1 ~ersible.~ ~ersible.~ XX cord-007444-c9vu8ako 5 2 Declining decline VBG cord-007444-c9vu8ako 5 3 lung lung NN cord-007444-c9vu8ako 5 4 function function NN cord-007444-c9vu8ako 5 5 is be VBZ cord-007444-c9vu8ako 5 6 almost almost RB cord-007444-c9vu8ako 5 7 universally universally RB cord-007444-c9vu8ako 5 8 caused cause VBN cord-007444-c9vu8ako 5 9 by by IN cord-007444-c9vu8ako 5 10 decades decade NNS cord-007444-c9vu8ako 5 11 of of IN cord-007444-c9vu8ako 5 12 tobacco tobacco NN cord-007444-c9vu8ako 5 13 smoke smoke NN cord-007444-c9vu8ako 5 14 exposure exposure NN cord-007444-c9vu8ako 5 15 and and CC cord-007444-c9vu8ako 5 16 develops develop VBZ cord-007444-c9vu8ako 5 17 insidiously insidiously RB cord-007444-c9vu8ako 5 18 so so IN cord-007444-c9vu8ako 5 19 that that IN cord-007444-c9vu8ako 5 20 patients patient NNS cord-007444-c9vu8ako 5 21 often often RB cord-007444-c9vu8ako 5 22 do do VBP cord-007444-c9vu8ako 5 23 not not RB cord-007444-c9vu8ako 5 24 complain complain VB cord-007444-c9vu8ako 5 25 of of IN cord-007444-c9vu8ako 5 26 exertional exertional JJ cord-007444-c9vu8ako 5 27 dyspnea dyspnea NN cord-007444-c9vu8ako 5 28 until until IN cord-007444-c9vu8ako 5 29 their -PRON- PRP$ cord-007444-c9vu8ako 5 30 1-second 1-second CD cord-007444-c9vu8ako 5 31 forced force VBN cord-007444-c9vu8ako 5 32 expiratory expiratory JJ cord-007444-c9vu8ako 5 33 volume volume NN cord-007444-c9vu8ako 5 34 ( ( -LRB- cord-007444-c9vu8ako 5 35 FEV FEV NNP cord-007444-c9vu8ako 5 36 , , , cord-007444-c9vu8ako 5 37 ) ) -RRB- cord-007444-c9vu8ako 5 38 is be VBZ cord-007444-c9vu8ako 5 39 between between IN cord-007444-c9vu8ako 5 40 40 40 CD cord-007444-c9vu8ako 5 41 % % NN cord-007444-c9vu8ako 5 42 and and CC cord-007444-c9vu8ako 5 43 59 59 CD cord-007444-c9vu8ako 5 44 % % NN cord-007444-c9vu8ako 5 45 of of IN cord-007444-c9vu8ako 5 46 its -PRON- PRP$ cord-007444-c9vu8ako 5 47 predicted predict VBN cord-007444-c9vu8ako 5 48 value.20 value.20 NNP cord-007444-c9vu8ako 6 1 When when WRB cord-007444-c9vu8ako 6 2 the the DT cord-007444-c9vu8ako 6 3 FEV FEV NNP cord-007444-c9vu8ako 6 4 , , , cord-007444-c9vu8ako 6 5 falls fall VBZ cord-007444-c9vu8ako 6 6 below below IN cord-007444-c9vu8ako 6 7 1 1 CD cord-007444-c9vu8ako 6 8 L l NN cord-007444-c9vu8ako 6 9 , , , cord-007444-c9vu8ako 6 10 patients patient NNS cord-007444-c9vu8ako 6 11 are be VBP cord-007444-c9vu8ako 6 12 disabled disabled JJ cord-007444-c9vu8ako 6 13 in in IN cord-007444-c9vu8ako 6 14 the the DT cord-007444-c9vu8ako 6 15 activities activity NNS cord-007444-c9vu8ako 6 16 of of IN cord-007444-c9vu8ako 6 17 daily daily JJ cord-007444-c9vu8ako 6 18 living live VBG cord-007444-c9vu8ako 6 19 and and CC cord-007444-c9vu8ako 6 20 have have VB cord-007444-c9vu8ako 6 21 a a DT cord-007444-c9vu8ako 6 22 5-year 5-year CD cord-007444-c9vu8ako 6 23 survival survival NN cord-007444-c9vu8ako 6 24 of of IN cord-007444-c9vu8ako 6 25 approximately approximately RB cord-007444-c9vu8ako 6 26 50?!0 50?!0 CD cord-007444-c9vu8ako 6 27 . . . cord-007444-c9vu8ako 7 1 Forced force VBN cord-007444-c9vu8ako 7 2 expiratory expiratory JJ cord-007444-c9vu8ako 7 3 volume volume NN cord-007444-c9vu8ako 7 4 in in IN cord-007444-c9vu8ako 7 5 1 1 CD cord-007444-c9vu8ako 7 6 second second JJ cord-007444-c9vu8ako 7 7 declines decline NNS cord-007444-c9vu8ako 7 8 by by IN cord-007444-c9vu8ako 7 9 about about RB cord-007444-c9vu8ako 7 10 30 30 CD cord-007444-c9vu8ako 7 11 mL ml NN cord-007444-c9vu8ako 7 12 / / SYM cord-007444-c9vu8ako 7 13 year year NN cord-007444-c9vu8ako 7 14 in in IN cord-007444-c9vu8ako 7 15 healthy healthy JJ cord-007444-c9vu8ako 7 16 nonsmokers nonsmoker NNS cord-007444-c9vu8ako 7 17 , , , cord-007444-c9vu8ako 7 18 whereas whereas IN cord-007444-c9vu8ako 7 19 the the DT cord-007444-c9vu8ako 7 20 average average JJ cord-007444-c9vu8ako 7 21 decline decline NN cord-007444-c9vu8ako 7 22 is be VBZ cord-007444-c9vu8ako 7 23 approximately approximately RB cord-007444-c9vu8ako 7 24 45 45 CD cord-007444-c9vu8ako 7 25 mL ml NN cord-007444-c9vu8ako 7 26 / / SYM cord-007444-c9vu8ako 7 27 year year NN cord-007444-c9vu8ako 7 28 in in IN cord-007444-c9vu8ako 7 29 smokers.20 smokers.20 NN cord-007444-c9vu8ako 8 1 Approximately approximately RB cord-007444-c9vu8ako 8 2 15 15 CD cord-007444-c9vu8ako 8 3 % % NN cord-007444-c9vu8ako 8 4 of of IN cord-007444-c9vu8ako 8 5 smokers smoker NNS cord-007444-c9vu8ako 8 6 are be VBP cord-007444-c9vu8ako 8 7 susceptible susceptible JJ cord-007444-c9vu8ako 8 8 to to IN cord-007444-c9vu8ako 8 9 the the DT cord-007444-c9vu8ako 8 10 airway airway NN cord-007444-c9vu8ako 8 11 effects effect NNS cord-007444-c9vu8ako 8 12 of of IN cord-007444-c9vu8ako 8 13 smoking smoking NN cord-007444-c9vu8ako 8 14 and and CC cord-007444-c9vu8ako 8 15 will will MD cord-007444-c9vu8ako 8 16 develop develop VB cord-007444-c9vu8ako 8 17 COPD COPD NNP cord-007444-c9vu8ako 8 18 . . . cord-007444-c9vu8ako 9 1 These these DT cord-007444-c9vu8ako 9 2 patients patient NNS cord-007444-c9vu8ako 9 3 show show VBP cord-007444-c9vu8ako 9 4 accelerated accelerated JJ cord-007444-c9vu8ako 9 5 rates rate NNS cord-007444-c9vu8ako 9 6 of of IN cord-007444-c9vu8ako 9 7 decline decline NN cord-007444-c9vu8ako 9 8 in in IN cord-007444-c9vu8ako 9 9 FEV FEV NNP cord-007444-c9vu8ako 9 10 , , , cord-007444-c9vu8ako 9 11 of of IN cord-007444-c9vu8ako 9 12 between between IN cord-007444-c9vu8ako 9 13 50 50 CD cord-007444-c9vu8ako 9 14 and and CC cord-007444-c9vu8ako 9 15 90 90 CD cord-007444-c9vu8ako 9 16 m m NN cord-007444-c9vu8ako 9 17 L L NNP cord-007444-c9vu8ako 9 18 /~e /~e NNP cord-007444-c9vu8ako 9 19 a a DT cord-007444-c9vu8ako 9 20 r r NN cord-007444-c9vu8ako 9 21 .~~ .~~ . cord-007444-c9vu8ako 10 1 In in IN cord-007444-c9vu8ako 10 2 1994 1994 CD cord-007444-c9vu8ako 10 3 , , , cord-007444-c9vu8ako 10 4 approximately approximately RB cord-007444-c9vu8ako 10 5 16 16 CD cord-007444-c9vu8ako 10 6 million million CD cord-007444-c9vu8ako 10 7 Americans Americans NNPS cord-007444-c9vu8ako 10 8 suffered suffer VBD cord-007444-c9vu8ako 10 9 from from IN cord-007444-c9vu8ako 10 10 COPD COPD NNP cord-007444-c9vu8ako 10 11 , , , cord-007444-c9vu8ako 10 12 an an DT cord-007444-c9vu8ako 10 13 estimated estimate VBN cord-007444-c9vu8ako 10 14 increase increase NN cord-007444-c9vu8ako 10 15 of of IN cord-007444-c9vu8ako 10 16 60 60 CD cord-007444-c9vu8ako 10 17 % % NN cord-007444-c9vu8ako 10 18 since since IN cord-007444-c9vu8ako 10 19 1982.'j 1982.'j CD cord-007444-c9vu8ako 10 20 It -PRON- PRP cord-007444-c9vu8ako 10 21 ranks rank VBZ cord-007444-c9vu8ako 10 22 fourth fourth RB cord-007444-c9vu8ako 10 23 among among IN cord-007444-c9vu8ako 10 24 leading leading JJ cord-007444-c9vu8ako 10 25 causes cause NNS cord-007444-c9vu8ako 10 26 of of IN cord-007444-c9vu8ako 10 27 death death NN cord-007444-c9vu8ako 10 28 in in IN cord-007444-c9vu8ako 10 29 North North NNP cord-007444-c9vu8ako 10 30 America America NNP cord-007444-c9vu8ako 10 31 and and CC cord-007444-c9vu8ako 10 32 is be VBZ cord-007444-c9vu8ako 10 33 the the DT cord-007444-c9vu8ako 10 34 only only RB cord-007444-c9vu8ako 10 35 leading leading JJ cord-007444-c9vu8ako 10 36 cause cause NN cord-007444-c9vu8ako 10 37 of of IN cord-007444-c9vu8ako 10 38 death death NN cord-007444-c9vu8ako 10 39 that that WDT cord-007444-c9vu8ako 10 40 is be VBZ cord-007444-c9vu8ako 10 41 rising rise VBG cord-007444-c9vu8ako 10 42 in in IN cord-007444-c9vu8ako 10 43 prevalence prevalence NN cord-007444-c9vu8ako 10 44 . . . cord-007444-c9vu8ako 11 1 ' ' '' cord-007444-c9vu8ako 11 2 j j NNP cord-007444-c9vu8ako 12 1 , , , cord-007444-c9vu8ako 12 2 28 28 CD cord-007444-c9vu8ako 13 1 According accord VBG cord-007444-c9vu8ako 13 2 to to IN cord-007444-c9vu8ako 13 3 1993 1993 CD cord-007444-c9vu8ako 13 4 estimates estimate NNS cord-007444-c9vu8ako 13 5 made make VBN cord-007444-c9vu8ako 13 6 by by IN cord-007444-c9vu8ako 13 7 the the DT cord-007444-c9vu8ako 13 8 National National NNP cord-007444-c9vu8ako 13 9 Heart Heart NNP cord-007444-c9vu8ako 13 10 Lung Lung NNP cord-007444-c9vu8ako 13 11 and and CC cord-007444-c9vu8ako 13 12 Blood Blood NNP cord-007444-c9vu8ako 13 13 Institute Institute NNP cord-007444-c9vu8ako 13 14 , , , cord-007444-c9vu8ako 13 15 the the DT cord-007444-c9vu8ako 13 16 annual annual JJ cord-007444-c9vu8ako 13 17 total total JJ cord-007444-c9vu8ako 13 18 cost cost NN cord-007444-c9vu8ako 13 19 arising arise VBG cord-007444-c9vu8ako 13 20 from from IN cord-007444-c9vu8ako 13 21 COPD COPD NNP cord-007444-c9vu8ako 13 22 was be VBD cord-007444-c9vu8ako 13 23 nearly nearly RB cord-007444-c9vu8ako 13 24 $ $ $ cord-007444-c9vu8ako 13 25 24 24 CD cord-007444-c9vu8ako 13 26 billion billion CD cord-007444-c9vu8ako 13 27 dollars dollar NNS cord-007444-c9vu8ako 13 28 . . . cord-007444-c9vu8ako 14 1 This this DT cord-007444-c9vu8ako 14 2 amount amount NN cord-007444-c9vu8ako 14 3 includes include VBZ cord-007444-c9vu8ako 14 4 almost almost RB cord-007444-c9vu8ako 14 5 $ $ $ cord-007444-c9vu8ako 14 6 15 15 CD cord-007444-c9vu8ako 14 7 billion billion CD cord-007444-c9vu8ako 14 8 in in IN cord-007444-c9vu8ako 14 9 direct direct JJ cord-007444-c9vu8ako 14 10 health health NN cord-007444-c9vu8ako 14 11 care care NN cord-007444-c9vu8ako 14 12 expenditures expenditure NNS cord-007444-c9vu8ako 14 13 , , , cord-007444-c9vu8ako 14 14 nearly nearly RB cord-007444-c9vu8ako 14 15 $ $ $ cord-007444-c9vu8ako 14 16 5 5 CD cord-007444-c9vu8ako 14 17 billion billion CD cord-007444-c9vu8ako 14 18 in in IN cord-007444-c9vu8ako 14 19 indirect indirect JJ cord-007444-c9vu8ako 14 20 morbidity morbidity NN cord-007444-c9vu8ako 14 21 costs cost NNS cord-007444-c9vu8ako 14 22 , , , cord-007444-c9vu8ako 14 23 and and CC cord-007444-c9vu8ako 14 24 $ $ $ cord-007444-c9vu8ako 14 25 4.5 4.5 CD cord-007444-c9vu8ako 14 26 billion billion CD cord-007444-c9vu8ako 14 27 in in IN cord-007444-c9vu8ako 14 28 indirect indirect JJ cord-007444-c9vu8ako 14 29 mortality mortality NN cord-007444-c9vu8ako 14 30 costs cost NNS cord-007444-c9vu8ako 14 31 . . . cord-007444-c9vu8ako 15 1 6 6 CD cord-007444-c9vu8ako 15 2 Periods period NNS cord-007444-c9vu8ako 15 3 of of IN cord-007444-c9vu8ako 15 4 relative relative JJ cord-007444-c9vu8ako 15 5 clinical clinical JJ cord-007444-c9vu8ako 15 6 stability stability NN cord-007444-c9vu8ako 15 7 during during IN cord-007444-c9vu8ako 15 8 the the DT cord-007444-c9vu8ako 15 9 course course NN cord-007444-c9vu8ako 15 10 of of IN cord-007444-c9vu8ako 15 11 COPD COPD NNP cord-007444-c9vu8ako 15 12 are be VBP cord-007444-c9vu8ako 15 13 interrupted interrupt VBN cord-007444-c9vu8ako 15 14 by by IN cord-007444-c9vu8ako 15 15 recurrent recurrent JJ cord-007444-c9vu8ako 15 16 exacerbations exacerbation NNS cord-007444-c9vu8ako 15 17 . . . cord-007444-c9vu8ako 16 1 The the DT cord-007444-c9vu8ako 16 2 definition definition NN cord-007444-c9vu8ako 16 3 of of IN cord-007444-c9vu8ako 16 4 an an DT cord-007444-c9vu8ako 16 5 acute acute JJ cord-007444-c9vu8ako 16 6 exacerbation exacerbation NN cord-007444-c9vu8ako 16 7 of of IN cord-007444-c9vu8ako 16 8 COPD COPD NNP cord-007444-c9vu8ako 16 9 ( ( -LRB- cord-007444-c9vu8ako 16 10 AECOPD AECOPD NNP cord-007444-c9vu8ako 16 11 ) ) -RRB- cord-007444-c9vu8ako 16 12 is be VBZ cord-007444-c9vu8ako 16 13 imprecise imprecise JJ cord-007444-c9vu8ako 16 14 but but CC cord-007444-c9vu8ako 16 15 is be VBZ cord-007444-c9vu8ako 16 16 generally generally RB cord-007444-c9vu8ako 16 17 considered consider VBN cord-007444-c9vu8ako 16 18 clinically clinically RB cord-007444-c9vu8ako 16 19 as as IN cord-007444-c9vu8ako 16 20 an an DT cord-007444-c9vu8ako 16 21 episode episode NN cord-007444-c9vu8ako 16 22 of of IN cord-007444-c9vu8ako 16 23 increased increase VBN cord-007444-c9vu8ako 16 24 dyspnea dyspnea NN cord-007444-c9vu8ako 16 25 , , , cord-007444-c9vu8ako 16 26 sputum sputum NN cord-007444-c9vu8ako 16 27 production production NN cord-007444-c9vu8ako 16 28 , , , cord-007444-c9vu8ako 16 29 and and CC cord-007444-c9vu8ako 16 30 sputum sputum NN cord-007444-c9vu8ako 16 31 purulence purulence NN cord-007444-c9vu8ako 16 32 in in IN cord-007444-c9vu8ako 16 33 a a DT cord-007444-c9vu8ako 16 34 patient patient NN cord-007444-c9vu8ako 16 35 with with IN cord-007444-c9vu8ako 16 36 COPD COPD NNP cord-007444-c9vu8ako 16 37 . . . cord-007444-c9vu8ako 17 1 " " `` cord-007444-c9vu8ako 17 2 When when WRB cord-007444-c9vu8ako 17 3 these these DT cord-007444-c9vu8ako 17 4 symptoms symptom NNS cord-007444-c9vu8ako 17 5 are be VBP cord-007444-c9vu8ako 17 6 severe severe JJ cord-007444-c9vu8ako 17 7 and and CC cord-007444-c9vu8ako 17 8 accompanied accompany VBN cord-007444-c9vu8ako 17 9 by by IN cord-007444-c9vu8ako 17 10 significant significant JJ cord-007444-c9vu8ako 17 11 hypoxemia hypoxemia NN cord-007444-c9vu8ako 17 12 or or CC cord-007444-c9vu8ako 17 13 hypercapnia hypercapnia NN cord-007444-c9vu8ako 17 14 , , , cord-007444-c9vu8ako 17 15 patients patient NNS cord-007444-c9vu8ako 17 16 may may MD cord-007444-c9vu8ako 17 17 require require VB cord-007444-c9vu8ako 17 18 hospitalization hospitalization NN cord-007444-c9vu8ako 17 19 . . . cord-007444-c9vu8ako 18 1 This this DT cord-007444-c9vu8ako 18 2 article article NN cord-007444-c9vu8ako 18 3 focuses focus VBZ cord-007444-c9vu8ako 18 4 primarily primarily RB cord-007444-c9vu8ako 18 5 on on IN cord-007444-c9vu8ako 18 6 the the DT cord-007444-c9vu8ako 18 7 management management NN cord-007444-c9vu8ako 18 8 of of IN cord-007444-c9vu8ako 18 9 hospitalized hospitalize VBN cord-007444-c9vu8ako 18 10 patients patient NNS cord-007444-c9vu8ako 18 11 with with IN cord-007444-c9vu8ako 18 12 AE AE NNP cord-007444-c9vu8ako 18 13 - - HYPH cord-007444-c9vu8ako 18 14 COPD COPD NNP cord-007444-c9vu8ako 18 15 outside outside IN cord-007444-c9vu8ako 18 16 of of IN cord-007444-c9vu8ako 18 17 the the DT cord-007444-c9vu8ako 18 18 intensive intensive JJ cord-007444-c9vu8ako 18 19 care care NN cord-007444-c9vu8ako 18 20 unit unit NN cord-007444-c9vu8ako 18 21 and and CC cord-007444-c9vu8ako 18 22 reviews review VBZ cord-007444-c9vu8ako 18 23 the the DT cord-007444-c9vu8ako 18 24 evidence evidence NN cord-007444-c9vu8ako 18 25 supporting support VBG cord-007444-c9vu8ako 18 26 the the DT cord-007444-c9vu8ako 18 27 available available JJ cord-007444-c9vu8ako 18 28 therapies therapy NNS cord-007444-c9vu8ako 18 29 for for IN cord-007444-c9vu8ako 18 30 COPD COPD NNP cord-007444-c9vu8ako 18 31 exacerbations exacerbation NNS cord-007444-c9vu8ako 18 32 . . . cord-007444-c9vu8ako 19 1 Cigarette cigarette NN cord-007444-c9vu8ako 19 2 smoking smoking NN cord-007444-c9vu8ako 19 3 is be VBZ cord-007444-c9vu8ako 19 4 the the DT cord-007444-c9vu8ako 19 5 most most RBS cord-007444-c9vu8ako 19 6 important important JJ cord-007444-c9vu8ako 19 7 cause cause NN cord-007444-c9vu8ako 19 8 of of IN cord-007444-c9vu8ako 19 9 COPD.lo9 copd.lo9 JJ cord-007444-c9vu8ako 19 10 Smoking smoking NN cord-007444-c9vu8ako 19 11 compromises compromise VBZ cord-007444-c9vu8ako 19 12 local local JJ cord-007444-c9vu8ako 19 13 airway airway NN cord-007444-c9vu8ako 19 14 defense defense NN cord-007444-c9vu8ako 19 15 mechanisms mechanism NNS cord-007444-c9vu8ako 19 16 by by IN cord-007444-c9vu8ako 19 17 damaging damaging JJ cord-007444-c9vu8ako 19 18 ciliated ciliated JJ cord-007444-c9vu8ako 19 19 airway airway NN cord-007444-c9vu8ako 19 20 epithelium epithelium NN cord-007444-c9vu8ako 19 21 , , , cord-007444-c9vu8ako 19 22 increasing increase VBG cord-007444-c9vu8ako 19 23 mucus mucus NN cord-007444-c9vu8ako 19 24 viscosity viscosity NN cord-007444-c9vu8ako 19 25 , , , cord-007444-c9vu8ako 19 26 and and CC cord-007444-c9vu8ako 19 27 slowing slow VBG cord-007444-c9vu8ako 19 28 mucociliary mucociliary JJ cord-007444-c9vu8ako 19 29 clearance clearance NN cord-007444-c9vu8ako 19 30 . . . cord-007444-c9vu8ako 20 1 These these DT cord-007444-c9vu8ako 20 2 conditions condition NNS cord-007444-c9vu8ako 20 3 promote promote VBP cord-007444-c9vu8ako 20 4 bacterial bacterial JJ cord-007444-c9vu8ako 20 5 colonization colonization NN cord-007444-c9vu8ako 20 6 of of IN cord-007444-c9vu8ako 20 7 the the DT cord-007444-c9vu8ako 20 8 lower low JJR cord-007444-c9vu8ako 20 9 respiratory respiratory JJ cord-007444-c9vu8ako 20 10 tract tract NN cord-007444-c9vu8ako 20 11 . . . cord-007444-c9vu8ako 21 1 The the DT cord-007444-c9vu8ako 21 2 three three CD cord-007444-c9vu8ako 21 3 major major JJ cord-007444-c9vu8ako 21 4 bacterial bacterial JJ cord-007444-c9vu8ako 21 5 pathogens pathogen NNS cord-007444-c9vu8ako 21 6 isolated isolate VBN cord-007444-c9vu8ako 21 7 from from IN cord-007444-c9vu8ako 21 8 patients patient NNS cord-007444-c9vu8ako 21 9 with with IN cord-007444-c9vu8ako 21 10 COPD COPD NNP cord-007444-c9vu8ako 21 11 during during IN cord-007444-c9vu8ako 21 12 periods period NNS cord-007444-c9vu8ako 21 13 of of IN cord-007444-c9vu8ako 21 14 both both DT cord-007444-c9vu8ako 21 15 clinical clinical JJ cord-007444-c9vu8ako 21 16 stability stability NN cord-007444-c9vu8ako 21 17 and and CC cord-007444-c9vu8ako 21 18 exacerbation exacerbation NN cord-007444-c9vu8ako 21 19 are be VBP cord-007444-c9vu8ako 21 20 nontypeable nontypeable JJ cord-007444-c9vu8ako 21 21 Haemophilus haemophilus JJ cord-007444-c9vu8ako 21 22 influenzae influenzae NN cord-007444-c9vu8ako 21 23 , , , cord-007444-c9vu8ako 21 24 Streptococcus streptococcus NN cord-007444-c9vu8ako 21 25 pneumoniae pneumoniae NN cord-007444-c9vu8ako 21 26 , , , cord-007444-c9vu8ako 21 27 and and CC cord-007444-c9vu8ako 21 28 Moraxella Moraxella NNP cord-007444-c9vu8ako 21 29 cafar cafar NNP cord-007444-c9vu8ako 21 30 ~ ~ NFP cord-007444-c9vu8ako 21 31 halis.~~ halis.~~ NNP cord-007444-c9vu8ako 21 32 When when WRB cord-007444-c9vu8ako 21 33 FEV FEV NNP cord-007444-c9vu8ako 21 34 , , , cord-007444-c9vu8ako 21 35 is be VBZ cord-007444-c9vu8ako 21 36 severely severely RB cord-007444-c9vu8ako 21 37 reduced reduce VBN cord-007444-c9vu8ako 21 38 , , , cord-007444-c9vu8ako 21 39 Enterobacteriaceae Enterobacteriaceae NNP cord-007444-c9vu8ako 21 40 and and CC cord-007444-c9vu8ako 21 41 Pseudomonas Pseudomonas NNP cord-007444-c9vu8ako 21 42 aeruginosa aeruginosa NN cord-007444-c9vu8ako 21 43 are be VBP cord-007444-c9vu8ako 21 44 also also RB cord-007444-c9vu8ako 21 45 commonly commonly RB cord-007444-c9vu8ako 22 1 detected.42 detected.42 NNP cord-007444-c9vu8ako 23 1 These these DT cord-007444-c9vu8ako 23 2 organisms organism NNS cord-007444-c9vu8ako 23 3 possess possess VBP cord-007444-c9vu8ako 23 4 a a DT cord-007444-c9vu8ako 23 5 wide wide JJ cord-007444-c9vu8ako 23 6 array array NN cord-007444-c9vu8ako 23 7 of of IN cord-007444-c9vu8ako 23 8 virulence virulence NN cord-007444-c9vu8ako 23 9 factors factor NNS cord-007444-c9vu8ako 23 10 that that WDT cord-007444-c9vu8ako 23 11 allow allow VBP cord-007444-c9vu8ako 23 12 them -PRON- PRP cord-007444-c9vu8ako 23 13 to to TO cord-007444-c9vu8ako 23 14 evade evade VB cord-007444-c9vu8ako 23 15 clearance clearance NN cord-007444-c9vu8ako 23 16 from from IN cord-007444-c9vu8ako 23 17 the the DT cord-007444-c9vu8ako 23 18 lower low JJR cord-007444-c9vu8ako 23 19 airways airway NNS cord-007444-c9vu8ako 23 20 . . . cord-007444-c9vu8ako 24 1 Although although IN cord-007444-c9vu8ako 24 2 a a DT cord-007444-c9vu8ako 24 3 detailed detailed JJ cord-007444-c9vu8ako 24 4 discussion discussion NN cord-007444-c9vu8ako 24 5 of of IN cord-007444-c9vu8ako 24 6 the the DT cord-007444-c9vu8ako 24 7 bacterial bacterial JJ cord-007444-c9vu8ako 24 8 mechanisms mechanism NNS cord-007444-c9vu8ako 24 9 of of IN cord-007444-c9vu8ako 24 10 colonization colonization NN cord-007444-c9vu8ako 24 11 and and CC cord-007444-c9vu8ako 24 12 infection infection NN cord-007444-c9vu8ako 24 13 is be VBZ cord-007444-c9vu8ako 24 14 beyond beyond IN cord-007444-c9vu8ako 24 15 the the DT cord-007444-c9vu8ako 24 16 scope scope NN cord-007444-c9vu8ako 24 17 of of IN cord-007444-c9vu8ako 24 18 this this DT cord-007444-c9vu8ako 24 19 article article NN cord-007444-c9vu8ako 24 20 , , , cord-007444-c9vu8ako 24 21 several several JJ cord-007444-c9vu8ako 24 22 concepts concept NNS cord-007444-c9vu8ako 24 23 are be VBP cord-007444-c9vu8ako 24 24 noteworthy noteworthy JJ cord-007444-c9vu8ako 24 25 . . . cord-007444-c9vu8ako 25 1 Smokers smoker NNS cord-007444-c9vu8ako 25 2 prone prone JJ cord-007444-c9vu8ako 25 3 to to IN cord-007444-c9vu8ako 25 4 acute acute JJ cord-007444-c9vu8ako 25 5 episodes episode NNS cord-007444-c9vu8ako 25 6 of of IN cord-007444-c9vu8ako 25 7 bronchitis bronchitis NN cord-007444-c9vu8ako 26 1 have have VBP cord-007444-c9vu8ako 26 2 a a DT cord-007444-c9vu8ako 26 3 greater great JJR cord-007444-c9vu8ako 26 4 degree degree NN cord-007444-c9vu8ako 26 5 of of IN cord-007444-c9vu8ako 26 6 bacterial bacterial JJ cord-007444-c9vu8ako 26 7 adherence adherence NN cord-007444-c9vu8ako 26 8 to to IN cord-007444-c9vu8ako 26 9 oropharyngeal oropharyngeal JJ cord-007444-c9vu8ako 26 10 airway airway NN cord-007444-c9vu8ako 26 11 epithelial epithelial JJ cord-007444-c9vu8ako 26 12 cells cell NNS cord-007444-c9vu8ako 26 13 compared compare VBN cord-007444-c9vu8ako 26 14 with with IN cord-007444-c9vu8ako 26 15 nonsmokers nonsmoker NNS cord-007444-c9vu8ako 26 16 . . . cord-007444-c9vu8ako 27 1 ' ' `` cord-007444-c9vu8ako 27 2 o1 o1 NN cord-007444-c9vu8ako 27 3 , , , cord-007444-c9vu8ako 28 1 IZ3 IZ3 NNP cord-007444-c9vu8ako 29 1 After after IN cord-007444-c9vu8ako 29 2 adhering adhere VBG cord-007444-c9vu8ako 29 3 to to IN cord-007444-c9vu8ako 29 4 mucus mucus NN cord-007444-c9vu8ako 29 5 or or CC cord-007444-c9vu8ako 29 6 epithelial epithelial JJ cord-007444-c9vu8ako 29 7 cells cell NNS cord-007444-c9vu8ako 29 8 , , , cord-007444-c9vu8ako 29 9 pathogenic pathogenic JJ cord-007444-c9vu8ako 29 10 bacteria bacteria NNS cord-007444-c9vu8ako 29 11 elaborate elaborate VBP cord-007444-c9vu8ako 29 12 exoproducts exoproduct NNS cord-007444-c9vu8ako 29 13 that that WDT cord-007444-c9vu8ako 29 14 stimulate stimulate VBP cord-007444-c9vu8ako 29 15 excess excess JJ cord-007444-c9vu8ako 29 16 mucous mucous JJ cord-007444-c9vu8ako 29 17 production production NN cord-007444-c9vu8ako 29 18 , , , cord-007444-c9vu8ako 29 19 ' ' '' cord-007444-c9vu8ako 29 20 disorganize disorganize VB cord-007444-c9vu8ako 29 21 and and CC cord-007444-c9vu8ako 29 22 slow slow JJ cord-007444-c9vu8ako 29 23 ciliary ciliary JJ cord-007444-c9vu8ako 29 24 beatingy5 beatingy5 NN cord-007444-c9vu8ako 29 25 damage damage NN cord-007444-c9vu8ako 29 26 epithelial epithelial JJ cord-007444-c9vu8ako 29 27 and and CC cord-007444-c9vu8ako 29 28 impair impair VB cord-007444-c9vu8ako 29 29 immune immune JJ cord-007444-c9vu8ako 29 30 effectorcell effectorcell JJ cord-007444-c9vu8ako 29 31 function.= function.= NNP cord-007444-c9vu8ako 30 1 Furthermore furthermore RB cord-007444-c9vu8ako 30 2 , , , cord-007444-c9vu8ako 30 3 bacterial bacterial JJ cord-007444-c9vu8ako 30 4 proteases protease NNS cord-007444-c9vu8ako 30 5 destroy destroy VBP cord-007444-c9vu8ako 30 6 local local JJ cord-007444-c9vu8ako 30 7 immunoglobulin^.^^ immunoglobulin^.^^ NN cord-007444-c9vu8ako 31 1 When when WRB cord-007444-c9vu8ako 31 2 these these DT cord-007444-c9vu8ako 31 3 bacteria bacteria NNS cord-007444-c9vu8ako 31 4 loiter loiter VBP cord-007444-c9vu8ako 31 5 in in IN cord-007444-c9vu8ako 31 6 the the DT cord-007444-c9vu8ako 31 7 airways airways NNPS cord-007444-c9vu8ako 31 8 , , , cord-007444-c9vu8ako 31 9 a a DT cord-007444-c9vu8ako 31 10 host host NN cord-007444-c9vu8ako 31 11 inflammatory inflammatory JJ cord-007444-c9vu8ako 31 12 response response NN cord-007444-c9vu8ako 31 13 is be VBZ cord-007444-c9vu8ako 31 14 stimulated stimulate VBN cord-007444-c9vu8ako 31 15 . . . cord-007444-c9vu8ako 32 1 With with IN cord-007444-c9vu8ako 32 2 the the DT cord-007444-c9vu8ako 32 3 movement movement NN cord-007444-c9vu8ako 32 4 of of IN cord-007444-c9vu8ako 32 5 large large JJ cord-007444-c9vu8ako 32 6 numbers number NNS cord-007444-c9vu8ako 32 7 of of IN cord-007444-c9vu8ako 32 8 neutrophils neutrophil NNS cord-007444-c9vu8ako 32 9 and and CC cord-007444-c9vu8ako 32 10 their -PRON- PRP$ cord-007444-c9vu8ako 32 11 subsequent subsequent JJ cord-007444-c9vu8ako 32 12 release release NN cord-007444-c9vu8ako 32 13 of of IN cord-007444-c9vu8ako 32 14 proteases protease NNS cord-007444-c9vu8ako 32 15 and and CC cord-007444-c9vu8ako 32 16 toxic toxic JJ cord-007444-c9vu8ako 32 17 oxygen oxygen NN cord-007444-c9vu8ako 32 18 radicals radical NNS cord-007444-c9vu8ako 32 19 , , , cord-007444-c9vu8ako 32 20 epithelial epithelial JJ cord-007444-c9vu8ako 32 21 surface surface NN cord-007444-c9vu8ako 32 22 damage damage NN cord-007444-c9vu8ako 32 23 may may MD cord-007444-c9vu8ako 32 24 be be VB cord-007444-c9vu8ako 32 25 enhanced enhance VBN cord-007444-c9vu8ako 32 26 . . . cord-007444-c9vu8ako 33 1 After after IN cord-007444-c9vu8ako 33 2 the the DT cord-007444-c9vu8ako 33 3 inciting incite VBG cord-007444-c9vu8ako 33 4 impact impact NN cord-007444-c9vu8ako 33 5 of of IN cord-007444-c9vu8ako 33 6 smoking smoking NN cord-007444-c9vu8ako 33 7 , , , cord-007444-c9vu8ako 33 8 bacterial bacterial JJ cord-007444-c9vu8ako 33 9 colonization colonization NN cord-007444-c9vu8ako 33 10 therefore therefore RB cord-007444-c9vu8ako 33 11 begets beget VBZ cord-007444-c9vu8ako 33 12 airway airway NN cord-007444-c9vu8ako 33 13 damage damage NN cord-007444-c9vu8ako 33 14 which which WDT cord-007444-c9vu8ako 33 15 , , , cord-007444-c9vu8ako 33 16 in in IN cord-007444-c9vu8ako 33 17 turn turn NN cord-007444-c9vu8ako 33 18 , , , cord-007444-c9vu8ako 33 19 begets beget VBZ cord-007444-c9vu8ako 33 20 further further JJ cord-007444-c9vu8ako 33 21 inflammation inflammation NN cord-007444-c9vu8ako 33 22 and and CC cord-007444-c9vu8ako 33 23 bacterial bacterial JJ cord-007444-c9vu8ako 33 24 colonization colonization NN cord-007444-c9vu8ako 33 25 . . . cord-007444-c9vu8ako 34 1 This this DT cord-007444-c9vu8ako 34 2 event event NN cord-007444-c9vu8ako 34 3 is be VBZ cord-007444-c9vu8ako 34 4 the the DT cord-007444-c9vu8ako 34 5 vicious vicious JJ cord-007444-c9vu8ako 34 6 circle circle NN cord-007444-c9vu8ako 34 7 hypothesis hypothesis NN cord-007444-c9vu8ako 34 8 that that WDT cord-007444-c9vu8ako 34 9 has have VBZ cord-007444-c9vu8ako 34 10 been be VBN cord-007444-c9vu8ako 34 11 proposed propose VBN cord-007444-c9vu8ako 34 12 to to TO cord-007444-c9vu8ako 34 13 explain explain VB cord-007444-c9vu8ako 34 14 how how WRB cord-007444-c9vu8ako 34 15 the the DT cord-007444-c9vu8ako 34 16 bacteria bacteria NNS cord-007444-c9vu8ako 34 17 - - HYPH cord-007444-c9vu8ako 34 18 host host NN cord-007444-c9vu8ako 34 19 interaction interaction NN cord-007444-c9vu8ako 34 20 establishes establish VBZ cord-007444-c9vu8ako 34 21 the the DT cord-007444-c9vu8ako 34 22 insidious insidious JJ cord-007444-c9vu8ako 34 23 loss loss NN cord-007444-c9vu8ako 34 24 of of IN cord-007444-c9vu8ako 34 25 lung lung NN cord-007444-c9vu8ako 34 26 function.83 function.83 NNP cord-007444-c9vu8ako 34 27 , , , cord-007444-c9vu8ako 34 28 135 135 CD cord-007444-c9vu8ako 34 29 Disordered disordered JJ cord-007444-c9vu8ako 34 30 pulmonary pulmonary JJ cord-007444-c9vu8ako 34 31 gas gas NN cord-007444-c9vu8ako 34 32 exchange exchange NN cord-007444-c9vu8ako 34 33 is be VBZ cord-007444-c9vu8ako 34 34 characteristic characteristic JJ cord-007444-c9vu8ako 34 35 of of IN cord-007444-c9vu8ako 34 36 acute acute JJ cord-007444-c9vu8ako 34 37 exacerbations exacerbation NNS cord-007444-c9vu8ako 34 38 of of IN cord-007444-c9vu8ako 34 39 COPD COPD NNP cord-007444-c9vu8ako 34 40 . . . cord-007444-c9vu8ako 35 1 Patients patient NNS cord-007444-c9vu8ako 35 2 typically typically RB cord-007444-c9vu8ako 35 3 are be VBP cord-007444-c9vu8ako 35 4 found find VBN cord-007444-c9vu8ako 35 5 to to TO cord-007444-c9vu8ako 35 6 have have VB cord-007444-c9vu8ako 35 7 severe severe JJ cord-007444-c9vu8ako 35 8 hypoxemia hypoxemia NN cord-007444-c9vu8ako 35 9 with with IN cord-007444-c9vu8ako 35 10 or or CC cord-007444-c9vu8ako 35 11 without without IN cord-007444-c9vu8ako 35 12 hypercarbia hypercarbia NNP cord-007444-c9vu8ako 35 13 . . . cord-007444-c9vu8ako 36 1 A a DT cord-007444-c9vu8ako 36 2 variety variety NN cord-007444-c9vu8ako 36 3 of of IN cord-007444-c9vu8ako 36 4 infectious infectious JJ cord-007444-c9vu8ako 36 5 and and CC cord-007444-c9vu8ako 36 6 noninfectious noninfectious JJ cord-007444-c9vu8ako 36 7 insults insult NNS cord-007444-c9vu8ako 36 8 result result VBP cord-007444-c9vu8ako 36 9 in in IN cord-007444-c9vu8ako 36 10 inflammation inflammation NN cord-007444-c9vu8ako 36 11 , , , cord-007444-c9vu8ako 36 12 bronchospasm bronchospasm NN cord-007444-c9vu8ako 36 13 , , , cord-007444-c9vu8ako 36 14 and and CC cord-007444-c9vu8ako 36 15 mucous mucous JJ cord-007444-c9vu8ako 36 16 hypersecretion hypersecretion NN cord-007444-c9vu8ako 36 17 . . . cord-007444-c9vu8ako 37 1 These these DT cord-007444-c9vu8ako 37 2 lead lead VBP cord-007444-c9vu8ako 37 3 to to IN cord-007444-c9vu8ako 37 4 acute acute JJ cord-007444-c9vu8ako 37 5 airway airway NN cord-007444-c9vu8ako 37 6 narrowing narrowing NN cord-007444-c9vu8ako 37 7 that that WDT cord-007444-c9vu8ako 37 8 aggravates aggravate VBZ cord-007444-c9vu8ako 37 9 ventilation ventilation NN cord-007444-c9vu8ako 37 10 - - HYPH cord-007444-c9vu8ako 37 11 perfusion perfusion NN cord-007444-c9vu8ako 37 12 ( ( -LRB- cord-007444-c9vu8ako 37 13 V v NN cord-007444-c9vu8ako 37 14 1 1 CD cord-007444-c9vu8ako 37 15 Q q NN cord-007444-c9vu8ako 37 16 ) ) -RRB- cord-007444-c9vu8ako 37 17 mismatching mismatching NN cord-007444-c9vu8ako 37 18 and and CC cord-007444-c9vu8ako 37 19 , , , cord-007444-c9vu8ako 37 20 can can MD cord-007444-c9vu8ako 37 21 worsen worsen VB cord-007444-c9vu8ako 37 22 existing exist VBG cord-007444-c9vu8ako 37 23 hyperinflation hyperinflation NN cord-007444-c9vu8ako 37 24 . . . cord-007444-c9vu8ako 38 1 Although although IN cord-007444-c9vu8ako 38 2 V v NN cord-007444-c9vu8ako 38 3 1 1 CD cord-007444-c9vu8ako 38 4 Q q NN cord-007444-c9vu8ako 38 5 inequality inequality NN cord-007444-c9vu8ako 38 6 is be VBZ cord-007444-c9vu8ako 38 7 the the DT cord-007444-c9vu8ako 38 8 most most RBS cord-007444-c9vu8ako 38 9 important important JJ cord-007444-c9vu8ako 38 10 determinant determinant NN cord-007444-c9vu8ako 38 11 of of IN cord-007444-c9vu8ako 38 12 hypoxemia hypoxemia NN cord-007444-c9vu8ako 38 13 , , , cord-007444-c9vu8ako 38 14 low low JJ cord-007444-c9vu8ako 38 15 mixed mixed JJ cord-007444-c9vu8ako 38 16 venous venous JJ cord-007444-c9vu8ako 38 17 oxygen oxygen NN cord-007444-c9vu8ako 38 18 tension tension NN cord-007444-c9vu8ako 38 19 ( ( -LRB- cord-007444-c9vu8ako 38 20 PVO PVO NNP cord-007444-c9vu8ako 38 21 ) ) -RRB- cord-007444-c9vu8ako 38 22 is be VBZ cord-007444-c9vu8ako 38 23 ' ' '' cord-007444-c9vu8ako 38 24 a a DT cord-007444-c9vu8ako 38 25 contributing contribute VBG cord-007444-c9vu8ako 38 26 factor factor NN cord-007444-c9vu8ako 38 27 . . . cord-007444-c9vu8ako 39 1 I6 i6 CD cord-007444-c9vu8ako 40 1 During during IN cord-007444-c9vu8ako 40 2 exacerbations exacerbation NNS cord-007444-c9vu8ako 40 3 , , , cord-007444-c9vu8ako 40 4 the the DT cord-007444-c9vu8ako 40 5 work work NN cord-007444-c9vu8ako 40 6 of of IN cord-007444-c9vu8ako 40 7 breathing breathing NN cord-007444-c9vu8ako 40 8 increases increase NNS cord-007444-c9vu8ako 40 9 to to TO cord-007444-c9vu8ako 40 10 overcome overcome VB cord-007444-c9vu8ako 40 11 increased increase VBN cord-007444-c9vu8ako 40 12 airway airway NN cord-007444-c9vu8ako 40 13 resistance resistance NN cord-007444-c9vu8ako 40 14 and and CC cord-007444-c9vu8ako 40 15 dynamic dynamic JJ cord-007444-c9vu8ako 40 16 hyperinflation hyperinflation NN cord-007444-c9vu8ako 40 17 . . . cord-007444-c9vu8ako 41 1 Oxygen oxygen NN cord-007444-c9vu8ako 41 2 utilization utilization NN cord-007444-c9vu8ako 41 3 by by IN cord-007444-c9vu8ako 41 4 the the DT cord-007444-c9vu8ako 41 5 respiratory respiratory JJ cord-007444-c9vu8ako 41 6 muscles muscle NNS cord-007444-c9vu8ako 41 7 therefore therefore RB cord-007444-c9vu8ako 41 8 is be VBZ cord-007444-c9vu8ako 41 9 markedly markedly RB cord-007444-c9vu8ako 41 10 increased increase VBN cord-007444-c9vu8ako 41 11 , , , cord-007444-c9vu8ako 41 12 resulting result VBG cord-007444-c9vu8ako 41 13 in in IN cord-007444-c9vu8ako 41 14 lower low JJR cord-007444-c9vu8ako 41 15 Pvo2 Pvo2 NNP cord-007444-c9vu8ako 41 16 . . . cord-007444-c9vu8ako 42 1 Fortunately fortunately RB cord-007444-c9vu8ako 42 2 , , , cord-007444-c9vu8ako 42 3 among among IN cord-007444-c9vu8ako 42 4 patients patient NNS cord-007444-c9vu8ako 42 5 with with IN cord-007444-c9vu8ako 42 6 adequate adequate JJ cord-007444-c9vu8ako 42 7 cardiac cardiac JJ cord-007444-c9vu8ako 42 8 reserve reserve NN cord-007444-c9vu8ako 42 9 , , , cord-007444-c9vu8ako 42 10 increases increase NNS cord-007444-c9vu8ako 42 11 in in IN cord-007444-c9vu8ako 42 12 cardiac cardiac JJ cord-007444-c9vu8ako 42 13 output output NN cord-007444-c9vu8ako 42 14 partly partly RB cord-007444-c9vu8ako 42 15 compensate compensate VBP cord-007444-c9vu8ako 42 16 for for IN cord-007444-c9vu8ako 42 17 diminished diminished JJ cord-007444-c9vu8ako 42 18 PvoZ PvoZ NNP cord-007444-c9vu8ako 42 19 to to TO cord-007444-c9vu8ako 42 20 defend defend VB cord-007444-c9vu8ako 42 21 arterial arterial JJ cord-007444-c9vu8ako 42 22 oxygenation oxygenation NN cord-007444-c9vu8ako 42 23 . . . cord-007444-c9vu8ako 43 1 Among among IN cord-007444-c9vu8ako 43 2 the the DT cord-007444-c9vu8ako 43 3 mechanisms mechanism NNS cord-007444-c9vu8ako 43 4 leading lead VBG cord-007444-c9vu8ako 43 5 to to IN cord-007444-c9vu8ako 43 6 hypercarbia hypercarbia NNP cord-007444-c9vu8ako 43 7 , , , cord-007444-c9vu8ako 43 8 V V NNP cord-007444-c9vu8ako 43 9 / / SYM cord-007444-c9vu8ako 43 10 Q q NN cord-007444-c9vu8ako 43 11 mismatch mismatch NN cord-007444-c9vu8ako 43 12 is be VBZ cord-007444-c9vu8ako 43 13 probably probably RB cord-007444-c9vu8ako 43 14 more more RBR cord-007444-c9vu8ako 43 15 important important JJ cord-007444-c9vu8ako 43 16 than than IN cord-007444-c9vu8ako 43 17 hypoventilation hypoventilation NN cord-007444-c9vu8ako 43 18 , , , cord-007444-c9vu8ako 43 19 at at IN cord-007444-c9vu8ako 43 20 least least JJS cord-007444-c9vu8ako 43 21 among among IN cord-007444-c9vu8ako 43 22 patients patient NNS cord-007444-c9vu8ako 43 23 who who WP cord-007444-c9vu8ako 43 24 recover recover VBP cord-007444-c9vu8ako 43 25 from from IN cord-007444-c9vu8ako 43 26 their -PRON- PRP$ cord-007444-c9vu8ako 43 27 exacerbations exacerbation NNS cord-007444-c9vu8ako 43 28 without without IN cord-007444-c9vu8ako 43 29 needing need VBG cord-007444-c9vu8ako 43 30 mechanical mechanical JJ cord-007444-c9vu8ako 43 31 ventilation ventilation NN cord-007444-c9vu8ako 43 32 . . . cord-007444-c9vu8ako 44 1 This this DT cord-007444-c9vu8ako 44 2 concept concept NN cord-007444-c9vu8ako 44 3 is be VBZ cord-007444-c9vu8ako 44 4 supported support VBN cord-007444-c9vu8ako 44 5 by by IN cord-007444-c9vu8ako 44 6 the the DT cord-007444-c9vu8ako 44 7 observation observation NN cord-007444-c9vu8ako 44 8 that that IN cord-007444-c9vu8ako 44 9 , , , cord-007444-c9vu8ako 44 10 during during IN cord-007444-c9vu8ako 44 11 exacerbations exacerbation NNS cord-007444-c9vu8ako 44 12 , , , cord-007444-c9vu8ako 44 13 patients patient NNS cord-007444-c9vu8ako 44 14 are be VBP cord-007444-c9vu8ako 44 15 often often RB cord-007444-c9vu8ako 44 16 hypercarbic hypercarbic JJ cord-007444-c9vu8ako 44 17 despite despite IN cord-007444-c9vu8ako 44 18 increased increase VBN cord-007444-c9vu8ako 44 19 minute minute NN cord-007444-c9vu8ako 44 20 ventilation ventilation NN cord-007444-c9vu8ako 44 21 . . . cord-007444-c9vu8ako 45 1 ' ' `` cord-007444-c9vu8ako 45 2 6 6 CD cord-007444-c9vu8ako 45 3 , , , cord-007444-c9vu8ako 45 4 13 13 CD cord-007444-c9vu8ako 45 5 ' ' POS cord-007444-c9vu8ako 45 6 Hypoventilation Hypoventilation NNP cord-007444-c9vu8ako 45 7 may may MD cord-007444-c9vu8ako 45 8 be be VB cord-007444-c9vu8ako 45 9 an an DT cord-007444-c9vu8ako 45 10 additional additional JJ cord-007444-c9vu8ako 45 11 mechanism mechanism NN cord-007444-c9vu8ako 45 12 of of IN cord-007444-c9vu8ako 45 13 hypercarbia hypercarbia NN cord-007444-c9vu8ako 45 14 if if IN cord-007444-c9vu8ako 45 15 respiratory respiratory JJ cord-007444-c9vu8ako 45 16 muscle muscle NN cord-007444-c9vu8ako 45 17 fatigue fatigue NN cord-007444-c9vu8ako 45 18 and and CC cord-007444-c9vu8ako 45 19 acute acute JJ cord-007444-c9vu8ako 45 20 respiratory respiratory JJ cord-007444-c9vu8ako 45 21 failure failure NN cord-007444-c9vu8ako 45 22 ensue ensue NN cord-007444-c9vu8ako 45 23 . . . cord-007444-c9vu8ako 46 1 The the DT cord-007444-c9vu8ako 46 2 relationshp relationshp NN cord-007444-c9vu8ako 46 3 between between IN cord-007444-c9vu8ako 46 4 bacterial bacterial JJ cord-007444-c9vu8ako 46 5 infection infection NN cord-007444-c9vu8ako 46 6 and and CC cord-007444-c9vu8ako 46 7 COPD COPD NNP cord-007444-c9vu8ako 46 8 exacerbations exacerbation NNS cord-007444-c9vu8ako 46 9 is be VBZ cord-007444-c9vu8ako 46 10 not not RB cord-007444-c9vu8ako 46 11 precisely precisely RB cord-007444-c9vu8ako 46 12 understood understand VBN cord-007444-c9vu8ako 46 13 . . . cord-007444-c9vu8ako 47 1 Several several JJ cord-007444-c9vu8ako 47 2 lines line NNS cord-007444-c9vu8ako 47 3 of of IN cord-007444-c9vu8ako 47 4 evidence evidence NN cord-007444-c9vu8ako 47 5 , , , cord-007444-c9vu8ako 47 6 however however RB cord-007444-c9vu8ako 47 7 , , , cord-007444-c9vu8ako 47 8 have have VBP cord-007444-c9vu8ako 47 9 established establish VBN cord-007444-c9vu8ako 47 10 an an DT cord-007444-c9vu8ako 47 11 important important JJ cord-007444-c9vu8ako 47 12 role role NN cord-007444-c9vu8ako 47 13 for for IN cord-007444-c9vu8ako 47 14 bacterial bacterial JJ cord-007444-c9vu8ako 47 15 infection infection NN cord-007444-c9vu8ako 47 16 in in IN cord-007444-c9vu8ako 47 17 many many JJ cord-007444-c9vu8ako 47 18 exacerbations exacerbation NNS cord-007444-c9vu8ako 47 19 . . . cord-007444-c9vu8ako 48 1 High high JJ cord-007444-c9vu8ako 48 2 titers titer NNS cord-007444-c9vu8ako 48 3 of of IN cord-007444-c9vu8ako 48 4 antibody antibody NN cord-007444-c9vu8ako 48 5 against against IN cord-007444-c9vu8ako 48 6 nontypeable nontypeable NNP cord-007444-c9vu8ako 48 7 H. H. NNP cord-007444-c9vu8ako 48 8 influenzaes4 influenzaes4 NN cord-007444-c9vu8ako 48 9 , , , cord-007444-c9vu8ako 48 10 97 97 CD cord-007444-c9vu8ako 48 11 , , , cord-007444-c9vu8ako 48 12 114 114 CD cord-007444-c9vu8ako 48 13 and and CC cord-007444-c9vu8ako 48 14 M M NNP cord-007444-c9vu8ako 48 15 . . . cord-007444-c9vu8ako 49 1 ~a ~a NNP cord-007444-c9vu8ako 49 2 t t XX cord-007444-c9vu8ako 50 1 a a DT cord-007444-c9vu8ako 50 2 r r NN cord-007444-c9vu8ako 50 3 r r NN cord-007444-c9vu8ako 50 4 h h NN cord-007444-c9vu8ako 51 1 a a LS cord-007444-c9vu8ako 52 1 l l NNP cord-007444-c9vu8ako 53 1 i i PRP cord-007444-c9vu8ako 53 2 s~~ s~~ VBP cord-007444-c9vu8ako 53 3 are be VBP cord-007444-c9vu8ako 53 4 found find VBN cord-007444-c9vu8ako 53 5 following follow VBG cord-007444-c9vu8ako 53 6 AECOPD AECOPD NNP cord-007444-c9vu8ako 53 7 . . . cord-007444-c9vu8ako 54 1 Although although IN cord-007444-c9vu8ako 54 2 bacterial bacterial JJ cord-007444-c9vu8ako 54 3 colonization colonization NN cord-007444-c9vu8ako 54 4 of of IN cord-007444-c9vu8ako 54 5 the the DT cord-007444-c9vu8ako 54 6 distal distal JJ cord-007444-c9vu8ako 54 7 airways airways NNP cord-007444-c9vu8ako 54 8 is be VBZ cord-007444-c9vu8ako 54 9 common common JJ cord-007444-c9vu8ako 54 10 in in IN cord-007444-c9vu8ako 54 11 stable stable JJ cord-007444-c9vu8ako 54 12 COPD COPD NNP cord-007444-c9vu8ako 54 13 , , , cord-007444-c9vu8ako 54 14 patients patient NNS cord-007444-c9vu8ako 54 15 with with IN cord-007444-c9vu8ako 54 16 exacerbations exacerbation NNS cord-007444-c9vu8ako 54 17 often often RB cord-007444-c9vu8ako 54 18 have have VBP cord-007444-c9vu8ako 54 19 higher high JJR cord-007444-c9vu8ako 54 20 numbers number NNS cord-007444-c9vu8ako 54 21 of of IN cord-007444-c9vu8ako 54 22 organisms organism NNS cord-007444-c9vu8ako 54 23 . . . cord-007444-c9vu8ako 54 24 " " '' cord-007444-c9vu8ako 54 25 , , , cord-007444-c9vu8ako 54 26 Table Table NNP cord-007444-c9vu8ako 54 27 1 1 CD cord-007444-c9vu8ako 54 28 summarizes summarize VBZ cord-007444-c9vu8ako 54 29 studies study NNS cord-007444-c9vu8ako 54 30 using use VBG cord-007444-c9vu8ako 54 31 protected protect VBN cord-007444-c9vu8ako 54 32 specimen specimen JJ cord-007444-c9vu8ako 54 33 brushes brush NNS cord-007444-c9vu8ako 54 34 to to TO cord-007444-c9vu8ako 54 35 define define VB cord-007444-c9vu8ako 54 36 the the DT cord-007444-c9vu8ako 54 37 microflora microflora NN cord-007444-c9vu8ako 54 38 of of IN cord-007444-c9vu8ako 54 39 the the DT cord-007444-c9vu8ako 54 40 distal distal JJ cord-007444-c9vu8ako 54 41 airways airway NNS cord-007444-c9vu8ako 54 42 in in IN cord-007444-c9vu8ako 54 43 COPD COPD NNP cord-007444-c9vu8ako 54 44 exacerbations exacerbation NNS cord-007444-c9vu8ako 54 45 . . . cord-007444-c9vu8ako 55 1 Mons6 Mons6 NNP cord-007444-c9vu8ako 55 2 et et NNP cord-007444-c9vu8ako 55 3 a155 a155 NNP cord-007444-c9vu8ako 55 4 found find VBD cord-007444-c9vu8ako 55 5 positive positive JJ cord-007444-c9vu8ako 55 6 bacterial bacterial JJ cord-007444-c9vu8ako 55 7 cultures culture NNS cord-007444-c9vu8ako 55 8 in in IN cord-007444-c9vu8ako 55 9 52 52 CD cord-007444-c9vu8ako 55 10 % % NN cord-007444-c9vu8ako 55 11 of of IN cord-007444-c9vu8ako 55 12 outpatients outpatient NNS cord-007444-c9vu8ako 55 13 with with IN cord-007444-c9vu8ako 55 14 AECOPD AECOPD NNP cord-007444-c9vu8ako 55 15 . . . cord-007444-c9vu8ako 56 1 Compared compare VBN cord-007444-c9vu8ako 56 2 with with IN cord-007444-c9vu8ako 56 3 stable stable JJ cord-007444-c9vu8ako 56 4 patients patient NNS cord-007444-c9vu8ako 56 5 , , , cord-007444-c9vu8ako 56 6 exacerbated exacerbate VBD cord-007444-c9vu8ako 56 7 patients patient NNS cord-007444-c9vu8ako 56 8 were be VBD cord-007444-c9vu8ako 56 9 twice twice RB cord-007444-c9vu8ako 56 10 as as RB cord-007444-c9vu8ako 56 11 likely likely JJ cord-007444-c9vu8ako 56 12 to to TO cord-007444-c9vu8ako 56 13 have have VB cord-007444-c9vu8ako 56 14 positive positive JJ cord-007444-c9vu8ako 56 15 cultures culture NNS cord-007444-c9vu8ako 56 16 ( ( -LRB- cord-007444-c9vu8ako 56 17 i.e. i.e. FW cord-007444-c9vu8ako 56 18 , , , cord-007444-c9vu8ako 56 19 2 2 CD cord-007444-c9vu8ako 56 20 1000 1000 CD cord-007444-c9vu8ako 56 21 CFU CFU NNP cord-007444-c9vu8ako 56 22 / / SYM cord-007444-c9vu8ako 56 23 mL mL NNP cord-007444-c9vu8ako 56 24 ) ) -RRB- cord-007444-c9vu8ako 56 25 and and CC cord-007444-c9vu8ako 56 26 five five CD cord-007444-c9vu8ako 56 27 times time NNS cord-007444-c9vu8ako 56 28 as as RB cord-007444-c9vu8ako 56 29 likely likely JJ cord-007444-c9vu8ako 56 30 to to TO cord-007444-c9vu8ako 56 31 have have VB cord-007444-c9vu8ako 56 32 bacterial bacterial JJ cord-007444-c9vu8ako 56 33 counts count NNS cord-007444-c9vu8ako 57 1 greater great JJR cord-007444-c9vu8ako 57 2 than than IN cord-007444-c9vu8ako 57 3 10,000 10,000 CD cord-007444-c9vu8ako 57 4 CFU CFU NNP cord-007444-c9vu8ako 57 5 / / , cord-007444-c9vu8ako 57 6 mL.80 mL.80 VBN cord-007444-c9vu8ako 58 1 Likewise likewise RB cord-007444-c9vu8ako 58 2 , , , cord-007444-c9vu8ako 58 3 S. S. NNP cord-007444-c9vu8ako 58 4 pneumoniae pneumoniae NN cord-007444-c9vu8ako 58 5 is be VBZ cord-007444-c9vu8ako 58 6 more more RBR cord-007444-c9vu8ako 58 7 likely likely JJ cord-007444-c9vu8ako 58 8 to to TO cord-007444-c9vu8ako 58 9 be be VB cord-007444-c9vu8ako 58 10 found find VBN cord-007444-c9vu8ako 58 11 in in IN cord-007444-c9vu8ako 58 12 sputum sputum NN cord-007444-c9vu8ako 58 13 during during IN cord-007444-c9vu8ako 58 14 exacerbations exacerbation NNS cord-007444-c9vu8ako 58 15 than than IN cord-007444-c9vu8ako 58 16 remission remission NN cord-007444-c9vu8ako 58 17 . . . cord-007444-c9vu8ako 59 1 Fagon+ Fagon+ NNP cord-007444-c9vu8ako 59 2 ' ' '' cord-007444-c9vu8ako 60 1 et et NNP cord-007444-c9vu8ako 60 2 a1 a1 NNP cord-007444-c9vu8ako 60 3 found find VBD cord-007444-c9vu8ako 60 4 evidence evidence NN cord-007444-c9vu8ako 60 5 of of IN cord-007444-c9vu8ako 60 6 bacterial bacterial JJ cord-007444-c9vu8ako 60 7 infection infection NN cord-007444-c9vu8ako 60 8 in in IN cord-007444-c9vu8ako 60 9 50 50 CD cord-007444-c9vu8ako 60 10 % % NN cord-007444-c9vu8ako 60 11 of of IN cord-007444-c9vu8ako 60 12 patients patient NNS cord-007444-c9vu8ako 60 13 who who WP cord-007444-c9vu8ako 60 14 required require VBD cord-007444-c9vu8ako 60 15 mechanical mechanical JJ cord-007444-c9vu8ako 60 16 ventilation ventilation NN cord-007444-c9vu8ako 60 17 . . . cord-007444-c9vu8ako 61 1 Streptococcus streptococcus NN cord-007444-c9vu8ako 61 2 pneumoniae pneumoniae NN cord-007444-c9vu8ako 61 3 , , , cord-007444-c9vu8ako 61 4 H. H. NNP cord-007444-c9vu8ako 61 5 influenzae influenzae NN cord-007444-c9vu8ako 61 6 , , , cord-007444-c9vu8ako 61 7 M M NNP cord-007444-c9vu8ako 61 8 . . NNP cord-007444-c9vu8ako 61 9 cafarrhalis cafarrhalis NNP cord-007444-c9vu8ako 61 10 , , , cord-007444-c9vu8ako 61 11 and and CC cord-007444-c9vu8ako 61 12 enteric enteric JJ cord-007444-c9vu8ako 61 13 gram gram NN cord-007444-c9vu8ako 61 14 - - HYPH cord-007444-c9vu8ako 61 15 negative negative JJ cord-007444-c9vu8ako 61 16 organisms organism NNS cord-007444-c9vu8ako 61 17 collectively collectively RB cord-007444-c9vu8ako 61 18 accounted account VBD cord-007444-c9vu8ako 61 19 for for IN cord-007444-c9vu8ako 61 20 55 55 CD cord-007444-c9vu8ako 61 21 % % NN cord-007444-c9vu8ako 61 22 of of IN cord-007444-c9vu8ako 61 23 the the DT cord-007444-c9vu8ako 61 24 isolates isolate NNS cord-007444-c9vu8ako 61 25 . . . cord-007444-c9vu8ako 62 1 The the DT cord-007444-c9vu8ako 62 2 investigators investigator NNS cord-007444-c9vu8ako 62 3 did do VBD cord-007444-c9vu8ako 62 4 not not RB cord-007444-c9vu8ako 62 5 attempt attempt VB cord-007444-c9vu8ako 62 6 to to TO cord-007444-c9vu8ako 62 7 identify identify VB cord-007444-c9vu8ako 62 8 M M NNP cord-007444-c9vu8ako 62 9 . . . cord-007444-c9vu8ako 63 1 pneumoniae pneumoniae NN cord-007444-c9vu8ako 63 2 , , , cord-007444-c9vu8ako 63 3 C. C. NNP cord-007444-c9vu8ako 63 4 pneumoniae pneumoniae NN cord-007444-c9vu8ako 63 5 , , , cord-007444-c9vu8ako 63 6 or or CC cord-007444-c9vu8ako 63 7 respiratory respiratory JJ cord-007444-c9vu8ako 63 8 viruses virus NNS cord-007444-c9vu8ako 63 9 . . . cord-007444-c9vu8ako 64 1 Interestingly interestingly RB cord-007444-c9vu8ako 64 2 , , , cord-007444-c9vu8ako 64 3 gram gram NN cord-007444-c9vu8ako 64 4 - - HYPH cord-007444-c9vu8ako 64 5 negative negative JJ cord-007444-c9vu8ako 64 6 bacteria bacteria NNS cord-007444-c9vu8ako 64 7 accounted account VBD cord-007444-c9vu8ako 64 8 for for IN cord-007444-c9vu8ako 64 9 64 64 CD cord-007444-c9vu8ako 64 10 % % NN cord-007444-c9vu8ako 64 11 of of IN cord-007444-c9vu8ako 64 12 isolates isolate NNS cord-007444-c9vu8ako 64 13 , , , cord-007444-c9vu8ako 64 14 and and CC cord-007444-c9vu8ako 64 15 nearly nearly RB cord-007444-c9vu8ako 64 16 half half NN cord-007444-c9vu8ako 64 17 of of IN cord-007444-c9vu8ako 64 18 these these DT cord-007444-c9vu8ako 64 19 were be VBD cord-007444-c9vu8ako 64 20 H. H. NNP cord-007444-c9vu8ako 64 21 parainfluenzae parainfluenzae NNS cord-007444-c9vu8ako 64 22 . . . cord-007444-c9vu8ako 65 1 Yet yet RB cord-007444-c9vu8ako 65 2 , , , cord-007444-c9vu8ako 65 3 similar similar JJ cord-007444-c9vu8ako 65 4 studies study NNS cord-007444-c9vu8ako 65 5 employing employ VBG cord-007444-c9vu8ako 65 6 protected protect VBN cord-007444-c9vu8ako 65 7 brush brush NN cord-007444-c9vu8ako 65 8 specimens specimen NNS cord-007444-c9vu8ako 65 9 have have VBP cord-007444-c9vu8ako 65 10 not not RB cord-007444-c9vu8ako 65 11 detected detect VBN cord-007444-c9vu8ako 65 12 H. H. NNP cord-007444-c9vu8ako 65 13 parainfluenzae parainfluenzae NNS cord-007444-c9vu8ako 65 14 among among IN cord-007444-c9vu8ako 65 15 patients patient NNS cord-007444-c9vu8ako 65 16 with with IN cord-007444-c9vu8ako 65 17 COPD COPD NNP cord-007444-c9vu8ako 65 18 exacerbations.80 exacerbations.80 NNP cord-007444-c9vu8ako 66 1 * * NFP cord-007444-c9vu8ako 67 1 Moreover moreover RB cord-007444-c9vu8ako 67 2 , , , cord-007444-c9vu8ako 67 3 Smith Smith NNP cord-007444-c9vu8ako 67 4 et et NNP cord-007444-c9vu8ako 67 5 a a DT cord-007444-c9vu8ako 67 6 P p NN cord-007444-c9vu8ako 67 7 4 4 CD cord-007444-c9vu8ako 67 8 were be VBD cord-007444-c9vu8ako 67 9 unable unable JJ cord-007444-c9vu8ako 67 10 to to TO cord-007444-c9vu8ako 67 11 demonstrate demonstrate VB cord-007444-c9vu8ako 67 12 rises rise NNS cord-007444-c9vu8ako 67 13 in in IN cord-007444-c9vu8ako 67 14 antibody antibody NN cord-007444-c9vu8ako 67 15 against against IN cord-007444-c9vu8ako 67 16 H. H. NNP cord-007444-c9vu8ako 67 17 parainfluenzae parainfluenzae NNS cord-007444-c9vu8ako 67 18 following follow VBG cord-007444-c9vu8ako 67 19 COPD COPD NNP cord-007444-c9vu8ako 67 20 - - HYPH cord-007444-c9vu8ako 67 21 related relate VBN cord-007444-c9vu8ako 67 22 acute acute JJ cord-007444-c9vu8ako 67 23 respiratory respiratory JJ cord-007444-c9vu8ako 67 24 illnesses illness NNS cord-007444-c9vu8ako 67 25 . . . cord-007444-c9vu8ako 68 1 It -PRON- PRP cord-007444-c9vu8ako 68 2 seems seem VBZ cord-007444-c9vu8ako 68 3 justified justified JJ cord-007444-c9vu8ako 68 4 therefore therefore RB cord-007444-c9vu8ako 68 5 to to TO cord-007444-c9vu8ako 68 6 consider consider VB cord-007444-c9vu8ako 68 7 H. H. NNP cord-007444-c9vu8ako 68 8 parainfluenzae parainfluenzae NNS cord-007444-c9vu8ako 68 9 as as IN cord-007444-c9vu8ako 68 10 generally generally RB cord-007444-c9vu8ako 68 11 nonpathogenic nonpathogenic JJ cord-007444-c9vu8ako 68 12 . . . cord-007444-c9vu8ako 69 1 In in IN cord-007444-c9vu8ako 69 2 contrast contrast NN cord-007444-c9vu8ako 69 3 to to IN cord-007444-c9vu8ako 69 4 the the DT cord-007444-c9vu8ako 69 5 findings finding NNS cord-007444-c9vu8ako 69 6 of of IN cord-007444-c9vu8ako 69 7 Fagon Fagon NNP cord-007444-c9vu8ako 69 8 et et NNP cord-007444-c9vu8ako 69 9 al,'I5 al,'I5 NNP cord-007444-c9vu8ako 69 10 a a DT cord-007444-c9vu8ako 69 11 more more RBR cord-007444-c9vu8ako 69 12 comprehensive comprehensive JJ cord-007444-c9vu8ako 69 13 microbiologic microbiologic JJ cord-007444-c9vu8ako 69 14 survey survey NN cord-007444-c9vu8ako 69 15 of of IN cord-007444-c9vu8ako 69 16 patients patient NNS cord-007444-c9vu8ako 69 17 with with IN cord-007444-c9vu8ako 69 18 severe severe JJ cord-007444-c9vu8ako 69 19 exacerbations exacerbation NNS cord-007444-c9vu8ako 69 20 found find VBD cord-007444-c9vu8ako 69 21 a a DT cord-007444-c9vu8ako 69 22 higher high JJR cord-007444-c9vu8ako 69 23 incidence incidence NN cord-007444-c9vu8ako 69 24 of of IN cord-007444-c9vu8ako 69 25 potential potential JJ cord-007444-c9vu8ako 69 26 pathogens pathogen NNS cord-007444-c9vu8ako 69 27 . . . cord-007444-c9vu8ako 70 1 Overall overall RB cord-007444-c9vu8ako 70 2 , , , cord-007444-c9vu8ako 70 3 72 72 CD cord-007444-c9vu8ako 70 4 % % NN cord-007444-c9vu8ako 70 5 of of IN cord-007444-c9vu8ako 70 6 patients patient NNS cord-007444-c9vu8ako 70 7 had have VBD cord-007444-c9vu8ako 70 8 at at RB cord-007444-c9vu8ako 70 9 least least RBS cord-007444-c9vu8ako 70 10 one one CD cord-007444-c9vu8ako 70 11 positive positive JJ cord-007444-c9vu8ako 70 12 bacterial bacterial JJ cord-007444-c9vu8ako 70 13 culture culture NN cord-007444-c9vu8ako 70 14 or or CC cord-007444-c9vu8ako 70 15 positive positive JJ cord-007444-c9vu8ako 70 16 serology serology NN cord-007444-c9vu8ako 70 17 for for IN cord-007444-c9vu8ako 70 18 C. C. NNP cord-007444-c9vu8ako 70 19 pneumoniae pneumoniae NNS cord-007444-c9vu8ako 70 20 or or CC cord-007444-c9vu8ako 70 21 respiratory respiratory JJ cord-007444-c9vu8ako 70 22 viruses virus NNS cord-007444-c9vu8ako 70 23 . . . cord-007444-c9vu8ako 71 1 All all DT cord-007444-c9vu8ako 71 2 cultures culture NNS cord-007444-c9vu8ako 71 3 were be VBD cord-007444-c9vu8ako 71 4 obtained obtain VBN cord-007444-c9vu8ako 71 5 within within IN cord-007444-c9vu8ako 71 6 48 48 CD cord-007444-c9vu8ako 71 7 hours hour NNS cord-007444-c9vu8ako 71 8 of of IN cord-007444-c9vu8ako 71 9 admission admission NN cord-007444-c9vu8ako 71 10 , , , cord-007444-c9vu8ako 71 11 thereby thereby RB cord-007444-c9vu8ako 71 12 reducing reduce VBG cord-007444-c9vu8ako 71 13 the the DT cord-007444-c9vu8ako 71 14 likelihood likelihood NN cord-007444-c9vu8ako 71 15 of of IN cord-007444-c9vu8ako 71 16 nosocomial nosocomial JJ cord-007444-c9vu8ako 71 17 infection infection NN cord-007444-c9vu8ako 71 18 . . . cord-007444-c9vu8ako 72 1 Streptococcus streptococcus NN cord-007444-c9vu8ako 72 2 pneumoniae pneumoniae NN cord-007444-c9vu8ako 72 3 , , , cord-007444-c9vu8ako 72 4 H. H. NNP cord-007444-c9vu8ako 72 5 influenzae influenzae NN cord-007444-c9vu8ako 72 6 , , , cord-007444-c9vu8ako 72 7 and and CC cord-007444-c9vu8ako 72 8 M M NNP cord-007444-c9vu8ako 72 9 . . NNP cord-007444-c9vu8ako 72 10 cafarrhalis cafarrhalis NNP cord-007444-c9vu8ako 72 11 accounted account VBD cord-007444-c9vu8ako 72 12 for for IN cord-007444-c9vu8ako 72 13 56 56 CD cord-007444-c9vu8ako 72 14 % % NN cord-007444-c9vu8ako 72 15 of of IN cord-007444-c9vu8ako 72 16 potential potential JJ cord-007444-c9vu8ako 72 17 pathogens pathogen NNS cord-007444-c9vu8ako 72 18 . . . cord-007444-c9vu8ako 73 1 Strikingly strikingly RB cord-007444-c9vu8ako 73 2 , , , cord-007444-c9vu8ako 73 3 gramnegative gramnegative JJ cord-007444-c9vu8ako 73 4 enteric enteric JJ cord-007444-c9vu8ako 73 5 bacteria bacteria NNS cord-007444-c9vu8ako 73 6 and and CC cord-007444-c9vu8ako 73 7 Pseudomonas Pseudomonas NNP cord-007444-c9vu8ako 73 8 or or CC cord-007444-c9vu8ako 73 9 Stenotrophomonas Stenotrophomonas NNP cord-007444-c9vu8ako 73 10 represented represent VBD cord-007444-c9vu8ako 73 11 39 39 CD cord-007444-c9vu8ako 73 12 % % NN cord-007444-c9vu8ako 73 13 of of IN cord-007444-c9vu8ako 73 14 potential potential NN cord-007444-c9vu8ako 74 1 This this DT cord-007444-c9vu8ako 74 2 study study NN cord-007444-c9vu8ako 74 3 suggests suggest VBZ cord-007444-c9vu8ako 74 4 that that IN cord-007444-c9vu8ako 74 5 a a DT cord-007444-c9vu8ako 74 6 broader broad JJR cord-007444-c9vu8ako 74 7 profile profile NN cord-007444-c9vu8ako 74 8 of of IN cord-007444-c9vu8ako 74 9 potential potential JJ cord-007444-c9vu8ako 74 10 pathogens pathogen NNS cord-007444-c9vu8ako 74 11 may may MD cord-007444-c9vu8ako 74 12 be be VB cord-007444-c9vu8ako 74 13 present present JJ cord-007444-c9vu8ako 74 14 among among IN cord-007444-c9vu8ako 74 15 patients patient NNS cord-007444-c9vu8ako 74 16 with with IN cord-007444-c9vu8ako 74 17 COPD COPD NNP cord-007444-c9vu8ako 74 18 with with IN cord-007444-c9vu8ako 74 19 severe severe JJ cord-007444-c9vu8ako 74 20 exacerbations exacerbation NNS cord-007444-c9vu8ako 74 21 . . . cord-007444-c9vu8ako 75 1 Although although IN cord-007444-c9vu8ako 75 2 these these DT cord-007444-c9vu8ako 75 3 findings finding NNS cord-007444-c9vu8ako 75 4 should should MD cord-007444-c9vu8ako 75 5 be be VB cord-007444-c9vu8ako 75 6 confirmed confirm VBN cord-007444-c9vu8ako 75 7 in in IN cord-007444-c9vu8ako 75 8 a a DT cord-007444-c9vu8ako 75 9 larger large JJR cord-007444-c9vu8ako 75 10 study study NN cord-007444-c9vu8ako 75 11 , , , cord-007444-c9vu8ako 75 12 the the DT cord-007444-c9vu8ako 75 13 choice choice NN cord-007444-c9vu8ako 75 14 of of IN cord-007444-c9vu8ako 75 15 empiric empiric JJ cord-007444-c9vu8ako 75 16 antibiotics antibiotic NNS cord-007444-c9vu8ako 75 17 for for IN cord-007444-c9vu8ako 75 18 patients patient NNS cord-007444-c9vu8ako 75 19 with with IN cord-007444-c9vu8ako 75 20 AECOPD AECOPD NNP cord-007444-c9vu8ako 75 21 should should MD cord-007444-c9vu8ako 75 22 be be VB cord-007444-c9vu8ako 75 23 based base VBN cord-007444-c9vu8ako 75 24 in in IN cord-007444-c9vu8ako 75 25 part part NN cord-007444-c9vu8ako 75 26 on on IN cord-007444-c9vu8ako 75 27 the the DT cord-007444-c9vu8ako 75 28 degree degree NN cord-007444-c9vu8ako 75 29 of of IN cord-007444-c9vu8ako 75 30 exacerbation exacerbation NN cord-007444-c9vu8ako 75 31 severity severity NN cord-007444-c9vu8ako 75 32 , , , cord-007444-c9vu8ako 75 33 and and CC cord-007444-c9vu8ako 75 34 broaderspectrum broaderspectrum NNP cord-007444-c9vu8ako 75 35 initial initial JJ cord-007444-c9vu8ako 75 36 coverage coverage NN cord-007444-c9vu8ako 75 37 may may MD cord-007444-c9vu8ako 75 38 be be VB cord-007444-c9vu8ako 75 39 warranted warrant VBN cord-007444-c9vu8ako 75 40 for for IN cord-007444-c9vu8ako 75 41 patients patient NNS cord-007444-c9vu8ako 75 42 with with IN cord-007444-c9vu8ako 75 43 AECOPD AECOPD NNP cord-007444-c9vu8ako 75 44 who who WP cord-007444-c9vu8ako 75 45 present present VBP cord-007444-c9vu8ako 75 46 with with IN cord-007444-c9vu8ako 75 47 respiratory respiratory JJ cord-007444-c9vu8ako 75 48 failure failure NN cord-007444-c9vu8ako 75 49 and and CC cord-007444-c9vu8ako 75 50 require require VB cord-007444-c9vu8ako 75 51 mechanical mechanical JJ cord-007444-c9vu8ako 75 52 ventilation ventilation NN cord-007444-c9vu8ako 75 53 . . . cord-007444-c9vu8ako 76 1 The the DT cord-007444-c9vu8ako 76 2 source source NN cord-007444-c9vu8ako 76 3 of of IN cord-007444-c9vu8ako 76 4 bacterial bacterial JJ cord-007444-c9vu8ako 76 5 infection infection NN cord-007444-c9vu8ako 76 6 during during IN cord-007444-c9vu8ako 76 7 a a DT cord-007444-c9vu8ako 76 8 COPD COPD NNP cord-007444-c9vu8ako 76 9 exacerbation exacerbation NN cord-007444-c9vu8ako 76 10 may may MD cord-007444-c9vu8ako 76 11 be be VB cord-007444-c9vu8ako 76 12 endogenous endogenous JJ cord-007444-c9vu8ako 76 13 or or CC cord-007444-c9vu8ako 76 14 exogenous exogenous JJ cord-007444-c9vu8ako 76 15 . . . cord-007444-c9vu8ako 77 1 In in IN cord-007444-c9vu8ako 77 2 a a DT cord-007444-c9vu8ako 77 3 small small JJ cord-007444-c9vu8ako 77 4 group group NN cord-007444-c9vu8ako 77 5 of of IN cord-007444-c9vu8ako 77 6 patients patient NNS cord-007444-c9vu8ako 77 7 followed follow VBD cord-007444-c9vu8ako 77 8 for for IN cord-007444-c9vu8ako 77 9 3 3 CD cord-007444-c9vu8ako 77 10 years year NNS cord-007444-c9vu8ako 77 11 , , , cord-007444-c9vu8ako 77 12 exacerbations exacerbation NNS cord-007444-c9vu8ako 77 13 coincided coincide VBN cord-007444-c9vu8ako 77 14 with with IN cord-007444-c9vu8ako 77 15 reinfection reinfection NN cord-007444-c9vu8ako 77 16 by by IN cord-007444-c9vu8ako 77 17 strains strain NNS cord-007444-c9vu8ako 77 18 of of IN cord-007444-c9vu8ako 77 19 H. h. NN cord-007444-c9vu8ako 77 20 influenzae influenzae NN cord-007444-c9vu8ako 77 21 having have VBG cord-007444-c9vu8ako 77 22 either either CC cord-007444-c9vu8ako 77 23 the the DT cord-007444-c9vu8ako 77 24 same same JJ cord-007444-c9vu8ako 77 25 ( ( -LRB- cord-007444-c9vu8ako 77 26 i.e. i.e. FW cord-007444-c9vu8ako 77 27 , , , cord-007444-c9vu8ako 77 28 endogenous endogenous JJ cord-007444-c9vu8ako 77 29 ) ) -RRB- cord-007444-c9vu8ako 77 30 or or CC cord-007444-c9vu8ako 77 31 different different JJ cord-007444-c9vu8ako 77 32 ( ( -LRB- cord-007444-c9vu8ako 77 33 i.e. i.e. FW cord-007444-c9vu8ako 77 34 , , , cord-007444-c9vu8ako 77 35 exogenous exogenous JJ cord-007444-c9vu8ako 77 36 ) ) -RRB- cord-007444-c9vu8ako 77 37 DNA dna NN cord-007444-c9vu8ako 77 38 fingerprint fingerprint NN cord-007444-c9vu8ako 77 39 . . . cord-007444-c9vu8ako 78 1 Strains strain NNS cord-007444-c9vu8ako 78 2 of of IN cord-007444-c9vu8ako 78 3 H. h. NN cord-007444-c9vu8ako 78 4 influenzae influenzae NN cord-007444-c9vu8ako 78 5 were be VBD cord-007444-c9vu8ako 78 6 shown show VBN cord-007444-c9vu8ako 78 7 to to TO cord-007444-c9vu8ako 78 8 persist persist VB cord-007444-c9vu8ako 78 9 for for IN cord-007444-c9vu8ako 78 10 several several JJ cord-007444-c9vu8ako 78 11 months month NNS cord-007444-c9vu8ako 78 12 and and CC cord-007444-c9vu8ako 78 13 antibiotic antibiotic JJ cord-007444-c9vu8ako 78 14 treatment treatment NN cord-007444-c9vu8ako 78 15 was be VBD cord-007444-c9vu8ako 78 16 not not RB cord-007444-c9vu8ako 78 17 effective effective JJ cord-007444-c9vu8ako 78 18 in in IN cord-007444-c9vu8ako 78 19 eradicating eradicate VBG cord-007444-c9vu8ako 78 20 the the DT cord-007444-c9vu8ako 78 21 ba ba NNP cord-007444-c9vu8ako 79 1 ~teria.4~ ~teria.4~ NN cord-007444-c9vu8ako 79 2 Estimates estimate NNS cord-007444-c9vu8ako 79 3 of of IN cord-007444-c9vu8ako 79 4 the the DT cord-007444-c9vu8ako 79 5 proportion proportion NN cord-007444-c9vu8ako 79 6 of of IN cord-007444-c9vu8ako 79 7 COPD COPD NNP cord-007444-c9vu8ako 79 8 exacerbations exacerbation NNS cord-007444-c9vu8ako 79 9 associated associate VBN cord-007444-c9vu8ako 79 10 with with IN cord-007444-c9vu8ako 79 11 viral viral JJ cord-007444-c9vu8ako 79 12 infection infection NN cord-007444-c9vu8ako 79 13 range range NN cord-007444-c9vu8ako 79 14 from from IN cord-007444-c9vu8ako 79 15 7%117 7%117 CD cord-007444-c9vu8ako 79 16 to to IN cord-007444-c9vu8ako 79 17 63%.67 63%.67 CD cord-007444-c9vu8ako 80 1 This this DT cord-007444-c9vu8ako 80 2 large large JJ cord-007444-c9vu8ako 80 3 discrepancy discrepancy NN cord-007444-c9vu8ako 80 4 is be VBZ cord-007444-c9vu8ako 80 5 because because IN cord-007444-c9vu8ako 80 6 of of IN cord-007444-c9vu8ako 80 7 significant significant JJ cord-007444-c9vu8ako 80 8 differences difference NNS cord-007444-c9vu8ako 80 9 in in IN cord-007444-c9vu8ako 80 10 study study NN cord-007444-c9vu8ako 80 11 design.25 design.25 NNP cord-007444-c9vu8ako 80 12 Several several JJ cord-007444-c9vu8ako 80 13 studies study NNS cord-007444-c9vu8ako 80 14 lacked lack VBD cord-007444-c9vu8ako 80 15 adequate adequate JJ cord-007444-c9vu8ako 80 16 control control NN cord-007444-c9vu8ako 80 17 by by IN cord-007444-c9vu8ako 80 18 failing fail VBG cord-007444-c9vu8ako 80 19 to to TO cord-007444-c9vu8ako 80 20 record record VB cord-007444-c9vu8ako 80 21 the the DT cord-007444-c9vu8ako 80 22 frequency frequency NN cord-007444-c9vu8ako 80 23 of of IN cord-007444-c9vu8ako 80 24 viral viral JJ cord-007444-c9vu8ako 80 25 infection infection NN cord-007444-c9vu8ako 80 26 during during IN cord-007444-c9vu8ako 81 1 exacerbation exacerbation NN cord-007444-c9vu8ako 81 2 - - HYPH cord-007444-c9vu8ako 81 3 free free JJ cord-007444-c9vu8ako 81 4 periods.@,75 periods.@,75 NNP cord-007444-c9vu8ako 81 5 Others Others NNPS cord-007444-c9vu8ako 81 6 , , , cord-007444-c9vu8ako 81 7 such such JJ cord-007444-c9vu8ako 81 8 as as IN cord-007444-c9vu8ako 81 9 those those DT cord-007444-c9vu8ako 81 10 by by IN cord-007444-c9vu8ako 81 11 Sommerville Sommerville NNP cord-007444-c9vu8ako 81 12 and and CC cord-007444-c9vu8ako 81 13 Stenhouse Stenhouse NNP cord-007444-c9vu8ako 81 14 , , , cord-007444-c9vu8ako 81 15 l16 l16 NNP cord-007444-c9vu8ako 81 16 , , , cord-007444-c9vu8ako 81 17 118 118 CD cord-007444-c9vu8ako 81 18 attempted attempt VBD cord-007444-c9vu8ako 81 19 to to TO cord-007444-c9vu8ako 81 20 detect detect VB cord-007444-c9vu8ako 81 21 only only RB cord-007444-c9vu8ako 81 22 selected select VBN cord-007444-c9vu8ako 81 23 pathogens pathogen NNS cord-007444-c9vu8ako 81 24 . . . cord-007444-c9vu8ako 82 1 Variability variability NN cord-007444-c9vu8ako 82 2 in in IN cord-007444-c9vu8ako 82 3 the the DT cord-007444-c9vu8ako 82 4 definition definition NN cord-007444-c9vu8ako 82 5 of of IN cord-007444-c9vu8ako 82 6 an an DT cord-007444-c9vu8ako 82 7 exacerbation exacerbation NN cord-007444-c9vu8ako 82 8 is be VBZ cord-007444-c9vu8ako 82 9 another another DT cord-007444-c9vu8ako 82 10 factor factor NN cord-007444-c9vu8ako 82 11 that that WDT cord-007444-c9vu8ako 82 12 may may MD cord-007444-c9vu8ako 82 13 affect affect VB cord-007444-c9vu8ako 82 14 the the DT cord-007444-c9vu8ako 82 15 percentage percentage NN cord-007444-c9vu8ako 82 16 of of IN cord-007444-c9vu8ako 82 17 exacerbations exacerbation NNS cord-007444-c9vu8ako 82 18 caused cause VBN cord-007444-c9vu8ako 82 19 by by IN cord-007444-c9vu8ako 82 20 viral viral JJ cord-007444-c9vu8ako 82 21 illness illness NN cord-007444-c9vu8ako 82 22 . . . cord-007444-c9vu8ako 83 1 Finally finally RB cord-007444-c9vu8ako 83 2 , , , cord-007444-c9vu8ako 83 3 different different JJ cord-007444-c9vu8ako 83 4 serologic serologic NN cord-007444-c9vu8ako 83 5 and and CC cord-007444-c9vu8ako 83 6 isolation isolation NN cord-007444-c9vu8ako 83 7 techniques technique NNS cord-007444-c9vu8ako 83 8 account account VBP cord-007444-c9vu8ako 83 9 for for IN cord-007444-c9vu8ako 83 10 some some DT cord-007444-c9vu8ako 83 11 of of IN cord-007444-c9vu8ako 83 12 the the DT cord-007444-c9vu8ako 83 13 variety variety NN cord-007444-c9vu8ako 83 14 in in IN cord-007444-c9vu8ako 83 15 study study NN cord-007444-c9vu8ako 84 1 re re IN cord-007444-c9vu8ako 84 2 ~ ~ NFP cord-007444-c9vu8ako 84 3 ults.5~ ults.5~ NNP cord-007444-c9vu8ako 84 4 The the DT cord-007444-c9vu8ako 84 5 three three CD cord-007444-c9vu8ako 84 6 most most RBS cord-007444-c9vu8ako 84 7 rigorous rigorous JJ cord-007444-c9vu8ako 84 8 studies study NNS cord-007444-c9vu8ako 84 9 are be VBP cord-007444-c9vu8ako 84 10 summarized summarize VBN cord-007444-c9vu8ako 84 11 in in IN cord-007444-c9vu8ako 84 12 Table Table NNP cord-007444-c9vu8ako 84 13 2 2 CD cord-007444-c9vu8ako 84 14 .25 .25 . cord-007444-c9vu8ako 85 1 * * NFP cord-007444-c9vu8ako 85 2 55 55 CD cord-007444-c9vu8ako 85 3 * * NFP cord-007444-c9vu8ako 85 4 113 113 CD cord-007444-c9vu8ako 86 1 The the DT cord-007444-c9vu8ako 86 2 proportion proportion NN cord-007444-c9vu8ako 86 3 of of IN cord-007444-c9vu8ako 86 4 exacerbations exacerbation NNS cord-007444-c9vu8ako 86 5 attributed attribute VBN cord-007444-c9vu8ako 86 6 to to IN cord-007444-c9vu8ako 86 7 viral viral JJ cord-007444-c9vu8ako 86 8 ( ( -LRB- cord-007444-c9vu8ako 86 9 or or CC cord-007444-c9vu8ako 86 10 mycoplasma mycoplasma NN cord-007444-c9vu8ako 86 11 ) ) -RRB- cord-007444-c9vu8ako 86 12 illness illness NN cord-007444-c9vu8ako 86 13 ranges range VBZ cord-007444-c9vu8ako 86 14 from from IN cord-007444-c9vu8ako 86 15 18 18 CD cord-007444-c9vu8ako 86 16 % % NN cord-007444-c9vu8ako 86 17 to to IN cord-007444-c9vu8ako 86 18 34 34 CD cord-007444-c9vu8ako 86 19 % % NN cord-007444-c9vu8ako 86 20 . . . cord-007444-c9vu8ako 87 1 Influenza Influenza NNP cord-007444-c9vu8ako 87 2 , , , cord-007444-c9vu8ako 87 3 parainfluenza parainfluenza NNP cord-007444-c9vu8ako 87 4 , , , cord-007444-c9vu8ako 87 5 and and CC cord-007444-c9vu8ako 87 6 coronavirus coronavirus NN cord-007444-c9vu8ako 87 7 were be VBD cord-007444-c9vu8ako 87 8 the the DT cord-007444-c9vu8ako 87 9 most most RBS cord-007444-c9vu8ako 87 10 frequent frequent JJ cord-007444-c9vu8ako 87 11 pathogens pathogen NNS cord-007444-c9vu8ako 87 12 to to TO cord-007444-c9vu8ako 87 13 be be VB cord-007444-c9vu8ako 87 14 significantly significantly RB cord-007444-c9vu8ako 87 15 associated associate VBN cord-007444-c9vu8ako 87 16 with with IN cord-007444-c9vu8ako 87 17 exacerbations exacerbation NNS cord-007444-c9vu8ako 87 18 . . . cord-007444-c9vu8ako 88 1 More more RBR cord-007444-c9vu8ako 88 2 recently recently RB cord-007444-c9vu8ako 88 3 , , , cord-007444-c9vu8ako 88 4 Goh Goh NNP cord-007444-c9vu8ako 88 5 et et NNP cord-007444-c9vu8ako 88 6 a a DT cord-007444-c9vu8ako 88 7 P p NN cord-007444-c9vu8ako 88 8 performed perform VBD cord-007444-c9vu8ako 88 9 a a DT cord-007444-c9vu8ako 88 10 prospective prospective JJ cord-007444-c9vu8ako 88 11 etiologic etiologic JJ cord-007444-c9vu8ako 88 12 study study NN cord-007444-c9vu8ako 88 13 of of IN cord-007444-c9vu8ako 88 14 90 90 CD cord-007444-c9vu8ako 88 15 inpatients inpatient NNS cord-007444-c9vu8ako 88 16 with with IN cord-007444-c9vu8ako 88 17 AECOPD AECOPD NNP cord-007444-c9vu8ako 88 18 . . . cord-007444-c9vu8ako 89 1 They -PRON- PRP cord-007444-c9vu8ako 89 2 collected collect VBD cord-007444-c9vu8ako 89 3 paired pair VBN cord-007444-c9vu8ako 89 4 sera sera NNP cord-007444-c9vu8ako 89 5 for for IN cord-007444-c9vu8ako 89 6 influenza influenza NNP cord-007444-c9vu8ako 89 7 A A NNP cord-007444-c9vu8ako 89 8 , , , cord-007444-c9vu8ako 89 9 B b NN cord-007444-c9vu8ako 89 10 , , , cord-007444-c9vu8ako 89 11 and and CC cord-007444-c9vu8ako 89 12 parainfluenza parainfluenza NN cord-007444-c9vu8ako 89 13 viruses virus NNS cord-007444-c9vu8ako 89 14 as as RB cord-007444-c9vu8ako 89 15 well well RB cord-007444-c9vu8ako 89 16 as as IN cord-007444-c9vu8ako 89 17 Legionella Legionella NNP cord-007444-c9vu8ako 89 18 , , , cord-007444-c9vu8ako 89 19 Mycoplasma Mycoplasma NNP cord-007444-c9vu8ako 89 20 , , , cord-007444-c9vu8ako 89 21 and and CC cord-007444-c9vu8ako 89 22 Chlamydia Chlamydia NNP cord-007444-c9vu8ako 89 23 . . . cord-007444-c9vu8ako 90 1 Positive positive JJ cord-007444-c9vu8ako 90 2 serology serology NN cord-007444-c9vu8ako 90 3 was be VBD cord-007444-c9vu8ako 90 4 found find VBN cord-007444-c9vu8ako 90 5 in in IN cord-007444-c9vu8ako 90 6 31 31 CD cord-007444-c9vu8ako 90 7 patients patient NNS cord-007444-c9vu8ako 90 8 ( ( -LRB- cord-007444-c9vu8ako 90 9 34 34 CD cord-007444-c9vu8ako 90 10 % % NN cord-007444-c9vu8ako 90 11 ) ) -RRB- cord-007444-c9vu8ako 90 12 , , , cord-007444-c9vu8ako 90 13 of of IN cord-007444-c9vu8ako 90 14 whom whom WP cord-007444-c9vu8ako 90 15 26 26 CD cord-007444-c9vu8ako 90 16 patients patient NNS cord-007444-c9vu8ako 90 17 ( ( -LRB- cord-007444-c9vu8ako 90 18 28 28 CD cord-007444-c9vu8ako 90 19 % % NN cord-007444-c9vu8ako 90 20 ) ) -RRB- cord-007444-c9vu8ako 90 21 had have VBD cord-007444-c9vu8ako 90 22 viral viral JJ cord-007444-c9vu8ako 90 23 infections infection NNS cord-007444-c9vu8ako 90 24 . . . cord-007444-c9vu8ako 91 1 The the DT cord-007444-c9vu8ako 91 2 most most RBS cord-007444-c9vu8ako 91 3 common common JJ cord-007444-c9vu8ako 91 4 organism organism NN cord-007444-c9vu8ako 91 5 was be VBD cord-007444-c9vu8ako 91 6 influenza influenza NN cord-007444-c9vu8ako 91 7 A A NNP cord-007444-c9vu8ako 91 8 , , , cord-007444-c9vu8ako 91 9 with with IN cord-007444-c9vu8ako 91 10 18 18 CD cord-007444-c9vu8ako 91 11 patients patient NNS cord-007444-c9vu8ako 91 12 demonstrating demonstrate VBG cord-007444-c9vu8ako 91 13 positive positive JJ cord-007444-c9vu8ako 91 14 serology serology NN cord-007444-c9vu8ako 91 15 ( ( -LRB- cord-007444-c9vu8ako 91 16 20 20 CD cord-007444-c9vu8ako 91 17 % % NN cord-007444-c9vu8ako 91 18 ) ) -RRB- cord-007444-c9vu8ako 91 19 . . . cord-007444-c9vu8ako 92 1 Five five CD cord-007444-c9vu8ako 92 2 patients patient NNS cord-007444-c9vu8ako 92 3 had have VBD cord-007444-c9vu8ako 92 4 positive positive JJ cord-007444-c9vu8ako 92 5 serology serology NN cord-007444-c9vu8ako 92 6 for for IN cord-007444-c9vu8ako 92 7 Legionella Legionella NNP cord-007444-c9vu8ako 92 8 , , , cord-007444-c9vu8ako 92 9 whereas whereas IN cord-007444-c9vu8ako 92 10 no no DT cord-007444-c9vu8ako 92 11 evidence evidence NN cord-007444-c9vu8ako 92 12 was be VBD cord-007444-c9vu8ako 92 13 found find VBN cord-007444-c9vu8ako 92 14 for for IN cord-007444-c9vu8ako 92 15 infections infection NNS cord-007444-c9vu8ako 92 16 caused cause VBN cord-007444-c9vu8ako 92 17 by by IN cord-007444-c9vu8ako 92 18 Mycoplasma mycoplasma NN cord-007444-c9vu8ako 92 19 or or CC cord-007444-c9vu8ako 92 20 Chlamydia.48 Chlamydia.48 NNP cord-007444-c9vu8ako 92 21 Gump Gump NNP cord-007444-c9vu8ako 92 22 et et FW cord-007444-c9vu8ako 92 23 a155 a155 NNP cord-007444-c9vu8ako 93 1 observed observe VBD cord-007444-c9vu8ako 93 2 25 25 CD cord-007444-c9vu8ako 93 3 patients patient NNS cord-007444-c9vu8ako 93 4 every every DT cord-007444-c9vu8ako 93 5 2 2 CD cord-007444-c9vu8ako 93 6 weeks week NNS cord-007444-c9vu8ako 93 7 for for IN cord-007444-c9vu8ako 93 8 4 4 CD cord-007444-c9vu8ako 93 9 years year NNS cord-007444-c9vu8ako 93 10 and and CC cord-007444-c9vu8ako 93 11 documented document VBD cord-007444-c9vu8ako 93 12 116 116 CD cord-007444-c9vu8ako 93 13 exacerbations exacerbation NNS cord-007444-c9vu8ako 93 14 . . . cord-007444-c9vu8ako 94 1 They -PRON- PRP cord-007444-c9vu8ako 94 2 derived derive VBD cord-007444-c9vu8ako 94 3 a a DT cord-007444-c9vu8ako 94 4 striking striking JJ cord-007444-c9vu8ako 94 5 correlation correlation NN cord-007444-c9vu8ako 94 6 of of IN cord-007444-c9vu8ako 94 7 infection infection NN cord-007444-c9vu8ako 94 8 with with IN cord-007444-c9vu8ako 94 9 exacerbations exacerbation NNS cord-007444-c9vu8ako 94 10 by by IN cord-007444-c9vu8ako 94 11 interpreting interpret VBG cord-007444-c9vu8ako 94 12 their -PRON- PRP$ cord-007444-c9vu8ako 94 13 data datum NNS cord-007444-c9vu8ako 94 14 in in IN cord-007444-c9vu8ako 94 15 a a DT cord-007444-c9vu8ako 94 16 time time NN cord-007444-c9vu8ako 94 17 - - HYPH cord-007444-c9vu8ako 94 18 weighted weight VBN cord-007444-c9vu8ako 94 19 analysis analysis NN cord-007444-c9vu8ako 94 20 . . . cord-007444-c9vu8ako 95 1 They -PRON- PRP cord-007444-c9vu8ako 95 2 found find VBD cord-007444-c9vu8ako 95 3 that that IN cord-007444-c9vu8ako 95 4 the the DT cord-007444-c9vu8ako 95 5 incidence incidence NN cord-007444-c9vu8ako 95 6 of of IN cord-007444-c9vu8ako 95 7 infection infection NN cord-007444-c9vu8ako 95 8 was be VBD cord-007444-c9vu8ako 95 9 3L"/o 3l"/o CD cord-007444-c9vu8ako 95 10 per per IN cord-007444-c9vu8ako 95 11 patient patient JJ cord-007444-c9vu8ako 95 12 week week NN cord-007444-c9vu8ako 95 13 of of IN cord-007444-c9vu8ako 95 14 exacerbation exacerbation NN cord-007444-c9vu8ako 95 15 but but CC cord-007444-c9vu8ako 95 16 only only RB cord-007444-c9vu8ako 95 17 0.9 0.9 CD cord-007444-c9vu8ako 95 18 % % NN cord-007444-c9vu8ako 95 19 ver ver NN cord-007444-c9vu8ako 95 20 patient patient JJ cord-007444-c9vu8ako 95 21 week week NN cord-007444-c9vu8ako 95 22 in in IN cord-007444-c9vu8ako 95 23 remission remission NN cord-007444-c9vu8ako 95 24 . . . cord-007444-c9vu8ako 96 1 In in IN cord-007444-c9vu8ako 96 2 their -PRON- PRP$ cord-007444-c9vu8ako 96 3 5-year 5-year CD cord-007444-c9vu8ako 96 4 aniiysis aniiysis NN cord-007444-c9vu8ako 96 5 , , , cord-007444-c9vu8ako 96 6 Buscho Buscho NNP cord-007444-c9vu8ako 96 7 et et NNP cord-007444-c9vu8ako 96 8 alZ5 alZ5 NNS cord-007444-c9vu8ako 96 9 found find VBD cord-007444-c9vu8ako 96 10 that that IN cord-007444-c9vu8ako 96 11 25 25 CD cord-007444-c9vu8ako 96 12 % % NN cord-007444-c9vu8ako 96 13 of of IN cord-007444-c9vu8ako 96 14 exacerbations exacerbation NNS cord-007444-c9vu8ako 96 15 were be VBD cord-007444-c9vu8ako 96 16 associated associate VBN cord-007444-c9vu8ako 96 17 with with IN cord-007444-c9vu8ako 96 18 viral viral JJ cord-007444-c9vu8ako 96 19 infection infection NN cord-007444-c9vu8ako 96 20 . . . cord-007444-c9vu8ako 97 1 This this DT cord-007444-c9vu8ako 97 2 rate rate NN cord-007444-c9vu8ako 97 3 was be VBD cord-007444-c9vu8ako 97 4 twice twice PDT cord-007444-c9vu8ako 97 5 that that DT cord-007444-c9vu8ako 97 6 of of IN cord-007444-c9vu8ako 97 7 viral viral JJ cord-007444-c9vu8ako 97 8 infections infection NNS cord-007444-c9vu8ako 97 9 during during IN cord-007444-c9vu8ako 97 10 remission remission NN cord-007444-c9vu8ako 97 11 detected detect VBD cord-007444-c9vu8ako 97 12 as as IN cord-007444-c9vu8ako 97 13 an an DT cord-007444-c9vu8ako 97 14 asymptomatic asymptomatic JJ cord-007444-c9vu8ako 97 15 fourfold fourfold JJ cord-007444-c9vu8ako 97 16 rise rise NN cord-007444-c9vu8ako 97 17 in in IN cord-007444-c9vu8ako 97 18 antiviral antiviral JJ cord-007444-c9vu8ako 97 19 antibody antibody NN cord-007444-c9vu8ako 97 20 titers titer NNS cord-007444-c9vu8ako 97 21 . . . cord-007444-c9vu8ako 98 1 In in IN cord-007444-c9vu8ako 98 2 the the DT cord-007444-c9vu8ako 98 3 largest large JJS cord-007444-c9vu8ako 98 4 study study NN cord-007444-c9vu8ako 98 5 , , , cord-007444-c9vu8ako 98 6 Smith Smith NNP cord-007444-c9vu8ako 98 7 et et NNP cord-007444-c9vu8ako 98 8 aP3 ap3 DT cord-007444-c9vu8ako 98 9 followed follow VBD cord-007444-c9vu8ako 98 10 150 150 CD cord-007444-c9vu8ako 98 11 patients patient NNS cord-007444-c9vu8ako 98 12 over over IN cord-007444-c9vu8ako 98 13 8 8 CD cord-007444-c9vu8ako 98 14 years year NNS cord-007444-c9vu8ako 98 15 and and CC cord-007444-c9vu8ako 98 16 analyzed analyze VBD cord-007444-c9vu8ako 98 17 more more JJR cord-007444-c9vu8ako 98 18 than than IN cord-007444-c9vu8ako 98 19 1000 1000 CD cord-007444-c9vu8ako 98 20 acute acute JJ cord-007444-c9vu8ako 98 21 respiratory respiratory JJ cord-007444-c9vu8ako 98 22 illnesses illness NNS cord-007444-c9vu8ako 98 23 . . . cord-007444-c9vu8ako 99 1 They -PRON- PRP cord-007444-c9vu8ako 99 2 associated associate VBD cord-007444-c9vu8ako 99 3 nonbacterial nonbacterial JJ cord-007444-c9vu8ako 99 4 infections infection NNS cord-007444-c9vu8ako 99 5 with with IN cord-007444-c9vu8ako 99 6 approximately approximately RB cord-007444-c9vu8ako 99 7 20 20 CD cord-007444-c9vu8ako 99 8 % % NN cord-007444-c9vu8ako 99 9 of of IN cord-007444-c9vu8ako 99 10 acute acute JJ cord-007444-c9vu8ako 99 11 respiratory respiratory JJ cord-007444-c9vu8ako 99 12 illnesses illness NNS cord-007444-c9vu8ako 99 13 but but CC cord-007444-c9vu8ako 99 14 only only RB cord-007444-c9vu8ako 99 15 6 6 CD cord-007444-c9vu8ako 99 16 % % NN cord-007444-c9vu8ako 99 17 of of IN cord-007444-c9vu8ako 99 18 illnessfree illnessfree JJ cord-007444-c9vu8ako 99 19 periods period NNS cord-007444-c9vu8ako 99 20 . . . cord-007444-c9vu8ako 100 1 In in IN cord-007444-c9vu8ako 100 2 contrast contrast NN cord-007444-c9vu8ako 100 3 with with IN cord-007444-c9vu8ako 100 4 the the DT cord-007444-c9vu8ako 100 5 work work NN cord-007444-c9vu8ako 100 6 by by IN cord-007444-c9vu8ako 100 7 Buscho Buscho NNP cord-007444-c9vu8ako 100 8 and and CC cord-007444-c9vu8ako 100 9 Gump Gump NNP cord-007444-c9vu8ako 100 10 , , , cord-007444-c9vu8ako 100 11 Smith Smith NNP cord-007444-c9vu8ako 100 12 et et NNP cord-007444-c9vu8ako 100 13 noted note VBD cord-007444-c9vu8ako 100 14 a a DT cord-007444-c9vu8ako 100 15 high high JJ cord-007444-c9vu8ako 100 16 rate rate NN cord-007444-c9vu8ako 100 17 of of IN cord-007444-c9vu8ako 100 18 rhinoviral rhinoviral JJ cord-007444-c9vu8ako 100 19 infection infection NN cord-007444-c9vu8ako 100 20 . . . cord-007444-c9vu8ako 101 1 Uncontrolled uncontrolled JJ cord-007444-c9vu8ako 101 2 studies study NNS cord-007444-c9vu8ako 101 3 by by IN cord-007444-c9vu8ako 101 4 McNamara McNamara NNP cord-007444-c9vu8ako 101 5 and and CC cord-007444-c9vu8ako 101 6 Eadie4 Eadie4 NNP cord-007444-c9vu8ako 101 7 , , , cord-007444-c9vu8ako 101 8 , , , cord-007444-c9vu8ako 101 9 75 75 CD cord-007444-c9vu8ako 101 10 also also RB cord-007444-c9vu8ako 101 11 reported report VBD cord-007444-c9vu8ako 101 12 rhinoviral rhinoviral JJ cord-007444-c9vu8ako 101 13 infections infection NNS cord-007444-c9vu8ako 101 14 to to TO cord-007444-c9vu8ako 101 15 be be VB cord-007444-c9vu8ako 101 16 associated associate VBN cord-007444-c9vu8ako 101 17 with with IN cord-007444-c9vu8ako 101 18 COPD COPD NNP cord-007444-c9vu8ako 101 19 exacerbations exacerbation NNS cord-007444-c9vu8ako 101 20 in in IN cord-007444-c9vu8ako 101 21 43 43 CD cord-007444-c9vu8ako 101 22 % % NN cord-007444-c9vu8ako 101 23 and and CC cord-007444-c9vu8ako 101 24 20 20 CD cord-007444-c9vu8ako 101 25 % % NN cord-007444-c9vu8ako 101 26 of of IN cord-007444-c9vu8ako 101 27 cases case NNS cord-007444-c9vu8ako 101 28 , , , cord-007444-c9vu8ako 101 29 respectively respectively RB cord-007444-c9vu8ako 101 30 . . . cord-007444-c9vu8ako 102 1 Common common JJ cord-007444-c9vu8ako 102 2 colds cold NNS cord-007444-c9vu8ako 102 3 may may MD cord-007444-c9vu8ako 102 4 have have VB cord-007444-c9vu8ako 102 5 a a DT cord-007444-c9vu8ako 102 6 deleterious deleterious JJ cord-007444-c9vu8ako 102 7 effect effect NN cord-007444-c9vu8ako 102 8 upon upon IN cord-007444-c9vu8ako 102 9 lung lung NN cord-007444-c9vu8ako 102 10 functionz9 functionz9 NN cord-007444-c9vu8ako 102 11 and and CC cord-007444-c9vu8ako 102 12 patients patient NNS cord-007444-c9vu8ako 102 13 with with IN cord-007444-c9vu8ako 102 14 COPD COPD NNP cord-007444-c9vu8ako 102 15 are be VBP cord-007444-c9vu8ako 102 16 more more RBR cord-007444-c9vu8ako 102 17 likely likely JJ cord-007444-c9vu8ako 102 18 to to TO cord-007444-c9vu8ako 102 19 develop develop VB cord-007444-c9vu8ako 102 20 increased increase VBN cord-007444-c9vu8ako 102 21 cough cough NN cord-007444-c9vu8ako 102 22 and and CC cord-007444-c9vu8ako 102 23 lower low JJR cord-007444-c9vu8ako 102 24 respiratory respiratory JJ cord-007444-c9vu8ako 102 25 tract tract NN cord-007444-c9vu8ako 102 26 symptoms symptom NNS cord-007444-c9vu8ako 102 27 during during IN cord-007444-c9vu8ako 102 28 rhinoviral rhinoviral JJ cord-007444-c9vu8ako 102 29 infections infection NNS cord-007444-c9vu8ako 102 30 than than IN cord-007444-c9vu8ako 102 31 healthy healthy JJ cord-007444-c9vu8ako 102 32 113 113 CD cord-007444-c9vu8ako 102 33 Smith Smith NNP cord-007444-c9vu8ako 102 34 et et NNP cord-007444-c9vu8ako 102 35 aPz aPz NNP cord-007444-c9vu8ako 102 36 performed perform VBD cord-007444-c9vu8ako 102 37 a a DT cord-007444-c9vu8ako 102 38 7-year 7-year JJ cord-007444-c9vu8ako 102 39 observational observational JJ cord-007444-c9vu8ako 102 40 study study NN cord-007444-c9vu8ako 102 41 of of IN cord-007444-c9vu8ako 102 42 120 120 CD cord-007444-c9vu8ako 102 43 patients patient NNS cord-007444-c9vu8ako 102 44 to to TO cord-007444-c9vu8ako 102 45 assess assess VB cord-007444-c9vu8ako 102 46 potential potential JJ cord-007444-c9vu8ako 102 47 interactions interaction NNS cord-007444-c9vu8ako 102 48 between between IN cord-007444-c9vu8ako 102 49 viral viral JJ cord-007444-c9vu8ako 102 50 , , , cord-007444-c9vu8ako 102 51 mycoplasmal mycoplasmal JJ cord-007444-c9vu8ako 102 52 , , , cord-007444-c9vu8ako 102 53 and and CC cord-007444-c9vu8ako 102 54 bacterial bacterial JJ cord-007444-c9vu8ako 102 55 infections infection NNS cord-007444-c9vu8ako 102 56 in in IN cord-007444-c9vu8ako 102 57 patients patient NNS cord-007444-c9vu8ako 102 58 with with IN cord-007444-c9vu8ako 102 59 COPD COPD NNP cord-007444-c9vu8ako 102 60 . . . cord-007444-c9vu8ako 103 1 They -PRON- PRP cord-007444-c9vu8ako 103 2 calculated calculate VBD cord-007444-c9vu8ako 103 3 the the DT cord-007444-c9vu8ako 103 4 ratio ratio NN cord-007444-c9vu8ako 103 5 of of IN cord-007444-c9vu8ako 103 6 number number NN cord-007444-c9vu8ako 103 7 of of IN cord-007444-c9vu8ako 103 8 observed observed JJ cord-007444-c9vu8ako 103 9 exacerbations exacerbation NNS cord-007444-c9vu8ako 103 10 to to IN cord-007444-c9vu8ako 103 11 number number NN cord-007444-c9vu8ako 103 12 of of IN cord-007444-c9vu8ako 103 13 expected expect VBN cord-007444-c9vu8ako 103 14 viral viral JJ cord-007444-c9vu8ako 103 15 or or CC cord-007444-c9vu8ako 103 16 bacterial bacterial JJ cord-007444-c9vu8ako 103 17 associations association NNS cord-007444-c9vu8ako 103 18 . . . cord-007444-c9vu8ako 104 1 Haemophilus haemophilus JJ cord-007444-c9vu8ako 104 2 influenzae influenzae NN cord-007444-c9vu8ako 104 3 and and CC cord-007444-c9vu8ako 104 4 S. S. NNP cord-007444-c9vu8ako 104 5 pneumoniae pneumoniae NNS cord-007444-c9vu8ako 104 6 were be VBD cord-007444-c9vu8ako 104 7 isolated isolate VBN cord-007444-c9vu8ako 104 8 more more JJR cord-007444-c9vu8ako 104 9 than than IN cord-007444-c9vu8ako 104 10 twice twice RB cord-007444-c9vu8ako 104 11 as as RB cord-007444-c9vu8ako 104 12 often often RB cord-007444-c9vu8ako 104 13 as as IN cord-007444-c9vu8ako 104 14 expected expect VBN cord-007444-c9vu8ako 104 15 following follow VBG cord-007444-c9vu8ako 104 16 influenza influenza NN cord-007444-c9vu8ako 104 17 virus virus NN cord-007444-c9vu8ako 104 18 infection infection NN cord-007444-c9vu8ako 104 19 . . . cord-007444-c9vu8ako 105 1 Marked marked JJ cord-007444-c9vu8ako 105 2 rises rise NNS cord-007444-c9vu8ako 105 3 in in IN cord-007444-c9vu8ako 105 4 titers titer NNS cord-007444-c9vu8ako 105 5 of of IN cord-007444-c9vu8ako 105 6 antibodies antibody NNS cord-007444-c9vu8ako 105 7 against against IN cord-007444-c9vu8ako 105 8 H. H. NNP cord-007444-c9vu8ako 105 9 influenzae influenzae NN cord-007444-c9vu8ako 105 10 were be VBD cord-007444-c9vu8ako 105 11 associated associate VBN cord-007444-c9vu8ako 105 12 with with IN cord-007444-c9vu8ako 105 13 preceding precede VBG cord-007444-c9vu8ako 105 14 viral viral JJ cord-007444-c9vu8ako 105 15 or or CC cord-007444-c9vu8ako 105 16 Mycoplasma mycoplasma NN cord-007444-c9vu8ako 105 17 infections infection NNS cord-007444-c9vu8ako 105 18 , , , cord-007444-c9vu8ako 105 19 suggesting suggest VBG cord-007444-c9vu8ako 105 20 that that IN cord-007444-c9vu8ako 105 21 viral viral JJ cord-007444-c9vu8ako 105 22 infection infection NN cord-007444-c9vu8ako 105 23 promotes promote VBZ cord-007444-c9vu8ako 105 24 increased increase VBN cord-007444-c9vu8ako 105 25 invasiveness invasiveness NN cord-007444-c9vu8ako 105 26 of of IN cord-007444-c9vu8ako 105 27 H. h. NN cord-007444-c9vu8ako 105 28 influenzae influenzae NN cord-007444-c9vu8ako 105 29 and and CC cord-007444-c9vu8ako 105 30 subsequent subsequent JJ cord-007444-c9vu8ako 105 31 infection infection NN cord-007444-c9vu8ako 105 32 . . . cord-007444-c9vu8ako 106 1 There there EX cord-007444-c9vu8ako 106 2 are be VBP cord-007444-c9vu8ako 106 3 no no DT cord-007444-c9vu8ako 106 4 other other JJ cord-007444-c9vu8ako 106 5 rigorously rigorously RB cord-007444-c9vu8ako 106 6 performed perform VBN cord-007444-c9vu8ako 106 7 clinical clinical JJ cord-007444-c9vu8ako 106 8 studies study NNS cord-007444-c9vu8ako 106 9 of of IN cord-007444-c9vu8ako 106 10 the the DT cord-007444-c9vu8ako 106 11 interaction interaction NN cord-007444-c9vu8ako 106 12 between between IN cord-007444-c9vu8ako 106 13 viral viral JJ cord-007444-c9vu8ako 106 14 and and CC cord-007444-c9vu8ako 106 15 bacterial bacterial JJ cord-007444-c9vu8ako 106 16 infections infection NNS cord-007444-c9vu8ako 106 17 in in IN cord-007444-c9vu8ako 106 18 AECOPD AECOPD NNP cord-007444-c9vu8ako 106 19 . . . cord-007444-c9vu8ako 107 1 Although although IN cord-007444-c9vu8ako 107 2 the the DT cord-007444-c9vu8ako 107 3 concept concept NN cord-007444-c9vu8ako 107 4 that that WDT cord-007444-c9vu8ako 107 5 viruses virus NNS cord-007444-c9vu8ako 107 6 promote promote VBP cord-007444-c9vu8ako 107 7 secondary secondary JJ cord-007444-c9vu8ako 107 8 bacterial bacterial JJ cord-007444-c9vu8ako 107 9 infection infection NN cord-007444-c9vu8ako 107 10 seems seem VBZ cord-007444-c9vu8ako 107 11 biologically biologically RB cord-007444-c9vu8ako 107 12 plausible plausible JJ cord-007444-c9vu8ako 107 13 and and CC cord-007444-c9vu8ako 107 14 is be VBZ cord-007444-c9vu8ako 107 15 supported support VBN cord-007444-c9vu8ako 107 16 by by IN cord-007444-c9vu8ako 107 17 animal animal NN cord-007444-c9vu8ako 107 18 research research NN cord-007444-c9vu8ako 107 19 , , , cord-007444-c9vu8ako 107 20 it -PRON- PRP cord-007444-c9vu8ako 107 21 remains remain VBZ cord-007444-c9vu8ako 107 22 unknown unknown JJ cord-007444-c9vu8ako 107 23 how how WRB cord-007444-c9vu8ako 107 24 often often RB cord-007444-c9vu8ako 107 25 bacterial bacterial JJ cord-007444-c9vu8ako 107 26 infection infection NN cord-007444-c9vu8ako 107 27 in in IN cord-007444-c9vu8ako 107 28 AECOPD AECOPD NNP cord-007444-c9vu8ako 107 29 follows follow VBZ cord-007444-c9vu8ako 107 30 an an DT cord-007444-c9vu8ako 107 31 inciting incite VBG cord-007444-c9vu8ako 107 32 viral viral JJ cord-007444-c9vu8ako 107 33 infection infection NN cord-007444-c9vu8ako 107 34 . . . cord-007444-c9vu8ako 108 1 Suspended suspend VBN cord-007444-c9vu8ako 108 2 particulate particulate NN cord-007444-c9vu8ako 108 3 matter matter NN cord-007444-c9vu8ako 108 4 less less JJR cord-007444-c9vu8ako 108 5 than than IN cord-007444-c9vu8ako 108 6 10 10 CD cord-007444-c9vu8ako 108 7 pm pm NN cord-007444-c9vu8ako 108 8 in in IN cord-007444-c9vu8ako 108 9 diameter diameter NN cord-007444-c9vu8ako 108 10 @'MI @'MI . cord-007444-c9vu8ako 109 1 ") ") `` cord-007444-c9vu8ako 109 2 is be VBZ cord-007444-c9vu8ako 109 3 produced produce VBN cord-007444-c9vu8ako 109 4 by by IN cord-007444-c9vu8ako 109 5 vehicle vehicle NN cord-007444-c9vu8ako 109 6 exhaust exhaust NN cord-007444-c9vu8ako 109 7 and and CC cord-007444-c9vu8ako 109 8 many many JJ cord-007444-c9vu8ako 109 9 industrial industrial JJ cord-007444-c9vu8ako 109 10 processes process NNS cord-007444-c9vu8ako 109 11 . . . cord-007444-c9vu8ako 110 1 Several several JJ cord-007444-c9vu8ako 110 2 epidemiologic epidemiologic JJ cord-007444-c9vu8ako 110 3 studies study NNS cord-007444-c9vu8ako 110 4 * * NFP cord-007444-c9vu8ako 110 5 , , , cord-007444-c9vu8ako 110 6 have have VBP cord-007444-c9vu8ako 110 7 associated associate VBN cord-007444-c9vu8ako 110 8 elevated elevated JJ cord-007444-c9vu8ako 110 9 PM pm NN cord-007444-c9vu8ako 110 10 , , , cord-007444-c9vu8ako 110 11 , , , cord-007444-c9vu8ako 110 12 levels level NNS cord-007444-c9vu8ako 110 13 with with IN cord-007444-c9vu8ako 110 14 a a DT cord-007444-c9vu8ako 110 15 wide wide JJ cord-007444-c9vu8ako 110 16 range range NN cord-007444-c9vu8ako 110 17 of of IN cord-007444-c9vu8ako 110 18 respiratory respiratory JJ cord-007444-c9vu8ako 110 19 outcomes outcome NNS cord-007444-c9vu8ako 110 20 , , , cord-007444-c9vu8ako 110 21 including include VBG cord-007444-c9vu8ako 110 22 reduced reduce VBN cord-007444-c9vu8ako 110 23 pulmonary pulmonary JJ cord-007444-c9vu8ako 110 24 function function NN cord-007444-c9vu8ako 110 25 and and CC cord-007444-c9vu8ako 110 26 increased increase VBN cord-007444-c9vu8ako 110 27 chronic chronic JJ cord-007444-c9vu8ako 110 28 respiratory respiratory JJ cord-007444-c9vu8ako 110 29 symptoms symptom NNS cord-007444-c9vu8ako 110 30 , , , cord-007444-c9vu8ako 110 31 rates rate NNS cord-007444-c9vu8ako 110 32 of of IN cord-007444-c9vu8ako 110 33 hospitalization hospitalization NN cord-007444-c9vu8ako 110 34 , , , cord-007444-c9vu8ako 110 35 and and CC cord-007444-c9vu8ako 110 36 mortality mortality NN cord-007444-c9vu8ako 110 37 . . . cord-007444-c9vu8ako 111 1 Similar similar JJ cord-007444-c9vu8ako 111 2 associations association NNS cord-007444-c9vu8ako 111 3 exist exist VBP cord-007444-c9vu8ako 111 4 for for IN cord-007444-c9vu8ako 111 5 other other JJ cord-007444-c9vu8ako 111 6 pollutants pollutant NNS cord-007444-c9vu8ako 111 7 , , , cord-007444-c9vu8ako 111 8 notably notably RB cord-007444-c9vu8ako 111 9 sulfur sulfur NN cord-007444-c9vu8ako 111 10 dioxide dioxide NN cord-007444-c9vu8ako 111 11 ( ( -LRB- cord-007444-c9vu8ako 111 12 SO so RB cord-007444-c9vu8ako 111 13 , , , cord-007444-c9vu8ako 111 14 ) ) -RRB- cord-007444-c9vu8ako 111 15 and and CC cord-007444-c9vu8ako 111 16 nitrogen nitrogen NN cord-007444-c9vu8ako 111 17 dioxide dioxide NN cord-007444-c9vu8ako 111 18 . . . cord-007444-c9vu8ako 112 1 A a DT cord-007444-c9vu8ako 112 2 5-year 5-year CD cord-007444-c9vu8ako 112 3 study study NN cord-007444-c9vu8ako 112 4 in in IN cord-007444-c9vu8ako 112 5 Bar bar NN cord-007444-c9vu8ako 112 6 - - HYPH cord-007444-c9vu8ako 112 7 celona121 celona121 NNP cord-007444-c9vu8ako 112 8 reported report VBD cord-007444-c9vu8ako 112 9 that that IN cord-007444-c9vu8ako 112 10 small small JJ cord-007444-c9vu8ako 112 11 increases increase NNS cord-007444-c9vu8ako 112 12 of of IN cord-007444-c9vu8ako 112 13 SO so RB cord-007444-c9vu8ako 112 14 , , , cord-007444-c9vu8ako 112 15 and and CC cord-007444-c9vu8ako 112 16 airborne airborne JJ cord-007444-c9vu8ako 112 17 particles particle NNS cord-007444-c9vu8ako 112 18 produced produce VBD cord-007444-c9vu8ako 112 19 adjusted adjust VBN cord-007444-c9vu8ako 112 20 increases increase NNS cord-007444-c9vu8ako 112 21 of of IN cord-007444-c9vu8ako 112 22 6 6 CD cord-007444-c9vu8ako 112 23 % % NN cord-007444-c9vu8ako 112 24 in in IN cord-007444-c9vu8ako 112 25 emergency emergency NN cord-007444-c9vu8ako 112 26 room room NN cord-007444-c9vu8ako 112 27 admissions admission NNS cord-007444-c9vu8ako 112 28 for for IN cord-007444-c9vu8ako 112 29 COPD COPD NNP cord-007444-c9vu8ako 112 30 in in IN cord-007444-c9vu8ako 112 31 winter winter NN cord-007444-c9vu8ako 112 32 and and CC cord-007444-c9vu8ako 112 33 9 9 CD cord-007444-c9vu8ako 112 34 % % NN cord-007444-c9vu8ako 112 35 in in IN cord-007444-c9vu8ako 112 36 summer summer NN cord-007444-c9vu8ako 112 37 . . . cord-007444-c9vu8ako 113 1 Similar similar JJ cord-007444-c9vu8ako 113 2 rates rate NNS cord-007444-c9vu8ako 113 3 of of IN cord-007444-c9vu8ako 113 4 excess excess JJ cord-007444-c9vu8ako 113 5 hospitalizations hospitalization NNS cord-007444-c9vu8ako 113 6 for for IN cord-007444-c9vu8ako 113 7 COPD COPD NNP cord-007444-c9vu8ako 113 8 have have VBP cord-007444-c9vu8ako 113 9 been be VBN cord-007444-c9vu8ako 113 10 reported report VBN cord-007444-c9vu8ako 113 11 from from IN cord-007444-c9vu8ako 113 12 Sydney Sydney NNP cord-007444-c9vu8ako 113 13 , , , cord-007444-c9vu8ako 113 14 Australia Australia NNP cord-007444-c9vu8ako 113 15 ( ( -LRB- cord-007444-c9vu8ako 113 16 4 4 CD cord-007444-c9vu8ako 113 17 % % NN cord-007444-c9vu8ako 113 18 ) ) -RRB- cord-007444-c9vu8ako 113 19 ; ; : cord-007444-c9vu8ako 113 20 Detroit Detroit NNP cord-007444-c9vu8ako 113 21 , , , cord-007444-c9vu8ako 113 22 Michigan Michigan NNP cord-007444-c9vu8ako 113 23 ( ( -LRB- cord-007444-c9vu8ako 113 24 6 6 CD cord-007444-c9vu8ako 113 25 % % NN cord-007444-c9vu8ako 113 26 ) ) -RRB- cord-007444-c9vu8ako 113 27 ; ; : cord-007444-c9vu8ako 113 28 and and CC cord-007444-c9vu8ako 113 29 Birmingham Birmingham NNP cord-007444-c9vu8ako 113 30 , , , cord-007444-c9vu8ako 113 31 Alabama Alabama NNP cord-007444-c9vu8ako 113 32 ( ( -LRB- cord-007444-c9vu8ako 113 33 7 7 CD cord-007444-c9vu8ako 113 34 % % NN cord-007444-c9vu8ako 113 35 ) ) -RRB- cord-007444-c9vu8ako 113 36 . . . cord-007444-c9vu8ako 114 1 * * NFP cord-007444-c9vu8ako 114 2 ' ' '' cord-007444-c9vu8ako 114 3 , , , cord-007444-c9vu8ako 114 4 ' ' '' cord-007444-c9vu8ako 114 5 06 06 CD cord-007444-c9vu8ako 115 1 Although although IN cord-007444-c9vu8ako 115 2 small small JJ cord-007444-c9vu8ako 115 3 , , , cord-007444-c9vu8ako 115 4 these these DT cord-007444-c9vu8ako 115 5 effects effect NNS cord-007444-c9vu8ako 115 6 represent represent VBP cord-007444-c9vu8ako 115 7 a a DT cord-007444-c9vu8ako 115 8 significant significant JJ cord-007444-c9vu8ako 115 9 public public JJ cord-007444-c9vu8ako 115 10 health health NN cord-007444-c9vu8ako 115 11 concern concern NN cord-007444-c9vu8ako 115 12 , , , cord-007444-c9vu8ako 115 13 particularly particularly RB cord-007444-c9vu8ako 115 14 because because IN cord-007444-c9vu8ako 115 15 they -PRON- PRP cord-007444-c9vu8ako 115 16 are be VBP cord-007444-c9vu8ako 115 17 demonstrable demonstrable JJ cord-007444-c9vu8ako 115 18 at at IN cord-007444-c9vu8ako 115 19 pollution pollution NN cord-007444-c9vu8ako 115 20 levels level NNS cord-007444-c9vu8ako 115 21 below below IN cord-007444-c9vu8ako 115 22 current current JJ cord-007444-c9vu8ako 115 23 air air NN cord-007444-c9vu8ako 115 24 - - HYPH cord-007444-c9vu8ako 115 25 quality quality NN cord-007444-c9vu8ako 115 26 standards standard NNS cord-007444-c9vu8ako 115 27 . . . cord-007444-c9vu8ako 116 1 In in IN cord-007444-c9vu8ako 116 2 summary summary NN cord-007444-c9vu8ako 116 3 , , , cord-007444-c9vu8ako 116 4 the the DT cord-007444-c9vu8ako 116 5 foregoing forego VBG cord-007444-c9vu8ako 116 6 studies study NNS cord-007444-c9vu8ako 116 7 imply imply VBP cord-007444-c9vu8ako 116 8 that that IN cord-007444-c9vu8ako 116 9 bacterial bacterial JJ cord-007444-c9vu8ako 116 10 pathogens pathogen NNS cord-007444-c9vu8ako 116 11 can can MD cord-007444-c9vu8ako 116 12 be be VB cord-007444-c9vu8ako 116 13 identified identify VBN cord-007444-c9vu8ako 116 14 in in IN cord-007444-c9vu8ako 116 15 approximately approximately RB cord-007444-c9vu8ako 116 16 half half NN cord-007444-c9vu8ako 116 17 of of IN cord-007444-c9vu8ako 116 18 COPD COPD NNP cord-007444-c9vu8ako 116 19 exacerbations exacerbation NNS cord-007444-c9vu8ako 116 20 . . . cord-007444-c9vu8ako 117 1 Viral viral JJ cord-007444-c9vu8ako 117 2 pathogens pathogen NNS cord-007444-c9vu8ako 117 3 are be VBP cord-007444-c9vu8ako 117 4 identifiable identifiable JJ cord-007444-c9vu8ako 117 5 in in IN cord-007444-c9vu8ako 117 6 about about RB cord-007444-c9vu8ako 117 7 25 25 CD cord-007444-c9vu8ako 117 8 % % NN cord-007444-c9vu8ako 117 9 of of IN cord-007444-c9vu8ako 117 10 such such JJ cord-007444-c9vu8ako 117 11 episodes episode NNS cord-007444-c9vu8ako 117 12 . . . cord-007444-c9vu8ako 118 1 Poor poor JJ cord-007444-c9vu8ako 118 2 air air NN cord-007444-c9vu8ako 118 3 quality quality NN cord-007444-c9vu8ako 118 4 may may MD cord-007444-c9vu8ako 118 5 account account VB cord-007444-c9vu8ako 118 6 for for IN cord-007444-c9vu8ako 118 7 slightly slightly RB cord-007444-c9vu8ako 118 8 more more JJR cord-007444-c9vu8ako 118 9 than than IN cord-007444-c9vu8ako 118 10 5 5 CD cord-007444-c9vu8ako 118 11 % % NN cord-007444-c9vu8ako 118 12 of of IN cord-007444-c9vu8ako 118 13 episodes episode NNS cord-007444-c9vu8ako 118 14 of of IN cord-007444-c9vu8ako 118 15 AECOPD AECOPD NNP cord-007444-c9vu8ako 118 16 . . . cord-007444-c9vu8ako 119 1 In in IN cord-007444-c9vu8ako 119 2 many many JJ cord-007444-c9vu8ako 119 3 COPD COPD NNP cord-007444-c9vu8ako 119 4 exacerbations exacerbation NNS cord-007444-c9vu8ako 119 5 , , , cord-007444-c9vu8ako 119 6 no no DT cord-007444-c9vu8ako 119 7 obvious obvious JJ cord-007444-c9vu8ako 119 8 pathogen pathogen NN cord-007444-c9vu8ako 119 9 or or CC cord-007444-c9vu8ako 119 10 precipitating precipitate VBG cord-007444-c9vu8ako 119 11 cause cause NN cord-007444-c9vu8ako 119 12 is be VBZ cord-007444-c9vu8ako 119 13 found find VBN cord-007444-c9vu8ako 119 14 . . . cord-007444-c9vu8ako 120 1 It -PRON- PRP cord-007444-c9vu8ako 120 2 is be VBZ cord-007444-c9vu8ako 120 3 not not RB cord-007444-c9vu8ako 120 4 known know VBN cord-007444-c9vu8ako 120 5 how how WRB cord-007444-c9vu8ako 120 6 frequently frequently RB cord-007444-c9vu8ako 120 7 other other JJ cord-007444-c9vu8ako 120 8 potential potential JJ cord-007444-c9vu8ako 120 9 factors factor NNS cord-007444-c9vu8ako 120 10 , , , cord-007444-c9vu8ako 120 11 such such JJ cord-007444-c9vu8ako 120 12 as as IN cord-007444-c9vu8ako 120 13 medication medication NN cord-007444-c9vu8ako 120 14 noncompliance noncompliance NN cord-007444-c9vu8ako 120 15 or or CC cord-007444-c9vu8ako 120 16 coincidental coincidental JJ cord-007444-c9vu8ako 120 17 events event NNS cord-007444-c9vu8ako 120 18 such such JJ cord-007444-c9vu8ako 120 19 as as IN cord-007444-c9vu8ako 120 20 pulmonary pulmonary JJ cord-007444-c9vu8ako 120 21 embolism embolism NN cord-007444-c9vu8ako 120 22 and and CC cord-007444-c9vu8ako 120 23 myocardial myocardial JJ cord-007444-c9vu8ako 120 24 infarction infarction NN cord-007444-c9vu8ako 120 25 , , , cord-007444-c9vu8ako 120 26 play play VB cord-007444-c9vu8ako 120 27 an an DT cord-007444-c9vu8ako 120 28 inciting incite VBG cord-007444-c9vu8ako 120 29 role role NN cord-007444-c9vu8ako 120 30 in in IN cord-007444-c9vu8ako 120 31 AECOPD AECOPD NNP cord-007444-c9vu8ako 120 32 . . . cord-007444-c9vu8ako 121 1 Indeed indeed RB cord-007444-c9vu8ako 121 2 , , , cord-007444-c9vu8ako 121 3 it -PRON- PRP cord-007444-c9vu8ako 121 4 is be VBZ cord-007444-c9vu8ako 121 5 often often RB cord-007444-c9vu8ako 121 6 difficult difficult JJ cord-007444-c9vu8ako 121 7 to to TO cord-007444-c9vu8ako 121 8 distinguish distinguish VB cord-007444-c9vu8ako 121 9 clinically clinically RB cord-007444-c9vu8ako 121 10 between between IN cord-007444-c9vu8ako 121 11 exacerbations exacerbation NNS cord-007444-c9vu8ako 121 12 with with IN cord-007444-c9vu8ako 121 13 and and CC cord-007444-c9vu8ako 121 14 without without IN cord-007444-c9vu8ako 121 15 an an DT cord-007444-c9vu8ako 121 16 infectious infectious JJ cord-007444-c9vu8ako 121 17 cause cause NN cord-007444-c9vu8ako 121 18 . . . cord-007444-c9vu8ako 122 1 This this DT cord-007444-c9vu8ako 122 2 distinction distinction NN cord-007444-c9vu8ako 122 3 is be VBZ cord-007444-c9vu8ako 122 4 discussed discuss VBN cord-007444-c9vu8ako 122 5 subsequently subsequently RB cord-007444-c9vu8ako 122 6 in in IN cord-007444-c9vu8ako 122 7 the the DT cord-007444-c9vu8ako 122 8 section section NN cord-007444-c9vu8ako 122 9 on on IN cord-007444-c9vu8ako 122 10 antibiotic antibiotic JJ cord-007444-c9vu8ako 122 11 therapy therapy NN cord-007444-c9vu8ako 122 12 . . . cord-007444-c9vu8ako 123 1 Smoking smoking NN cord-007444-c9vu8ako 123 2 cessation cessation NN cord-007444-c9vu8ako 123 3 is be VBZ cord-007444-c9vu8ako 123 4 the the DT cord-007444-c9vu8ako 123 5 most most RBS cord-007444-c9vu8ako 123 6 important important JJ cord-007444-c9vu8ako 123 7 intervention intervention NN cord-007444-c9vu8ako 123 8 in in IN cord-007444-c9vu8ako 123 9 the the DT cord-007444-c9vu8ako 123 10 management management NN cord-007444-c9vu8ako 123 11 of of IN cord-007444-c9vu8ako 123 12 patients patient NNS cord-007444-c9vu8ako 123 13 with with IN cord-007444-c9vu8ako 123 14 COPD COPD NNP cord-007444-c9vu8ako 123 15 . . . cord-007444-c9vu8ako 124 1 The the DT cord-007444-c9vu8ako 124 2 landmark landmark NN cord-007444-c9vu8ako 124 3 Lung Lung NNP cord-007444-c9vu8ako 124 4 Health Health NNP cord-007444-c9vu8ako 124 5 Study Study NNP cord-007444-c9vu8ako 124 6 confirmed confirm VBD cord-007444-c9vu8ako 124 7 that that IN cord-007444-c9vu8ako 124 8 smoking smoking NN cord-007444-c9vu8ako 124 9 cessation cessation NN cord-007444-c9vu8ako 124 10 greatly greatly RB cord-007444-c9vu8ako 124 11 reduces reduce VBZ cord-007444-c9vu8ako 124 12 the the DT cord-007444-c9vu8ako 124 13 rate rate NN cord-007444-c9vu8ako 124 14 of of IN cord-007444-c9vu8ako 124 15 FEVl FEVl NNS cord-007444-c9vu8ako 124 16 decline decline NN cord-007444-c9vu8ako 124 17 . . . cord-007444-c9vu8ako 124 18 ' ' '' cord-007444-c9vu8ako 125 1 " " '' cord-007444-c9vu8ako 126 1 The the DT cord-007444-c9vu8ako 126 2 benefit benefit NN cord-007444-c9vu8ako 126 3 of of IN cord-007444-c9vu8ako 126 4 smoking smoking NN cord-007444-c9vu8ako 126 5 cessation cessation NN cord-007444-c9vu8ako 126 6 is be VBZ cord-007444-c9vu8ako 126 7 seen see VBN cord-007444-c9vu8ako 126 8 even even RB cord-007444-c9vu8ako 126 9 in in IN cord-007444-c9vu8ako 126 10 patients patient NNS cord-007444-c9vu8ako 126 11 over over IN cord-007444-c9vu8ako 126 12 the the DT cord-007444-c9vu8ako 126 13 age age NN cord-007444-c9vu8ako 126 14 of of IN cord-007444-c9vu8ako 126 15 60 60 CD cord-007444-c9vu8ako 126 16 years.56 years.56 NNP cord-007444-c9vu8ako 126 17 Chronic Chronic NNP cord-007444-c9vu8ako 126 18 sputum sputum NN cord-007444-c9vu8ako 126 19 production production NN cord-007444-c9vu8ako 126 20 often often RB cord-007444-c9vu8ako 126 21 clears clear VBZ cord-007444-c9vu8ako 126 22 within within IN cord-007444-c9vu8ako 126 23 4 4 CD cord-007444-c9vu8ako 126 24 weeks week NNS cord-007444-c9vu8ako 126 25 of of IN cord-007444-c9vu8ako 126 26 stopping stop VBG cord-007444-c9vu8ako 126 27 Although although IN cord-007444-c9vu8ako 126 28 nicotine nicotine NN cord-007444-c9vu8ako 126 29 replacement replacement NN cord-007444-c9vu8ako 126 30 therapy therapy NN cord-007444-c9vu8ako 126 31 is be VBZ cord-007444-c9vu8ako 126 32 an an DT cord-007444-c9vu8ako 126 33 effective effective JJ cord-007444-c9vu8ako 126 34 approach approach NN cord-007444-c9vu8ako 126 35 to to IN cord-007444-c9vu8ako 126 36 smoking smoking NN cord-007444-c9vu8ako 126 37 cessation cessation NN cord-007444-c9vu8ako 126 38 , , , cord-007444-c9vu8ako 126 39 counseling counseling NN cord-007444-c9vu8ako 126 40 by by IN cord-007444-c9vu8ako 126 41 a a DT cord-007444-c9vu8ako 126 42 physician physician NN cord-007444-c9vu8ako 126 43 has have VBZ cord-007444-c9vu8ako 126 44 been be VBN cord-007444-c9vu8ako 126 45 shown show VBN cord-007444-c9vu8ako 126 46 to to TO cord-007444-c9vu8ako 126 47 be be VB cord-007444-c9vu8ako 126 48 the the DT cord-007444-c9vu8ako 126 49 most most RBS cord-007444-c9vu8ako 126 50 potent potent JJ cord-007444-c9vu8ako 126 51 inter inter JJ cord-007444-c9vu8ako 126 52 - - JJ cord-007444-c9vu8ako 126 53 ver ver JJ cord-007444-c9vu8ako 126 54 ~ ~ NFP cord-007444-c9vu8ako 126 55 tion tion NN cord-007444-c9vu8ako 126 56 . . . cord-007444-c9vu8ako 127 1 ' ' `` cord-007444-c9vu8ako 127 2 ~~ ~~ DT cord-007444-c9vu8ako 128 1 Each each DT cord-007444-c9vu8ako 128 2 year year NN cord-007444-c9vu8ako 128 3 , , , cord-007444-c9vu8ako 128 4 influenza influenza NN cord-007444-c9vu8ako 128 5 and and CC cord-007444-c9vu8ako 128 6 its -PRON- PRP$ cord-007444-c9vu8ako 128 7 complications complication NNS cord-007444-c9vu8ako 128 8 are be VBP cord-007444-c9vu8ako 128 9 responsible responsible JJ cord-007444-c9vu8ako 128 10 for for IN cord-007444-c9vu8ako 128 11 hundreds hundred NNS cord-007444-c9vu8ako 128 12 of of IN cord-007444-c9vu8ako 128 13 thousands thousand NNS cord-007444-c9vu8ako 128 14 of of IN cord-007444-c9vu8ako 128 15 excess excess JJ cord-007444-c9vu8ako 128 16 hospitalizations hospitalization NNS cord-007444-c9vu8ako 128 17 , , , cord-007444-c9vu8ako 128 18 tens ten NNS cord-007444-c9vu8ako 128 19 of of IN cord-007444-c9vu8ako 128 20 thousands thousand NNS cord-007444-c9vu8ako 128 21 of of IN cord-007444-c9vu8ako 128 22 excess excess JJ cord-007444-c9vu8ako 128 23 deaths death NNS cord-007444-c9vu8ako 128 24 , , , cord-007444-c9vu8ako 128 25 and and CC cord-007444-c9vu8ako 128 26 billions billion NNS cord-007444-c9vu8ako 128 27 of of IN cord-007444-c9vu8ako 128 28 dollars dollar NNS cord-007444-c9vu8ako 128 29 in in IN cord-007444-c9vu8ako 128 30 health health NN cord-007444-c9vu8ako 128 31 care care NN cord-007444-c9vu8ako 128 32 C c NN cord-007444-c9vu8ako 128 33 O o NN cord-007444-c9vu8ako 128 34 S s NN cord-007444-c9vu8ako 128 35 ~ ~ NFP cord-007444-c9vu8ako 128 36 S s NN cord-007444-c9vu8ako 128 37 .~~,~~ .~~,~~ . cord-007444-c9vu8ako 129 1 Those those DT cord-007444-c9vu8ako 129 2 with with IN cord-007444-c9vu8ako 129 3 chronic chronic JJ cord-007444-c9vu8ako 129 4 lung lung NN cord-007444-c9vu8ako 129 5 disease disease NN cord-007444-c9vu8ako 129 6 are be VBP cord-007444-c9vu8ako 129 7 at at IN cord-007444-c9vu8ako 129 8 especially especially RB cord-007444-c9vu8ako 129 9 high high JJ cord-007444-c9vu8ako 129 10 risk risk NN cord-007444-c9vu8ako 129 11 for for IN cord-007444-c9vu8ako 129 12 the the DT cord-007444-c9vu8ako 129 13 consequences consequence NNS cord-007444-c9vu8ako 129 14 of of IN cord-007444-c9vu8ako 129 15 influenza influenza NN cord-007444-c9vu8ako 129 16 . . . cord-007444-c9vu8ako 130 1 Despite despite IN cord-007444-c9vu8ako 130 2 recommendations recommendation NNS cord-007444-c9vu8ako 130 3 for for IN cord-007444-c9vu8ako 130 4 annual annual JJ cord-007444-c9vu8ako 130 5 influenza influenza NN cord-007444-c9vu8ako 130 6 vaccination vaccination NN cord-007444-c9vu8ako 130 7 , , , cord-007444-c9vu8ako 130 8 recent recent JJ cord-007444-c9vu8ako 130 9 studies study NNS cord-007444-c9vu8ako 130 10 have have VBP cord-007444-c9vu8ako 130 11 documented document VBN cord-007444-c9vu8ako 130 12 inadequate inadequate JJ cord-007444-c9vu8ako 130 13 vaccination vaccination NN cord-007444-c9vu8ako 130 14 rates rate NNS cord-007444-c9vu8ako 130 15 in in IN cord-007444-c9vu8ako 130 16 this this DT cord-007444-c9vu8ako 130 17 risk risk NN cord-007444-c9vu8ako 130 18 group.91 group.91 NNP cord-007444-c9vu8ako 130 19 , , , cord-007444-c9vu8ako 130 20 92 92 CD cord-007444-c9vu8ako 131 1 Among among IN cord-007444-c9vu8ako 131 2 elderly elderly JJ cord-007444-c9vu8ako 131 3 persons person NNS cord-007444-c9vu8ako 131 4 , , , cord-007444-c9vu8ako 131 5 including include VBG cord-007444-c9vu8ako 131 6 those those DT cord-007444-c9vu8ako 131 7 with with IN cord-007444-c9vu8ako 131 8 chronic chronic JJ cord-007444-c9vu8ako 131 9 lung lung NN cord-007444-c9vu8ako 131 10 disease disease NN cord-007444-c9vu8ako 131 11 , , , cord-007444-c9vu8ako 131 12 Nichol Nichol NNP cord-007444-c9vu8ako 131 13 et et NNP cord-007444-c9vu8ako 131 14 alB6 alB6 VBZ cord-007444-c9vu8ako 131 15 overwhelmingly overwhelmingly RB cord-007444-c9vu8ako 131 16 demonstrated demonstrate VBD cord-007444-c9vu8ako 131 17 the the DT cord-007444-c9vu8ako 131 18 efficacy efficacy NN cord-007444-c9vu8ako 131 19 and and CC cord-007444-c9vu8ako 131 20 cost cost NN cord-007444-c9vu8ako 131 21 effectiveness effectiveness NN cord-007444-c9vu8ako 131 22 of of IN cord-007444-c9vu8ako 131 23 influenza influenza NN cord-007444-c9vu8ako 131 24 vaccination vaccination NN cord-007444-c9vu8ako 131 25 . . . cord-007444-c9vu8ako 132 1 In in IN cord-007444-c9vu8ako 132 2 a a DT cord-007444-c9vu8ako 132 3 serial serial JJ cord-007444-c9vu8ako 132 4 cohort cohort NN cord-007444-c9vu8ako 132 5 study study NN cord-007444-c9vu8ako 132 6 of of IN cord-007444-c9vu8ako 132 7 more more JJR cord-007444-c9vu8ako 132 8 than than IN cord-007444-c9vu8ako 132 9 25,000 25,000 CD cord-007444-c9vu8ako 132 10 patients,*6 patients,*6 NNP cord-007444-c9vu8ako 133 1 vaccination vaccination NN cord-007444-c9vu8ako 133 2 was be VBD cord-007444-c9vu8ako 133 3 associated associate VBN cord-007444-c9vu8ako 133 4 with with IN cord-007444-c9vu8ako 133 5 a a DT cord-007444-c9vu8ako 133 6 30 30 CD cord-007444-c9vu8ako 133 7 % % NN cord-007444-c9vu8ako 133 8 to to TO cord-007444-c9vu8ako 133 9 40 40 CD cord-007444-c9vu8ako 133 10 % % NN cord-007444-c9vu8ako 133 11 reduction reduction NN cord-007444-c9vu8ako 133 12 in in IN cord-007444-c9vu8ako 133 13 the the DT cord-007444-c9vu8ako 133 14 rate rate NN cord-007444-c9vu8ako 133 15 of of IN cord-007444-c9vu8ako 133 16 hospitalization hospitalization NN cord-007444-c9vu8ako 133 17 for for IN cord-007444-c9vu8ako 133 18 all all DT cord-007444-c9vu8ako 133 19 acute acute JJ cord-007444-c9vu8ako 133 20 and and CC cord-007444-c9vu8ako 133 21 chronic chronic JJ cord-007444-c9vu8ako 133 22 respiratory respiratory JJ cord-007444-c9vu8ako 133 23 conditions condition NNS cord-007444-c9vu8ako 133 24 . . . cord-007444-c9vu8ako 134 1 Another another DT cord-007444-c9vu8ako 134 2 study study NN cord-007444-c9vu8ako 134 3 by by IN cord-007444-c9vu8ako 134 4 the the DT cord-007444-c9vu8ako 134 5 same same JJ cord-007444-c9vu8ako 134 6 authorsa authorsa NN cord-007444-c9vu8ako 134 7 found find VBD cord-007444-c9vu8ako 134 8 that that IN cord-007444-c9vu8ako 134 9 influenza influenza NN cord-007444-c9vu8ako 134 10 vaccination vaccination NN cord-007444-c9vu8ako 134 11 was be VBD cord-007444-c9vu8ako 134 12 associated associate VBN cord-007444-c9vu8ako 134 13 with with IN cord-007444-c9vu8ako 134 14 a a DT cord-007444-c9vu8ako 134 15 70 70 CD cord-007444-c9vu8ako 134 16 % % NN cord-007444-c9vu8ako 134 17 reduction reduction NN cord-007444-c9vu8ako 134 18 in in IN cord-007444-c9vu8ako 134 19 the the DT cord-007444-c9vu8ako 134 20 risk risk NN cord-007444-c9vu8ako 134 21 for for IN cord-007444-c9vu8ako 134 22 death death NN cord-007444-c9vu8ako 134 23 from from IN cord-007444-c9vu8ako 134 24 any any DT cord-007444-c9vu8ako 134 25 cause cause NN cord-007444-c9vu8ako 134 26 ( ( -LRB- cord-007444-c9vu8ako 134 27 odds odd NNS cord-007444-c9vu8ako 134 28 ratio ratio NN cord-007444-c9vu8ako 134 29 [ [ -LRB- cord-007444-c9vu8ako 134 30 OR or CC cord-007444-c9vu8ako 134 31 ] ] -RRB- cord-007444-c9vu8ako 134 32 = = SYM cord-007444-c9vu8ako 134 33 0.3 0.3 CD cord-007444-c9vu8ako 134 34 ; ; : cord-007444-c9vu8ako 134 35 95 95 CD cord-007444-c9vu8ako 134 36 % % NN cord-007444-c9vu8ako 134 37 confidence confidence NN cord-007444-c9vu8ako 134 38 interval interval NN cord-007444-c9vu8ako 134 39 [ [ -LRB- cord-007444-c9vu8ako 134 40 CI CI NNP cord-007444-c9vu8ako 134 41 ] ] -RRB- cord-007444-c9vu8ako 134 42 = = SYM cord-007444-c9vu8ako 134 43 0.21 0.21 CD cord-007444-c9vu8ako 134 44 - - HYPH cord-007444-c9vu8ako 134 45 0.43 0.43 CD cord-007444-c9vu8ako 134 46 ) ) -RRB- cord-007444-c9vu8ako 134 47 . . . cord-007444-c9vu8ako 135 1 A a DT cord-007444-c9vu8ako 135 2 recent recent JJ cord-007444-c9vu8ako 135 3 metaanalysis metaanalysis NN cord-007444-c9vu8ako 135 4 of of IN cord-007444-c9vu8ako 135 5 20 20 CD cord-007444-c9vu8ako 135 6 cohort cohort NN cord-007444-c9vu8ako 135 7 studies study NNS cord-007444-c9vu8ako 135 8 concluded conclude VBD cord-007444-c9vu8ako 135 9 that that IN cord-007444-c9vu8ako 135 10 the the DT cord-007444-c9vu8ako 135 11 estimates estimate NNS cord-007444-c9vu8ako 135 12 of of IN cord-007444-c9vu8ako 135 13 vaccine vaccine NN cord-007444-c9vu8ako 135 14 efficacy efficacy NN cord-007444-c9vu8ako 135 15 for for IN cord-007444-c9vu8ako 135 16 preventing prevent VBG cord-007444-c9vu8ako 135 17 respiratory respiratory JJ cord-007444-c9vu8ako 135 18 illness illness NN cord-007444-c9vu8ako 135 19 , , , cord-007444-c9vu8ako 135 20 hospitalization hospitalization NN cord-007444-c9vu8ako 135 21 , , , cord-007444-c9vu8ako 135 22 and and CC cord-007444-c9vu8ako 135 23 death death NN cord-007444-c9vu8ako 135 24 were be VBD cord-007444-c9vu8ako 135 25 56 56 CD cord-007444-c9vu8ako 135 26 % % NN cord-007444-c9vu8ako 135 27 , , , cord-007444-c9vu8ako 135 28 50 50 CD cord-007444-c9vu8ako 135 29 % % NN cord-007444-c9vu8ako 135 30 and and CC cord-007444-c9vu8ako 135 31 68 68 CD cord-007444-c9vu8ako 135 32 % % NN cord-007444-c9vu8ako 135 33 , , , cord-007444-c9vu8ako 135 34 respe respe NNP cord-007444-c9vu8ako 135 35 ~ ~ NFP cord-007444-c9vu8ako 135 36 tively tively NNP cord-007444-c9vu8ako 135 37 . . . cord-007444-c9vu8ako 136 1 ' ' `` cord-007444-c9vu8ako 136 2 ~~ ~~ DT cord-007444-c9vu8ako 137 1 These these DT cord-007444-c9vu8ako 137 2 data datum NNS cord-007444-c9vu8ako 137 3 clearly clearly RB cord-007444-c9vu8ako 137 4 affirm affirm VBP cord-007444-c9vu8ako 137 5 that that IN cord-007444-c9vu8ako 137 6 influenza influenza NN cord-007444-c9vu8ako 137 7 vaccination vaccination NN cord-007444-c9vu8ako 137 8 is be VBZ cord-007444-c9vu8ako 137 9 an an DT cord-007444-c9vu8ako 137 10 indispensable indispensable JJ cord-007444-c9vu8ako 137 11 part part NN cord-007444-c9vu8ako 137 12 of of IN cord-007444-c9vu8ako 137 13 the the DT cord-007444-c9vu8ako 137 14 care care NN cord-007444-c9vu8ako 137 15 of of IN cord-007444-c9vu8ako 137 16 all all DT cord-007444-c9vu8ako 137 17 elderly elderly JJ cord-007444-c9vu8ako 137 18 persons person NNS cord-007444-c9vu8ako 137 19 , , , cord-007444-c9vu8ako 137 20 especially especially RB cord-007444-c9vu8ako 137 21 those those DT cord-007444-c9vu8ako 137 22 with with IN cord-007444-c9vu8ako 137 23 COPD COPD NNP cord-007444-c9vu8ako 137 24 . . . cord-007444-c9vu8ako 138 1 The the DT cord-007444-c9vu8ako 138 2 value value NN cord-007444-c9vu8ako 138 3 of of IN cord-007444-c9vu8ako 138 4 pneumococcal pneumococcal JJ cord-007444-c9vu8ako 138 5 vaccination vaccination NN cord-007444-c9vu8ako 138 6 for for IN cord-007444-c9vu8ako 138 7 elderly elderly JJ cord-007444-c9vu8ako 138 8 patients patient NNS cord-007444-c9vu8ako 138 9 with with IN cord-007444-c9vu8ako 138 10 COPD COPD NNP cord-007444-c9vu8ako 138 11 has have VBZ cord-007444-c9vu8ako 138 12 been be VBN cord-007444-c9vu8ako 138 13 controversial controversial JJ cord-007444-c9vu8ako 138 14 . . . cord-007444-c9vu8ako 139 1 Two two CD cord-007444-c9vu8ako 139 2 randomized randomized JJ cord-007444-c9vu8ako 139 3 controlled control VBN cord-007444-c9vu8ako 139 4 trials trial NNS cord-007444-c9vu8ako 139 5 evaluating evaluate VBG cord-007444-c9vu8ako 139 6 the the DT cord-007444-c9vu8ako 139 7 vaccine vaccine NN cord-007444-c9vu8ako 139 8 's 's POS cord-007444-c9vu8ako 139 9 efficacy efficacy NN cord-007444-c9vu8ako 139 10 among among IN cord-007444-c9vu8ako 139 11 patients patient NNS cord-007444-c9vu8ako 139 12 with with IN cord-007444-c9vu8ako 139 13 COPD COPD NNP cord-007444-c9vu8ako 139 14 were be VBD cord-007444-c9vu8ako 139 15 unable unable JJ cord-007444-c9vu8ako 139 16 to to TO cord-007444-c9vu8ako 139 17 show show VB cord-007444-c9vu8ako 139 18 statistically statistically RB cord-007444-c9vu8ako 139 19 significant significant JJ cord-007444-c9vu8ako 139 20 protective protective JJ cord-007444-c9vu8ako 139 21 benefit.36 benefit.36 NN cord-007444-c9vu8ako 139 22 , , , cord-007444-c9vu8ako 139 23 69 69 CD cord-007444-c9vu8ako 140 1 A a DT cord-007444-c9vu8ako 140 2 recent recent JJ cord-007444-c9vu8ako 140 3 meta meta JJ cord-007444-c9vu8ako 140 4 - - HYPH cord-007444-c9vu8ako 140 5 analysis analysis NN cord-007444-c9vu8ako 140 6 concluded conclude VBD cord-007444-c9vu8ako 140 7 that that IN cord-007444-c9vu8ako 140 8 the the DT cord-007444-c9vu8ako 140 9 vaccine vaccine NN cord-007444-c9vu8ako 140 10 provides provide VBZ cord-007444-c9vu8ako 140 11 partial partial JJ cord-007444-c9vu8ako 140 12 protection protection NN cord-007444-c9vu8ako 140 13 against against IN cord-007444-c9vu8ako 140 14 bacteremic bacteremic JJ cord-007444-c9vu8ako 140 15 pneumococcal pneumococcal JJ cord-007444-c9vu8ako 140 16 pneumonia pneumonia NN cord-007444-c9vu8ako 140 17 but but CC cord-007444-c9vu8ako 140 18 not not RB cord-007444-c9vu8ako 140 19 against against IN cord-007444-c9vu8ako 140 20 other other JJ cord-007444-c9vu8ako 140 21 important important JJ cord-007444-c9vu8ako 140 22 outcomes outcome NNS cord-007444-c9vu8ako 140 23 , , , cord-007444-c9vu8ako 140 24 including include VBG cord-007444-c9vu8ako 140 25 bronchitis bronchitis NN cord-007444-c9vu8ako 140 26 or or CC cord-007444-c9vu8ako 140 27 mortality mortality NN cord-007444-c9vu8ako 140 28 caused cause VBN cord-007444-c9vu8ako 140 29 by by IN cord-007444-c9vu8ako 140 30 pneumococcal pneumococcal JJ cord-007444-c9vu8ako 140 31 infection infection NN cord-007444-c9vu8ako 140 32 . . . cord-007444-c9vu8ako 141 1 This this DT cord-007444-c9vu8ako 141 2 protective protective JJ cord-007444-c9vu8ako 141 3 benefit benefit NN cord-007444-c9vu8ako 141 4 was be VBD cord-007444-c9vu8ako 141 5 seen see VBN cord-007444-c9vu8ako 141 6 only only RB cord-007444-c9vu8ako 141 7 in in IN cord-007444-c9vu8ako 141 8 low low JJ cord-007444-c9vu8ako 141 9 - - HYPH cord-007444-c9vu8ako 141 10 risk risk NN cord-007444-c9vu8ako 141 11 groups group NNS cord-007444-c9vu8ako 141 12 and and CC cord-007444-c9vu8ako 141 13 not not RB cord-007444-c9vu8ako 141 14 among among IN cord-007444-c9vu8ako 141 15 those those DT cord-007444-c9vu8ako 141 16 with with IN cord-007444-c9vu8ako 141 17 COPD COPD NNP cord-007444-c9vu8ako 141 18 or or CC cord-007444-c9vu8ako 141 19 other other JJ cord-007444-c9vu8ako 141 20 highrisk highrisk NNP cord-007444-c9vu8ako 141 21 patients.46 patients.46 NNP cord-007444-c9vu8ako 142 1 Nevertheless nevertheless RB cord-007444-c9vu8ako 142 2 , , , cord-007444-c9vu8ako 142 3 pneumococcal pneumococcal JJ cord-007444-c9vu8ako 142 4 vaccination vaccination NN cord-007444-c9vu8ako 142 5 continues continue VBZ cord-007444-c9vu8ako 142 6 to to TO cord-007444-c9vu8ako 142 7 be be VB cord-007444-c9vu8ako 142 8 strongly strongly RB cord-007444-c9vu8ako 142 9 recommended recommend VBN cord-007444-c9vu8ako 142 10 for for IN cord-007444-c9vu8ako 142 11 patients patient NNS cord-007444-c9vu8ako 142 12 with with IN cord-007444-c9vu8ako 142 13 COPD COPD NNP cord-007444-c9vu8ako 142 14 because because IN cord-007444-c9vu8ako 142 15 it -PRON- PRP cord-007444-c9vu8ako 142 16 is be VBZ cord-007444-c9vu8ako 142 17 safe safe JJ cord-007444-c9vu8ako 142 18 and and CC cord-007444-c9vu8ako 142 19 has have VBZ cord-007444-c9vu8ako 142 20 been be VBN cord-007444-c9vu8ako 142 21 found find VBN cord-007444-c9vu8ako 142 22 to to TO cord-007444-c9vu8ako 142 23 provide provide VB cord-007444-c9vu8ako 142 24 significant significant JJ cord-007444-c9vu8ako 142 25 benefit benefit NN cord-007444-c9vu8ako 142 26 for for IN cord-007444-c9vu8ako 142 27 patients patient NNS cord-007444-c9vu8ako 142 28 in in IN cord-007444-c9vu8ako 142 29 case case NN cord-007444-c9vu8ako 142 30 - - HYPH cord-007444-c9vu8ako 142 31 control control NN cord-007444-c9vu8ako 142 32 and and CC cord-007444-c9vu8ako 142 33 indirect indirect JJ cord-007444-c9vu8ako 142 34 cohort cohort NN cord-007444-c9vu8ako 142 35 studiesz6 studiesz6 NN cord-007444-c9vu8ako 142 36 , , , cord-007444-c9vu8ako 142 37 93 93 CD cord-007444-c9vu8ako 142 38 , , , cord-007444-c9vu8ako 142 39 ln8 ln8 NNP cord-007444-c9vu8ako 142 40 as as RB cord-007444-c9vu8ako 142 41 well well RB cord-007444-c9vu8ako 142 42 as as IN cord-007444-c9vu8ako 142 43 in in IN cord-007444-c9vu8ako 142 44 a a DT cord-007444-c9vu8ako 142 45 more more RBR cord-007444-c9vu8ako 142 46 recent recent JJ cord-007444-c9vu8ako 142 47 randomized randomized JJ cord-007444-c9vu8ako 142 48 populationbased populationbased JJ cord-007444-c9vu8ako 142 49 Several several JJ cord-007444-c9vu8ako 142 50 additional additional JJ cord-007444-c9vu8ako 142 51 novel novel JJ cord-007444-c9vu8ako 142 52 strategies strategy NNS cord-007444-c9vu8ako 142 53 for for IN cord-007444-c9vu8ako 142 54 reducing reduce VBG cord-007444-c9vu8ako 142 55 acute acute JJ cord-007444-c9vu8ako 142 56 exacerbations exacerbation NNS cord-007444-c9vu8ako 142 57 of of IN cord-007444-c9vu8ako 142 58 COPD COPD NNP cord-007444-c9vu8ako 142 59 are be VBP cord-007444-c9vu8ako 142 60 under under IN cord-007444-c9vu8ako 142 61 investigation investigation NN cord-007444-c9vu8ako 142 62 . . . cord-007444-c9vu8ako 143 1 For for IN cord-007444-c9vu8ako 143 2 example example NN cord-007444-c9vu8ako 143 3 , , , cord-007444-c9vu8ako 143 4 OM-85 OM-85 NNP cord-007444-c9vu8ako 143 5 BV BV NNP cord-007444-c9vu8ako 143 6 is be VBZ cord-007444-c9vu8ako 143 7 an an DT cord-007444-c9vu8ako 143 8 oral oral JJ cord-007444-c9vu8ako 143 9 immunostimulating immunostimulate VBG cord-007444-c9vu8ako 143 10 agent agent NN cord-007444-c9vu8ako 143 11 containing contain VBG cord-007444-c9vu8ako 143 12 lyophylized lyophylize VBN cord-007444-c9vu8ako 143 13 fractions fraction NNS cord-007444-c9vu8ako 143 14 of of IN cord-007444-c9vu8ako 143 15 the the DT cord-007444-c9vu8ako 143 16 eight eight CD cord-007444-c9vu8ako 143 17 most most RBS cord-007444-c9vu8ako 143 18 common common JJ cord-007444-c9vu8ako 143 19 respiratory respiratory JJ cord-007444-c9vu8ako 143 20 pathogens pathogen NNS cord-007444-c9vu8ako 143 21 . . . cord-007444-c9vu8ako 144 1 Its -PRON- PRP$ cord-007444-c9vu8ako 144 2 use use NN cord-007444-c9vu8ako 144 3 was be VBD cord-007444-c9vu8ako 144 4 associated associate VBN cord-007444-c9vu8ako 144 5 with with IN cord-007444-c9vu8ako 144 6 a a DT cord-007444-c9vu8ako 144 7 40 40 CD cord-007444-c9vu8ako 144 8 % % NN cord-007444-c9vu8ako 144 9 reduction reduction NN cord-007444-c9vu8ako 144 10 in in IN cord-007444-c9vu8ako 144 11 the the DT cord-007444-c9vu8ako 144 12 incidence incidence NN cord-007444-c9vu8ako 144 13 of of IN cord-007444-c9vu8ako 144 14 acute acute JJ cord-007444-c9vu8ako 144 15 exacerbations exacerbation NNS cord-007444-c9vu8ako 144 16 of of IN cord-007444-c9vu8ako 144 17 chronic chronic JJ cord-007444-c9vu8ako 144 18 bronchitis bronchitis NN cord-007444-c9vu8ako 144 19 and and CC cord-007444-c9vu8ako 144 20 a a DT cord-007444-c9vu8ako 144 21 28 28 CD cord-007444-c9vu8ako 144 22 % % NN cord-007444-c9vu8ako 144 23 decrease decrease NN cord-007444-c9vu8ako 144 24 in in IN cord-007444-c9vu8ako 144 25 antibiotic antibiotic JJ cord-007444-c9vu8ako 144 26 use use NN cord-007444-c9vu8ako 144 27 among among IN cord-007444-c9vu8ako 144 28 elderly elderly JJ cord-007444-c9vu8ako 144 29 institutionalized institutionalized JJ cord-007444-c9vu8ako 144 30 patients patient NNS cord-007444-c9vu8ako 144 31 in in IN cord-007444-c9vu8ako 144 32 one one CD cord-007444-c9vu8ako 144 33 trial trial NN cord-007444-c9vu8ako 144 34 , , , cord-007444-c9vu8ako 144 35 and and CC cord-007444-c9vu8ako 144 36 the the DT cord-007444-c9vu8ako 144 37 same same JJ cord-007444-c9vu8ako 144 38 frequency frequency NN cord-007444-c9vu8ako 144 39 of of IN cord-007444-c9vu8ako 144 40 exacerbations exacerbation NNS cord-007444-c9vu8ako 144 41 but but CC cord-007444-c9vu8ako 144 42 less less JJR cord-007444-c9vu8ako 144 43 than than IN cord-007444-c9vu8ako 144 44 half half PDT cord-007444-c9vu8ako 144 45 as as RB cord-007444-c9vu8ako 144 46 many many JJ cord-007444-c9vu8ako 144 47 days day NNS cord-007444-c9vu8ako 144 48 in in IN cord-007444-c9vu8ako 144 49 hospital hospital NN cord-007444-c9vu8ako 144 50 as as IN cord-007444-c9vu8ako 144 51 those those DT cord-007444-c9vu8ako 144 52 given give VBN cord-007444-c9vu8ako 144 53 placebo placebo NN cord-007444-c9vu8ako 144 54 in in IN cord-007444-c9vu8ako 144 55 another another DT cord-007444-c9vu8ako 144 56 ? ? . cord-007444-c9vu8ako 145 1 , , , cord-007444-c9vu8ako 145 2 , , , cord-007444-c9vu8ako 145 3 9n 9n LS cord-007444-c9vu8ako 145 4 There there EX cord-007444-c9vu8ako 145 5 was be VBD cord-007444-c9vu8ako 145 6 a a DT cord-007444-c9vu8ako 145 7 trend trend NN cord-007444-c9vu8ako 145 8 toward toward IN cord-007444-c9vu8ako 145 9 fewer few JJR cord-007444-c9vu8ako 145 10 hospitalizations hospitalization NNS cord-007444-c9vu8ako 145 11 for for IN cord-007444-c9vu8ako 145 12 respiratory respiratory JJ cord-007444-c9vu8ako 145 13 reasons reason NNS cord-007444-c9vu8ako 145 14 among among IN cord-007444-c9vu8ako 145 15 those those DT cord-007444-c9vu8ako 145 16 receiving receive VBG cord-007444-c9vu8ako 145 17 the the DT cord-007444-c9vu8ako 145 18 immunostimulating immunostimulate VBG cord-007444-c9vu8ako 145 19 drug drug NN cord-007444-c9vu8ako 145 20 . . . cord-007444-c9vu8ako 146 1 Although although IN cord-007444-c9vu8ako 146 2 not not RB cord-007444-c9vu8ako 146 3 available available JJ cord-007444-c9vu8ako 146 4 in in IN cord-007444-c9vu8ako 146 5 North North NNP cord-007444-c9vu8ako 146 6 America America NNP cord-007444-c9vu8ako 146 7 , , , cord-007444-c9vu8ako 146 8 OM-85 OM-85 NNP cord-007444-c9vu8ako 146 9 BV BV NNP cord-007444-c9vu8ako 146 10 has have VBZ cord-007444-c9vu8ako 146 11 been be VBN cord-007444-c9vu8ako 146 12 used use VBN cord-007444-c9vu8ako 146 13 for for IN cord-007444-c9vu8ako 146 14 many many JJ cord-007444-c9vu8ako 146 15 years year NNS cord-007444-c9vu8ako 146 16 in in IN cord-007444-c9vu8ako 146 17 Europe Europe NNP cord-007444-c9vu8ako 146 18 . . . cord-007444-c9vu8ako 147 1 Further further JJ cord-007444-c9vu8ako 147 2 trials trial NNS cord-007444-c9vu8ako 147 3 are be VBP cord-007444-c9vu8ako 147 4 required require VBN cord-007444-c9vu8ako 147 5 to to TO cord-007444-c9vu8ako 147 6 properly properly RB cord-007444-c9vu8ako 147 7 define define VB cord-007444-c9vu8ako 147 8 its -PRON- PRP$ cord-007444-c9vu8ako 147 9 role role NN cord-007444-c9vu8ako 147 10 . . . cord-007444-c9vu8ako 148 1 Another another DT cord-007444-c9vu8ako 148 2 approach approach NN cord-007444-c9vu8ako 148 3 has have VBZ cord-007444-c9vu8ako 148 4 been be VBN cord-007444-c9vu8ako 148 5 the the DT cord-007444-c9vu8ako 148 6 subcutaneous subcutaneous JJ cord-007444-c9vu8ako 148 7 administration administration NN cord-007444-c9vu8ako 148 8 of of IN cord-007444-c9vu8ako 148 9 hyaluronic hyaluronic NN cord-007444-c9vu8ako 148 10 acid acid NN cord-007444-c9vu8ako 148 11 ( ( -LRB- cord-007444-c9vu8ako 148 12 HA HA NNP cord-007444-c9vu8ako 148 13 ) ) -RRB- cord-007444-c9vu8ako 148 14 , , , cord-007444-c9vu8ako 148 15 a a DT cord-007444-c9vu8ako 148 16 glycosaminoglycan glycosaminoglycan NN cord-007444-c9vu8ako 148 17 with with IN cord-007444-c9vu8ako 148 18 neutrophil neutrophil NN cord-007444-c9vu8ako 148 19 - - HYPH cord-007444-c9vu8ako 148 20 regulating regulating NN cord-007444-c9vu8ako 148 21 functions function NNS cord-007444-c9vu8ako 148 22 , , , cord-007444-c9vu8ako 148 23 to to IN cord-007444-c9vu8ako 148 24 patients patient NNS cord-007444-c9vu8ako 148 25 with with IN cord-007444-c9vu8ako 148 26 chronic chronic JJ cord-007444-c9vu8ako 148 27 bronchitis bronchitis NN cord-007444-c9vu8ako 148 28 . . . cord-007444-c9vu8ako 149 1 Fewer few JJR cord-007444-c9vu8ako 149 2 acute acute JJ cord-007444-c9vu8ako 149 3 exacerbations exacerbation NNS cord-007444-c9vu8ako 149 4 of of IN cord-007444-c9vu8ako 149 5 bronchtis bronchtis NN cord-007444-c9vu8ako 149 6 and and CC cord-007444-c9vu8ako 149 7 reduced reduce VBN cord-007444-c9vu8ako 149 8 antibiotic antibiotic JJ cord-007444-c9vu8ako 149 9 use use NN cord-007444-c9vu8ako 149 10 were be VBD cord-007444-c9vu8ako 149 11 noted note VBN cord-007444-c9vu8ako 149 12 among among IN cord-007444-c9vu8ako 149 13 HA HA NNP cord-007444-c9vu8ako 149 14 - - HYPH cord-007444-c9vu8ako 149 15 treated treat VBN cord-007444-c9vu8ako 149 16 patients patient NNS cord-007444-c9vu8ako 149 17 in in IN cord-007444-c9vu8ako 149 18 a a DT cord-007444-c9vu8ako 149 19 placebo placebo NN cord-007444-c9vu8ako 149 20 - - HYPH cord-007444-c9vu8ako 149 21 controlled control VBN cord-007444-c9vu8ako 149 22 crossover crossover NN cord-007444-c9vu8ako 149 23 study study NN cord-007444-c9vu8ako 149 24 . . . cord-007444-c9vu8ako 150 1 130 130 CD cord-007444-c9vu8ako 150 2 Other other JJ cord-007444-c9vu8ako 150 3 investigators investigator NNS cord-007444-c9vu8ako 150 4 found find VBD cord-007444-c9vu8ako 150 5 that that IN cord-007444-c9vu8ako 150 6 continous continous JJ cord-007444-c9vu8ako 150 7 administration administration NN cord-007444-c9vu8ako 150 8 of of IN cord-007444-c9vu8ako 150 9 carbocysteine carbocysteine NNP cord-007444-c9vu8ako 150 10 lysine lysine NN cord-007444-c9vu8ako 150 11 salt salt NN cord-007444-c9vu8ako 150 12 monohydrate monohydrate NN cord-007444-c9vu8ako 150 13 during during IN cord-007444-c9vu8ako 150 14 winter winter NN cord-007444-c9vu8ako 150 15 months month NNS cord-007444-c9vu8ako 150 16 was be VBD cord-007444-c9vu8ako 150 17 effective effective JJ cord-007444-c9vu8ako 150 18 in in IN cord-007444-c9vu8ako 150 19 preventing prevent VBG cord-007444-c9vu8ako 150 20 AE AE NNP cord-007444-c9vu8ako 150 21 - - HYPH cord-007444-c9vu8ako 150 22 COPD COPD NNP cord-007444-c9vu8ako 150 23 and and CC cord-007444-c9vu8ako 150 24 reducing reduce VBG cord-007444-c9vu8ako 150 25 antibiotic antibiotic JJ cord-007444-c9vu8ako 150 26 consumption consumption NN cord-007444-c9vu8ako 150 27 in in IN cord-007444-c9vu8ako 150 28 patients patient NNS cord-007444-c9vu8ako 150 29 with with IN cord-007444-c9vu8ako 150 30 chronic chronic NN cord-007444-c9vu8ako 150 31 b b NN cord-007444-c9vu8ako 150 32 r r NN cord-007444-c9vu8ako 150 33 ~ ~ NFP cord-007444-c9vu8ako 150 34 n n NN cord-007444-c9vu8ako 150 35 c c NN cord-007444-c9vu8ako 150 36 h h NN cord-007444-c9vu8ako 150 37 t t NN cord-007444-c9vu8ako 151 1 i i PRP cord-007444-c9vu8ako 151 2 s s NNP cord-007444-c9vu8ako 151 3 .~ .~ . cord-007444-c9vu8ako 152 1 Despite despite IN cord-007444-c9vu8ako 152 2 these these DT cord-007444-c9vu8ako 152 3 recent recent JJ cord-007444-c9vu8ako 152 4 intriguing intriguing JJ cord-007444-c9vu8ako 152 5 data datum NNS cord-007444-c9vu8ako 152 6 suggesting suggest VBG cord-007444-c9vu8ako 152 7 that that IN cord-007444-c9vu8ako 152 8 immunomodulatory immunomodulatory JJ cord-007444-c9vu8ako 152 9 agents agent NNS cord-007444-c9vu8ako 152 10 may may MD cord-007444-c9vu8ako 152 11 attenuate attenuate VB cord-007444-c9vu8ako 152 12 the the DT cord-007444-c9vu8ako 152 13 development development NN cord-007444-c9vu8ako 152 14 of of IN cord-007444-c9vu8ako 152 15 AECOPD AECOPD NNP cord-007444-c9vu8ako 152 16 , , , cord-007444-c9vu8ako 152 17 randomized randomized JJ cord-007444-c9vu8ako 152 18 , , , cord-007444-c9vu8ako 152 19 controlled controlled JJ cord-007444-c9vu8ako 152 20 trials trial NNS cord-007444-c9vu8ako 152 21 are be VBP cord-007444-c9vu8ako 152 22 needed need VBN cord-007444-c9vu8ako 152 23 to to TO cord-007444-c9vu8ako 152 24 clarify clarify VB cord-007444-c9vu8ako 152 25 their -PRON- PRP$ cord-007444-c9vu8ako 152 26 potential potential JJ cord-007444-c9vu8ako 152 27 roles role NNS cord-007444-c9vu8ako 152 28 in in IN cord-007444-c9vu8ako 152 29 the the DT cord-007444-c9vu8ako 152 30 routine routine JJ cord-007444-c9vu8ako 152 31 management management NN cord-007444-c9vu8ako 152 32 of of IN cord-007444-c9vu8ako 152 33 patients patient NNS cord-007444-c9vu8ako 152 34 with with IN cord-007444-c9vu8ako 152 35 COPD COPD NNP cord-007444-c9vu8ako 152 36 . . . cord-007444-c9vu8ako 153 1 The the DT cord-007444-c9vu8ako 153 2 following following JJ cord-007444-c9vu8ako 153 3 sections section NNS cord-007444-c9vu8ako 153 4 provide provide VBP cord-007444-c9vu8ako 153 5 an an DT cord-007444-c9vu8ako 153 6 overview overview NN cord-007444-c9vu8ako 153 7 of of IN cord-007444-c9vu8ako 153 8 the the DT cord-007444-c9vu8ako 153 9 merits merit NNS cord-007444-c9vu8ako 153 10 ( ( -LRB- cord-007444-c9vu8ako 153 11 or or CC cord-007444-c9vu8ako 153 12 lack lack NN cord-007444-c9vu8ako 153 13 thereof thereof RB cord-007444-c9vu8ako 153 14 ) ) -RRB- cord-007444-c9vu8ako 153 15 of of IN cord-007444-c9vu8ako 153 16 common common JJ cord-007444-c9vu8ako 153 17 therapeutic therapeutic JJ cord-007444-c9vu8ako 153 18 interventions intervention NNS cord-007444-c9vu8ako 153 19 for for IN cord-007444-c9vu8ako 153 20 AECOPD AECOPD NNP cord-007444-c9vu8ako 153 21 . . . cord-007444-c9vu8ako 154 1 Controlled control VBN cord-007444-c9vu8ako 154 2 oxygen oxygen NN cord-007444-c9vu8ako 154 3 ( ( -LRB- cord-007444-c9vu8ako 154 4 O o UH cord-007444-c9vu8ako 154 5 , , , cord-007444-c9vu8ako 154 6 ) ) -RRB- cord-007444-c9vu8ako 154 7 , , , cord-007444-c9vu8ako 154 8 bronchodilators bronchodilator NNS cord-007444-c9vu8ako 154 9 , , , cord-007444-c9vu8ako 154 10 antibiotics antibiotic NNS cord-007444-c9vu8ako 154 11 , , , cord-007444-c9vu8ako 154 12 corticosteroids corticosteroid NNS cord-007444-c9vu8ako 154 13 , , , cord-007444-c9vu8ako 154 14 noninvasive noninvasive JJ cord-007444-c9vu8ako 154 15 ventilation ventilation NN cord-007444-c9vu8ako 154 16 , , , cord-007444-c9vu8ako 154 17 nutritional nutritional JJ cord-007444-c9vu8ako 154 18 support support NN cord-007444-c9vu8ako 154 19 , , , cord-007444-c9vu8ako 154 20 and and CC cord-007444-c9vu8ako 154 21 chest chest NN cord-007444-c9vu8ako 154 22 physiotherapy physiotherapy NN cord-007444-c9vu8ako 154 23 are be VBP cord-007444-c9vu8ako 154 24 discussed discuss VBN cord-007444-c9vu8ako 154 25 . . . cord-007444-c9vu8ako 155 1 When when WRB cord-007444-c9vu8ako 155 2 available available JJ cord-007444-c9vu8ako 155 3 , , , cord-007444-c9vu8ako 155 4 evidence evidence NN cord-007444-c9vu8ako 155 5 from from IN cord-007444-c9vu8ako 155 6 randomized randomized JJ cord-007444-c9vu8ako 155 7 controlled control VBN cord-007444-c9vu8ako 155 8 trials trial NNS cord-007444-c9vu8ako 155 9 is be VBZ cord-007444-c9vu8ako 155 10 presented present VBN cord-007444-c9vu8ako 155 11 . . . cord-007444-c9vu8ako 156 1 Hypoxemia Hypoxemia NNP cord-007444-c9vu8ako 156 2 is be VBZ cord-007444-c9vu8ako 156 3 the the DT cord-007444-c9vu8ako 156 4 most most RBS cord-007444-c9vu8ako 156 5 immediate immediate JJ cord-007444-c9vu8ako 156 6 threat threat NN cord-007444-c9vu8ako 156 7 to to IN cord-007444-c9vu8ako 156 8 life life NN cord-007444-c9vu8ako 156 9 for for IN cord-007444-c9vu8ako 156 10 patients patient NNS cord-007444-c9vu8ako 156 11 with with IN cord-007444-c9vu8ako 156 12 AECOPD AECOPD NNP cord-007444-c9vu8ako 156 13 . . . cord-007444-c9vu8ako 157 1 Hypercapnia Hypercapnia NNP cord-007444-c9vu8ako 157 2 is be VBZ cord-007444-c9vu8ako 157 3 a a DT cord-007444-c9vu8ako 157 4 wellrecognized wellrecognized JJ cord-007444-c9vu8ako 157 5 consequence consequence NN cord-007444-c9vu8ako 157 6 of of IN cord-007444-c9vu8ako 157 7 0 0 CD cord-007444-c9vu8ako 157 8 , , , cord-007444-c9vu8ako 157 9 therapy therapy NN cord-007444-c9vu8ako 157 10 . . . cord-007444-c9vu8ako 158 1 In in IN cord-007444-c9vu8ako 158 2 the the DT cord-007444-c9vu8ako 158 3 past past NN cord-007444-c9vu8ako 158 4 , , , cord-007444-c9vu8ako 158 5 the the DT cord-007444-c9vu8ako 158 6 risk risk NN cord-007444-c9vu8ako 158 7 of of IN cord-007444-c9vu8ako 158 8 hypoventilation hypoventilation NN cord-007444-c9vu8ako 158 9 or or CC cord-007444-c9vu8ako 158 10 even even RB cord-007444-c9vu8ako 158 11 apnea apnea NN cord-007444-c9vu8ako 158 12 resulting result VBG cord-007444-c9vu8ako 158 13 from from IN cord-007444-c9vu8ako 158 14 0 0 CD cord-007444-c9vu8ako 158 15 , , , cord-007444-c9vu8ako 158 16 administration administration NN cord-007444-c9vu8ako 158 17 has have VBZ cord-007444-c9vu8ako 158 18 been be VBN cord-007444-c9vu8ako 158 19 vastly vastly RB cord-007444-c9vu8ako 158 20 overestimated overestimate VBN cord-007444-c9vu8ako 158 21 , , , cord-007444-c9vu8ako 158 22 and and CC cord-007444-c9vu8ako 158 23 the the DT cord-007444-c9vu8ako 158 24 notion notion NN cord-007444-c9vu8ako 158 25 that that IN cord-007444-c9vu8ako 158 26 0 0 CD cord-007444-c9vu8ako 158 27 , , , cord-007444-c9vu8ako 158 28 commonly commonly RB cord-007444-c9vu8ako 158 29 induces induce VBZ cord-007444-c9vu8ako 158 30 clinically clinically RB cord-007444-c9vu8ako 158 31 important important JJ cord-007444-c9vu8ako 158 32 hypercarbia hypercarbia NN cord-007444-c9vu8ako 158 33 and and CC cord-007444-c9vu8ako 158 34 acidosis acidosis NN cord-007444-c9vu8ako 158 35 has have VBZ cord-007444-c9vu8ako 158 36 been be VBN cord-007444-c9vu8ako 158 37 discredited discredit VBN cord-007444-c9vu8ako 158 38 . . . cord-007444-c9vu8ako 158 39 ' ' '' cord-007444-c9vu8ako 159 1 " " `` cord-007444-c9vu8ako 159 2 13 13 CD cord-007444-c9vu8ako 159 3 , , , cord-007444-c9vu8ako 159 4 39 39 CD cord-007444-c9vu8ako 159 5 , , , cord-007444-c9vu8ako 159 6 lo4 lo4 NNP cord-007444-c9vu8ako 159 7 The the DT cord-007444-c9vu8ako 159 8 traditional traditional JJ cord-007444-c9vu8ako 159 9 concept concept NN cord-007444-c9vu8ako 159 10 is be VBZ cord-007444-c9vu8ako 159 11 that that DT cord-007444-c9vu8ako 159 12 correction correction NN cord-007444-c9vu8ako 159 13 of of IN cord-007444-c9vu8ako 159 14 hypoxemia hypoxemia NN cord-007444-c9vu8ako 159 15 with with IN cord-007444-c9vu8ako 159 16 supplemental supplemental JJ cord-007444-c9vu8ako 159 17 Oz Oz NNP cord-007444-c9vu8ako 159 18 removes remove VBZ cord-007444-c9vu8ako 159 19 the the DT cord-007444-c9vu8ako 159 20 hypoxic hypoxic JJ cord-007444-c9vu8ako 159 21 drive drive NN cord-007444-c9vu8ako 159 22 to to TO cord-007444-c9vu8ako 159 23 breathe breathe VB cord-007444-c9vu8ako 159 24 and and CC cord-007444-c9vu8ako 159 25 leads lead VBZ cord-007444-c9vu8ako 159 26 to to IN cord-007444-c9vu8ako 159 27 a a DT cord-007444-c9vu8ako 159 28 fall fall NN cord-007444-c9vu8ako 159 29 in in IN cord-007444-c9vu8ako 159 30 minute minute NN cord-007444-c9vu8ako 159 31 ventilation ventilation NN cord-007444-c9vu8ako 159 32 and and CC cord-007444-c9vu8ako 159 33 subsequent subsequent JJ cord-007444-c9vu8ako 159 34 carbon carbon NN cord-007444-c9vu8ako 159 35 dioxide dioxide NN cord-007444-c9vu8ako 159 36 ( ( -LRB- cord-007444-c9vu8ako 159 37 CO CO NNP cord-007444-c9vu8ako 159 38 , , , cord-007444-c9vu8ako 159 39 ) ) -RRB- cord-007444-c9vu8ako 160 1 retention.47 retention.47 NNP cord-007444-c9vu8ako 160 2 Aubier Aubier NNP cord-007444-c9vu8ako 160 3 et et NNP cord-007444-c9vu8ako 160 4 all2 all2 NN cord-007444-c9vu8ako 160 5 found find VBD cord-007444-c9vu8ako 160 6 that that IN cord-007444-c9vu8ako 160 7 although although IN cord-007444-c9vu8ako 160 8 administration administration NN cord-007444-c9vu8ako 160 9 of of IN cord-007444-c9vu8ako 160 10 supplemental supplemental NNP cord-007444-c9vu8ako 160 11 Oz Oz NNP cord-007444-c9vu8ako 160 12 does do VBZ cord-007444-c9vu8ako 160 13 reduce reduce VB cord-007444-c9vu8ako 160 14 minute minute NN cord-007444-c9vu8ako 160 15 ventilation ventilation NN cord-007444-c9vu8ako 160 16 and and CC cord-007444-c9vu8ako 160 17 increase increase VB cord-007444-c9vu8ako 160 18 arterial arterial JJ cord-007444-c9vu8ako 160 19 partial partial JJ cord-007444-c9vu8ako 160 20 pressure pressure NN cord-007444-c9vu8ako 160 21 of of IN cord-007444-c9vu8ako 160 22 carbon carbon NN cord-007444-c9vu8ako 160 23 dioxide dioxide NN cord-007444-c9vu8ako 160 24 ( ( -LRB- cord-007444-c9vu8ako 160 25 Paco Paco NNP cord-007444-c9vu8ako 160 26 , , , cord-007444-c9vu8ako 160 27 ) ) -RRB- cord-007444-c9vu8ako 160 28 , , , cord-007444-c9vu8ako 160 29 mouth mouth NN cord-007444-c9vu8ako 160 30 occlusion occlusion NN cord-007444-c9vu8ako 160 31 pressure pressure NN cord-007444-c9vu8ako 160 32 ( ( -LRB- cord-007444-c9vu8ako 160 33 an an DT cord-007444-c9vu8ako 160 34 indicator indicator NN cord-007444-c9vu8ako 160 35 of of IN cord-007444-c9vu8ako 160 36 central central JJ cord-007444-c9vu8ako 160 37 respiratory respiratory JJ cord-007444-c9vu8ako 160 38 drive drive NN cord-007444-c9vu8ako 160 39 ) ) -RRB- cord-007444-c9vu8ako 160 40 was be VBD cord-007444-c9vu8ako 160 41 significantly significantly RB cord-007444-c9vu8ako 160 42 higher high JJR cord-007444-c9vu8ako 160 43 during during IN cord-007444-c9vu8ako 160 44 acute acute JJ cord-007444-c9vu8ako 160 45 exacerbations exacerbation NNS cord-007444-c9vu8ako 160 46 than than IN cord-007444-c9vu8ako 160 47 during during IN cord-007444-c9vu8ako 160 48 stable stable JJ cord-007444-c9vu8ako 160 49 conditions condition NNS cord-007444-c9vu8ako 160 50 . . . cord-007444-c9vu8ako 161 1 The the DT cord-007444-c9vu8ako 161 2 drive drive NN cord-007444-c9vu8ako 161 3 to to TO cord-007444-c9vu8ako 161 4 breathe breathe VB cord-007444-c9vu8ako 161 5 therefore therefore RB cord-007444-c9vu8ako 161 6 remained remain VBD cord-007444-c9vu8ako 161 7 very very RB cord-007444-c9vu8ako 161 8 high high JJ cord-007444-c9vu8ako 161 9 in in IN cord-007444-c9vu8ako 161 10 spite spite NN cord-007444-c9vu8ako 161 11 of of IN cord-007444-c9vu8ako 161 12 oxygen oxygen NN cord-007444-c9vu8ako 161 13 treatment treatment NN cord-007444-c9vu8ako 161 14 . . . cord-007444-c9vu8ako 162 1 In in IN cord-007444-c9vu8ako 162 2 a a DT cord-007444-c9vu8ako 162 3 later later JJ cord-007444-c9vu8ako 162 4 study study NN cord-007444-c9vu8ako 162 5 by by IN cord-007444-c9vu8ako 162 6 the the DT cord-007444-c9vu8ako 162 7 same same JJ cord-007444-c9vu8ako 162 8 authors author NNS cord-007444-c9vu8ako 162 9 , , , cord-007444-c9vu8ako 162 10 I3 I3 NNP cord-007444-c9vu8ako 162 11 patients patient NNS cord-007444-c9vu8ako 162 12 with with IN cord-007444-c9vu8ako 162 13 COPD COPD NNP cord-007444-c9vu8ako 162 14 and and CC cord-007444-c9vu8ako 162 15 acute acute JJ cord-007444-c9vu8ako 162 16 respiratory respiratory JJ cord-007444-c9vu8ako 162 17 failure failure NN cord-007444-c9vu8ako 162 18 received receive VBD cord-007444-c9vu8ako 162 19 100 100 CD cord-007444-c9vu8ako 162 20 % % NN cord-007444-c9vu8ako 162 21 0 0 CD cord-007444-c9vu8ako 162 22 , , , cord-007444-c9vu8ako 162 23 for for IN cord-007444-c9vu8ako 162 24 15 15 CD cord-007444-c9vu8ako 162 25 minutes minute NNS cord-007444-c9vu8ako 162 26 to to TO cord-007444-c9vu8ako 162 27 abolish abolish VB cord-007444-c9vu8ako 162 28 hypoxic hypoxic JJ cord-007444-c9vu8ako 162 29 drive drive NN cord-007444-c9vu8ako 162 30 . . . cord-007444-c9vu8ako 163 1 Minute minute NN cord-007444-c9vu8ako 163 2 ventilation ventilation NN cord-007444-c9vu8ako 163 3 fell fall VBD cord-007444-c9vu8ako 163 4 by by IN cord-007444-c9vu8ako 163 5 only only RB cord-007444-c9vu8ako 163 6 7 7 CD cord-007444-c9vu8ako 163 7 % % NN cord-007444-c9vu8ako 163 8 and and CC cord-007444-c9vu8ako 163 9 could could MD cord-007444-c9vu8ako 163 10 not not RB cord-007444-c9vu8ako 163 11 account account VB cord-007444-c9vu8ako 163 12 for for IN cord-007444-c9vu8ako 163 13 the the DT cord-007444-c9vu8ako 163 14 entire entire JJ cord-007444-c9vu8ako 163 15 increase increase NN cord-007444-c9vu8ako 163 16 in in IN cord-007444-c9vu8ako 163 17 Paco Paco NNP cord-007444-c9vu8ako 163 18 , , , cord-007444-c9vu8ako 163 19 . . . cord-007444-c9vu8ako 164 1 The the DT cord-007444-c9vu8ako 164 2 authors author NNS cord-007444-c9vu8ako 164 3 concluded conclude VBD cord-007444-c9vu8ako 164 4 that that IN cord-007444-c9vu8ako 164 5 the the DT cord-007444-c9vu8ako 164 6 rise rise NN cord-007444-c9vu8ako 164 7 in in IN cord-007444-c9vu8ako 164 8 C02 C02 NNP cord-007444-c9vu8ako 164 9 was be VBD cord-007444-c9vu8ako 164 10 caused cause VBN cord-007444-c9vu8ako 164 11 by by IN cord-007444-c9vu8ako 164 12 increased increase VBN cord-007444-c9vu8ako 164 13 VD VD NNP cord-007444-c9vu8ako 164 14 / / SYM cord-007444-c9vu8ako 164 15 VT VT NNP cord-007444-c9vu8ako 164 16 ) ) -RRB- cord-007444-c9vu8ako 165 1 ( ( -LRB- cord-007444-c9vu8ako 165 2 i.e. i.e. FW cord-007444-c9vu8ako 165 3 , , , cord-007444-c9vu8ako 165 4 increased increase VBN cord-007444-c9vu8ako 165 5 deadspace deadspace NNP cord-007444-c9vu8ako 165 6 ventilation ventilation NN cord-007444-c9vu8ako 165 7 ) ) -RRB- cord-007444-c9vu8ako 165 8 and and CC cord-007444-c9vu8ako 165 9 that that IN cord-007444-c9vu8ako 165 10 the the DT cord-007444-c9vu8ako 165 11 primary primary JJ cord-007444-c9vu8ako 165 12 mechanism mechanism NN cord-007444-c9vu8ako 165 13 of of IN cord-007444-c9vu8ako 165 14 Oz Oz NNP cord-007444-c9vu8ako 165 15 - - HYPH cord-007444-c9vu8ako 165 16 induced induce VBN cord-007444-c9vu8ako 165 17 hypercarbia hypercarbia NN cord-007444-c9vu8ako 165 18 is be VBZ cord-007444-c9vu8ako 165 19 V V NNP cord-007444-c9vu8ako 165 20 / / SYM cord-007444-c9vu8ako 165 21 Q q NN cord-007444-c9vu8ako 165 22 mismatching mismatching NN cord-007444-c9vu8ako 165 23 , , , cord-007444-c9vu8ako 165 24 perhaps perhaps RB cord-007444-c9vu8ako 165 25 through through IN cord-007444-c9vu8ako 165 26 the the DT cord-007444-c9vu8ako 165 27 loss loss NN cord-007444-c9vu8ako 165 28 of of IN cord-007444-c9vu8ako 165 29 hypoxic hypoxic JJ cord-007444-c9vu8ako 165 30 vasoconstriction vasoconstriction NN cord-007444-c9vu8ako 165 31 . . . cord-007444-c9vu8ako 166 1 More More JJR cord-007444-c9vu8ako 166 2 recent recent JJ cord-007444-c9vu8ako 166 3 work work NN cord-007444-c9vu8ako 166 4 by by IN cord-007444-c9vu8ako 166 5 Dunn Dunn NNP cord-007444-c9vu8ako 166 6 et et NNP cord-007444-c9vu8ako 166 7 a139 a139 NNP cord-007444-c9vu8ako 166 8 and and CC cord-007444-c9vu8ako 166 9 Stradling119 Stradling119 NNP cord-007444-c9vu8ako 166 10 has have VBZ cord-007444-c9vu8ako 166 11 challenged challenge VBN cord-007444-c9vu8ako 166 12 Aubier Aubier NNP cord-007444-c9vu8ako 166 13 's 's POS cord-007444-c9vu8ako 166 14 conclusions conclusion NNS cord-007444-c9vu8ako 166 15 and and CC cord-007444-c9vu8ako 166 16 defended defend VBD cord-007444-c9vu8ako 166 17 the the DT cord-007444-c9vu8ako 166 18 traditional traditional JJ cord-007444-c9vu8ako 166 19 concept concept NN cord-007444-c9vu8ako 166 20 that that IN cord-007444-c9vu8ako 166 21 hypoventilation hypoventilation NN cord-007444-c9vu8ako 166 22 , , , cord-007444-c9vu8ako 166 23 rather rather RB cord-007444-c9vu8ako 166 24 than than IN cord-007444-c9vu8ako 166 25 V v NN cord-007444-c9vu8ako 166 26 / / SYM cord-007444-c9vu8ako 166 27 Q q NN cord-007444-c9vu8ako 166 28 mismatching mismatching NN cord-007444-c9vu8ako 166 29 , , , cord-007444-c9vu8ako 166 30 is be VBZ cord-007444-c9vu8ako 166 31 to to TO cord-007444-c9vu8ako 166 32 blame blame VB cord-007444-c9vu8ako 166 33 for for IN cord-007444-c9vu8ako 166 34 0,-induced 0,-induced NNP cord-007444-c9vu8ako 166 35 hypercarbia hypercarbia NNP cord-007444-c9vu8ako 166 36 . . . cord-007444-c9vu8ako 167 1 One one CD cord-007444-c9vu8ako 167 2 further further JJ cord-007444-c9vu8ako 167 3 mechanism mechanism NN cord-007444-c9vu8ako 167 4 that that WDT cord-007444-c9vu8ako 167 5 appears appear VBZ cord-007444-c9vu8ako 167 6 to to TO cord-007444-c9vu8ako 167 7 contribute contribute VB cord-007444-c9vu8ako 167 8 , , , cord-007444-c9vu8ako 167 9 albeit albeit IN cord-007444-c9vu8ako 167 10 to to IN cord-007444-c9vu8ako 167 11 a a DT cord-007444-c9vu8ako 167 12 minor minor JJ cord-007444-c9vu8ako 167 13 extent extent NN cord-007444-c9vu8ako 167 14 , , , cord-007444-c9vu8ako 167 15 is be VBZ cord-007444-c9vu8ako 167 16 the the DT cord-007444-c9vu8ako 167 17 Haldane Haldane NNP cord-007444-c9vu8ako 167 18 effect effect NN cord-007444-c9vu8ako 167 19 , , , cord-007444-c9vu8ako 167 20 whereby whereby WRB cord-007444-c9vu8ako 167 21 CO CO NNP cord-007444-c9vu8ako 167 22 , , , cord-007444-c9vu8ako 167 23 is be VBZ cord-007444-c9vu8ako 167 24 displaced displace VBN cord-007444-c9vu8ako 167 25 from from IN cord-007444-c9vu8ako 167 26 hemoglobin hemoglobin NN cord-007444-c9vu8ako 167 27 by by IN cord-007444-c9vu8ako 167 28 0 0 CD cord-007444-c9vu8ako 167 29 , , , cord-007444-c9vu8ako 167 30 causing cause VBG cord-007444-c9vu8ako 167 31 a a DT cord-007444-c9vu8ako 167 32 rise rise NN cord-007444-c9vu8ako 167 33 in in IN cord-007444-c9vu8ako 167 34 P p NN cord-007444-c9vu8ako 167 35 ~ ~ CD cord-007444-c9vu8ako 167 36 c c NN cord-007444-c9vu8ako 167 37 o o NN cord-007444-c9vu8ako 167 38 , , , cord-007444-c9vu8ako 167 39 .~~~ .~~~ . cord-007444-c9vu8ako 168 1 Nevertheless nevertheless RB cord-007444-c9vu8ako 168 2 , , , cord-007444-c9vu8ako 168 3 the the DT cord-007444-c9vu8ako 168 4 risks risk NNS cord-007444-c9vu8ako 168 5 for for IN cord-007444-c9vu8ako 168 6 acute acute JJ cord-007444-c9vu8ako 168 7 hypoxemia hypoxemia NN cord-007444-c9vu8ako 168 8 far far RB cord-007444-c9vu8ako 168 9 outweigh outweigh VBP cord-007444-c9vu8ako 168 10 the the DT cord-007444-c9vu8ako 168 11 risks risk NNS cord-007444-c9vu8ako 168 12 for for IN cord-007444-c9vu8ako 168 13 severe severe JJ cord-007444-c9vu8ako 168 14 hypercarbia hypercarbia NN cord-007444-c9vu8ako 168 15 . . . cord-007444-c9vu8ako 169 1 As as IN cord-007444-c9vu8ako 169 2 such such JJ cord-007444-c9vu8ako 169 3 , , , cord-007444-c9vu8ako 169 4 supplemental supplemental JJ cord-007444-c9vu8ako 169 5 0 0 CD cord-007444-c9vu8ako 169 6 , , , cord-007444-c9vu8ako 169 7 administration administration NN cord-007444-c9vu8ako 169 8 is be VBZ cord-007444-c9vu8ako 169 9 recommended recommend VBN cord-007444-c9vu8ako 169 10 for for IN cord-007444-c9vu8ako 169 11 hypoxemic hypoxemic JJ cord-007444-c9vu8ako 169 12 patients patient NNS cord-007444-c9vu8ako 169 13 with with IN cord-007444-c9vu8ako 169 14 AECOPD AECOPD NNP cord-007444-c9vu8ako 169 15 . . . cord-007444-c9vu8ako 170 1 Oxygen oxygen NN cord-007444-c9vu8ako 170 2 initially initially RB cord-007444-c9vu8ako 170 3 should should MD cord-007444-c9vu8ako 170 4 be be VB cord-007444-c9vu8ako 170 5 given give VBN cord-007444-c9vu8ako 170 6 to to IN cord-007444-c9vu8ako 170 7 any any DT cord-007444-c9vu8ako 170 8 hypoxemic hypoxemic JJ cord-007444-c9vu8ako 170 9 patient patient NN cord-007444-c9vu8ako 170 10 with with IN cord-007444-c9vu8ako 170 11 AECOPD AECOPD NNP cord-007444-c9vu8ako 170 12 by by IN cord-007444-c9vu8ako 170 13 nasal nasal NN cord-007444-c9vu8ako 170 14 cannulae cannulae NNS cord-007444-c9vu8ako 170 15 or or CC cord-007444-c9vu8ako 170 16 Venturi Venturi NNP cord-007444-c9vu8ako 170 17 mask mask NN cord-007444-c9vu8ako 170 18 . . . cord-007444-c9vu8ako 171 1 If if IN cord-007444-c9vu8ako 171 2 nasal nasal NN cord-007444-c9vu8ako 171 3 cannulae cannulae NNS cord-007444-c9vu8ako 171 4 are be VBP cord-007444-c9vu8ako 171 5 used use VBN cord-007444-c9vu8ako 171 6 , , , cord-007444-c9vu8ako 171 7 flow flow NN cord-007444-c9vu8ako 171 8 rates rate NNS cord-007444-c9vu8ako 171 9 of of IN cord-007444-c9vu8ako 171 10 1 1 CD cord-007444-c9vu8ako 171 11 to to IN cord-007444-c9vu8ako 171 12 2 2 CD cord-007444-c9vu8ako 171 13 L l NN cord-007444-c9vu8ako 171 14 / / SYM cord-007444-c9vu8ako 171 15 minute minute NN cord-007444-c9vu8ako 171 16 generally generally RB cord-007444-c9vu8ako 171 17 suffice suffice VBP cord-007444-c9vu8ako 171 18 . . . cord-007444-c9vu8ako 172 1 The the DT cord-007444-c9vu8ako 172 2 inspired inspire VBN cord-007444-c9vu8ako 172 3 concentration concentration NN cord-007444-c9vu8ako 172 4 of of IN cord-007444-c9vu8ako 172 5 oxygen oxygen NN cord-007444-c9vu8ako 172 6 ( ( -LRB- cord-007444-c9vu8ako 172 7 Fio Fio NNP cord-007444-c9vu8ako 172 8 , , , cord-007444-c9vu8ako 172 9 ) ) -RRB- cord-007444-c9vu8ako 172 10 usually usually RB cord-007444-c9vu8ako 172 11 increases increase VBZ cord-007444-c9vu8ako 172 12 by by IN cord-007444-c9vu8ako 172 13 3 3 CD cord-007444-c9vu8ako 172 14 % % NN cord-007444-c9vu8ako 172 15 to to TO cord-007444-c9vu8ako 172 16 4 4 CD cord-007444-c9vu8ako 172 17 % % NN cord-007444-c9vu8ako 172 18 for for IN cord-007444-c9vu8ako 172 19 each each DT cord-007444-c9vu8ako 172 20 increase increase NN cord-007444-c9vu8ako 172 21 of of IN cord-007444-c9vu8ako 172 22 1 1 CD cord-007444-c9vu8ako 172 23 L l NN cord-007444-c9vu8ako 172 24 / / SYM cord-007444-c9vu8ako 172 25 minute minute NN cord-007444-c9vu8ako 172 26 in in IN cord-007444-c9vu8ako 172 27 flow flow NN cord-007444-c9vu8ako 172 28 but but CC cord-007444-c9vu8ako 172 29 varies vary VBZ cord-007444-c9vu8ako 172 30 according accord VBG cord-007444-c9vu8ako 172 31 to to IN cord-007444-c9vu8ako 172 32 the the DT cord-007444-c9vu8ako 172 33 patient patient NN cord-007444-c9vu8ako 172 34 's 's POS cord-007444-c9vu8ako 172 35 own own JJ cord-007444-c9vu8ako 172 36 inspiratory inspiratory JJ cord-007444-c9vu8ako 172 37 flow flow NN cord-007444-c9vu8ako 172 38 rate rate NN cord-007444-c9vu8ako 172 39 . . . cord-007444-c9vu8ako 173 1 Venturi venturi NN cord-007444-c9vu8ako 173 2 masks mask NNS cord-007444-c9vu8ako 173 3 are be VBP cord-007444-c9vu8ako 173 4 more more RBR cord-007444-c9vu8ako 173 5 precise precise JJ cord-007444-c9vu8ako 173 6 and and CC cord-007444-c9vu8ako 173 7 should should MD cord-007444-c9vu8ako 173 8 initially initially RB cord-007444-c9vu8ako 173 9 be be VB cord-007444-c9vu8ako 173 10 set set VBN cord-007444-c9vu8ako 173 11 to to TO cord-007444-c9vu8ako 173 12 deliver deliver VB cord-007444-c9vu8ako 173 13 a a DT cord-007444-c9vu8ako 173 14 Fio Fio NNP cord-007444-c9vu8ako 173 15 , , , cord-007444-c9vu8ako 173 16 of of IN cord-007444-c9vu8ako 173 17 24 24 CD cord-007444-c9vu8ako 173 18 % % NN cord-007444-c9vu8ako 173 19 to to IN cord-007444-c9vu8ako 173 20 28 28 CD cord-007444-c9vu8ako 173 21 % % NN cord-007444-c9vu8ako 173 22 . . . cord-007444-c9vu8ako 174 1 On on IN cord-007444-c9vu8ako 174 2 average average JJ cord-007444-c9vu8ako 174 3 , , , cord-007444-c9vu8ako 174 4 the the DT cord-007444-c9vu8ako 174 5 Pao Pao NNP cord-007444-c9vu8ako 174 6 , , , cord-007444-c9vu8ako 174 7 increases increase NNS cord-007444-c9vu8ako 174 8 by by IN cord-007444-c9vu8ako 174 9 10 10 CD cord-007444-c9vu8ako 174 10 mm mm NN cord-007444-c9vu8ako 174 11 Hg hg NN cord-007444-c9vu8ako 174 12 when when WRB cord-007444-c9vu8ako 174 13 the the DT cord-007444-c9vu8ako 174 14 Fio Fio NNP cord-007444-c9vu8ako 174 15 , , , cord-007444-c9vu8ako 174 16 is be VBZ cord-007444-c9vu8ako 174 17 increased increase VBN cord-007444-c9vu8ako 174 18 from from IN cord-007444-c9vu8ako 174 19 room room NN cord-007444-c9vu8ako 174 20 air air NN cord-007444-c9vu8ako 174 21 to to IN cord-007444-c9vu8ako 174 22 24 24 CD cord-007444-c9vu8ako 174 23 % % NN cord-007444-c9vu8ako 174 24 , , , cord-007444-c9vu8ako 174 25 and and CC cord-007444-c9vu8ako 174 26 by by IN cord-007444-c9vu8ako 174 27 20 20 CD cord-007444-c9vu8ako 174 28 mm mm NN cord-007444-c9vu8ako 174 29 Hg hg NN cord-007444-c9vu8ako 174 30 when when WRB cord-007444-c9vu8ako 174 31 the the DT cord-007444-c9vu8ako 174 32 Fio Fio NNP cord-007444-c9vu8ako 174 33 , , , cord-007444-c9vu8ako 174 34 is be VBZ cord-007444-c9vu8ako 174 35 increased increase VBN cord-007444-c9vu8ako 174 36 to to IN cord-007444-c9vu8ako 174 37 28%.17 28%.17 CD cord-007444-c9vu8ako 175 1 The the DT cord-007444-c9vu8ako 175 2 target target NN cord-007444-c9vu8ako 175 3 Pao Pao NNP cord-007444-c9vu8ako 175 4 , , , cord-007444-c9vu8ako 175 5 is be VBZ cord-007444-c9vu8ako 176 1 between between IN cord-007444-c9vu8ako 176 2 60 60 CD cord-007444-c9vu8ako 176 3 and and CC cord-007444-c9vu8ako 176 4 70 70 CD cord-007444-c9vu8ako 176 5 mm mm NN cord-007444-c9vu8ako 176 6 Hg Hg NNP cord-007444-c9vu8ako 176 7 , , , cord-007444-c9vu8ako 176 8 corresponding correspond VBG cord-007444-c9vu8ako 176 9 to to IN cord-007444-c9vu8ako 176 10 the the DT cord-007444-c9vu8ako 176 11 Pao Pao NNP cord-007444-c9vu8ako 176 12 , , , cord-007444-c9vu8ako 176 13 at at IN cord-007444-c9vu8ako 176 14 which which WDT cord-007444-c9vu8ako 176 15 there there EX cord-007444-c9vu8ako 176 16 is be VBZ cord-007444-c9vu8ako 176 17 near near RB cord-007444-c9vu8ako 176 18 - - HYPH cord-007444-c9vu8ako 176 19 complete complete JJ cord-007444-c9vu8ako 176 20 saturation saturation NN cord-007444-c9vu8ako 176 21 of of IN cord-007444-c9vu8ako 176 22 hemoglobin hemoglobin NN cord-007444-c9vu8ako 176 23 with with IN cord-007444-c9vu8ako 176 24 0 0 CD cord-007444-c9vu8ako 176 25 , , , cord-007444-c9vu8ako 176 26 . . . cord-007444-c9vu8ako 177 1 Rarely rarely RB cord-007444-c9vu8ako 177 2 , , , cord-007444-c9vu8ako 177 3 overzealous overzealous JJ cord-007444-c9vu8ako 177 4 0 0 CD cord-007444-c9vu8ako 177 5 , , , cord-007444-c9vu8ako 177 6 administration administration NN cord-007444-c9vu8ako 177 7 produces produce VBZ cord-007444-c9vu8ako 177 8 progressive progressive JJ cord-007444-c9vu8ako 177 9 hypercapnia hypercapnia NN cord-007444-c9vu8ako 177 10 and and CC cord-007444-c9vu8ako 177 11 respiratory respiratory JJ cord-007444-c9vu8ako 177 12 acidosis.2o acidosis.2o NN cord-007444-c9vu8ako 177 13 , , , cord-007444-c9vu8ako 177 14 34 34 CD cord-007444-c9vu8ako 177 15 , , , cord-007444-c9vu8ako 177 16 74 74 CD cord-007444-c9vu8ako 177 17 For for IN cord-007444-c9vu8ako 177 18 this this DT cord-007444-c9vu8ako 177 19 reason reason NN cord-007444-c9vu8ako 177 20 , , , cord-007444-c9vu8ako 177 21 response response NN cord-007444-c9vu8ako 177 22 to to IN cord-007444-c9vu8ako 177 23 0 0 CD cord-007444-c9vu8ako 177 24 , , , cord-007444-c9vu8ako 177 25 must must MD cord-007444-c9vu8ako 177 26 be be VB cord-007444-c9vu8ako 177 27 assessed assess VBN cord-007444-c9vu8ako 177 28 according accord VBG cord-007444-c9vu8ako 177 29 to to IN cord-007444-c9vu8ako 177 30 arterial arterial JJ cord-007444-c9vu8ako 177 31 blood blood NN cord-007444-c9vu8ako 177 32 gas gas NN cord-007444-c9vu8ako 177 33 and and CC cord-007444-c9vu8ako 177 34 pH ph NN cord-007444-c9vu8ako 177 35 measurements measurement NNS cord-007444-c9vu8ako 177 36 . . . cord-007444-c9vu8ako 178 1 These these DT cord-007444-c9vu8ako 178 2 should should MD cord-007444-c9vu8ako 178 3 be be VB cord-007444-c9vu8ako 178 4 obtained obtain VBN cord-007444-c9vu8ako 178 5 at at IN cord-007444-c9vu8ako 178 6 baseline baseline NN cord-007444-c9vu8ako 178 7 and and CC cord-007444-c9vu8ako 178 8 within within IN cord-007444-c9vu8ako 178 9 60 60 CD cord-007444-c9vu8ako 178 10 minutes minute NNS cord-007444-c9vu8ako 178 11 of of IN cord-007444-c9vu8ako 178 12 starting start VBG cord-007444-c9vu8ako 178 13 or or CC cord-007444-c9vu8ako 178 14 changing change VBG cord-007444-c9vu8ako 178 15 the the DT cord-007444-c9vu8ako 178 16 0 0 CD cord-007444-c9vu8ako 178 17 , , , cord-007444-c9vu8ako 178 18 concentration concentration NN cord-007444-c9vu8ako 178 19 . . . cord-007444-c9vu8ako 179 1 If if IN cord-007444-c9vu8ako 179 2 Pao Pao NNP cord-007444-c9vu8ako 179 3 , , , cord-007444-c9vu8ako 179 4 remains remain VBZ cord-007444-c9vu8ako 179 5 intractably intractably RB cord-007444-c9vu8ako 179 6 low low JJ cord-007444-c9vu8ako 179 7 or or CC cord-007444-c9vu8ako 179 8 the the DT cord-007444-c9vu8ako 179 9 pH pH NNP cord-007444-c9vu8ako 179 10 drops drop VBZ cord-007444-c9vu8ako 179 11 as as IN cord-007444-c9vu8ako 179 12 a a DT cord-007444-c9vu8ako 179 13 result result NN cord-007444-c9vu8ako 179 14 of of IN cord-007444-c9vu8ako 179 15 increasing increase VBG cord-007444-c9vu8ako 179 16 Paco Paco NNP cord-007444-c9vu8ako 179 17 , , , cord-007444-c9vu8ako 179 18 alternate alternate JJ cord-007444-c9vu8ako 179 19 strategies strategy NNS cord-007444-c9vu8ako 179 20 to to TO cord-007444-c9vu8ako 179 21 improve improve VB cord-007444-c9vu8ako 179 22 hypoxemia hypoxemia NN cord-007444-c9vu8ako 179 23 and and CC cord-007444-c9vu8ako 179 24 respiratory respiratory JJ cord-007444-c9vu8ako 179 25 acidosis acidosis NN cord-007444-c9vu8ako 179 26 must must MD cord-007444-c9vu8ako 179 27 be be VB cord-007444-c9vu8ako 179 28 devised devise VBN cord-007444-c9vu8ako 179 29 . . . cord-007444-c9vu8ako 180 1 These these DT cord-007444-c9vu8ako 180 2 include include VBP cord-007444-c9vu8ako 180 3 maximizing maximize VBG cord-007444-c9vu8ako 180 4 bronchodilation bronchodilation NN cord-007444-c9vu8ako 180 5 and and CC cord-007444-c9vu8ako 180 6 the the DT cord-007444-c9vu8ako 180 7 use use NN cord-007444-c9vu8ako 180 8 of of IN cord-007444-c9vu8ako 180 9 assisted assist VBN cord-007444-c9vu8ako 180 10 ventilation ventilation NN cord-007444-c9vu8ako 180 11 . . . cord-007444-c9vu8ako 181 1 The the DT cord-007444-c9vu8ako 181 2 role role NN cord-007444-c9vu8ako 181 3 of of IN cord-007444-c9vu8ako 181 4 bronchodilators bronchodilator NNS cord-007444-c9vu8ako 181 5 in in IN cord-007444-c9vu8ako 181 6 the the DT cord-007444-c9vu8ako 181 7 management management NN cord-007444-c9vu8ako 181 8 of of IN cord-007444-c9vu8ako 181 9 stable stable JJ cord-007444-c9vu8ako 181 10 COPD COPD NNP cord-007444-c9vu8ako 181 11 is be VBZ cord-007444-c9vu8ako 181 12 discussed discuss VBN cord-007444-c9vu8ako 181 13 in in IN cord-007444-c9vu8ako 181 14 the the DT cord-007444-c9vu8ako 181 15 article article NN cord-007444-c9vu8ako 181 16 by by IN cord-007444-c9vu8ako 181 17 Ferguson Ferguson NNP cord-007444-c9vu8ako 181 18 on on IN cord-007444-c9vu8ako 181 19 pharmacologic pharmacologic JJ cord-007444-c9vu8ako 181 20 therapy therapy NN cord-007444-c9vu8ako 181 21 for for IN cord-007444-c9vu8ako 181 22 COPD COPD NNP cord-007444-c9vu8ako 181 23 . . . cord-007444-c9vu8ako 182 1 Bronchodilator Bronchodilator NNP cord-007444-c9vu8ako 182 2 agents agent NNS cord-007444-c9vu8ako 182 3 , , , cord-007444-c9vu8ako 182 4 specifically specifically RB cord-007444-c9vu8ako 182 5 p,-agonists p,-agonists NNPS cord-007444-c9vu8ako 182 6 and and CC cord-007444-c9vu8ako 182 7 ipratropium ipratropium NN cord-007444-c9vu8ako 182 8 bromide bromide NN cord-007444-c9vu8ako 182 9 ( ( -LRB- cord-007444-c9vu8ako 182 10 IB IB NNP cord-007444-c9vu8ako 182 11 ) ) -RRB- cord-007444-c9vu8ako 182 12 , , , cord-007444-c9vu8ako 182 13 also also RB cord-007444-c9vu8ako 182 14 play play VBP cord-007444-c9vu8ako 182 15 a a DT cord-007444-c9vu8ako 182 16 central central JJ cord-007444-c9vu8ako 182 17 role role NN cord-007444-c9vu8ako 182 18 in in IN cord-007444-c9vu8ako 182 19 the the DT cord-007444-c9vu8ako 182 20 management management NN cord-007444-c9vu8ako 182 21 of of IN cord-007444-c9vu8ako 182 22 patients patient NNS cord-007444-c9vu8ako 182 23 with with IN cord-007444-c9vu8ako 182 24 AECOPD AECOPD NNP cord-007444-c9vu8ako 182 25 , , , cord-007444-c9vu8ako 182 26 with with IN cord-007444-c9vu8ako 182 27 and and CC cord-007444-c9vu8ako 182 28 without without IN cord-007444-c9vu8ako 182 29 respiratory respiratory JJ cord-007444-c9vu8ako 182 30 failure failure NN cord-007444-c9vu8ako 182 31 . . . cord-007444-c9vu8ako 183 1 These these DT cord-007444-c9vu8ako 183 2 agents agent NNS cord-007444-c9vu8ako 183 3 are be VBP cord-007444-c9vu8ako 183 4 generally generally RB cord-007444-c9vu8ako 183 5 given give VBN cord-007444-c9vu8ako 183 6 by by IN cord-007444-c9vu8ako 183 7 inhalation inhalation NN cord-007444-c9vu8ako 183 8 to to TO cord-007444-c9vu8ako 183 9 reduce reduce VB cord-007444-c9vu8ako 183 10 side side NN cord-007444-c9vu8ako 183 11 - - HYPH cord-007444-c9vu8ako 183 12 effects effect NNS cord-007444-c9vu8ako 183 13 and and CC cord-007444-c9vu8ako 183 14 , , , cord-007444-c9vu8ako 183 15 in in IN cord-007444-c9vu8ako 183 16 the the DT cord-007444-c9vu8ako 183 17 acute acute JJ cord-007444-c9vu8ako 183 18 setting setting NN cord-007444-c9vu8ako 183 19 , , , cord-007444-c9vu8ako 183 20 nebulizers nebulizer NNS cord-007444-c9vu8ako 183 21 have have VBP cord-007444-c9vu8ako 183 22 been be VBN cord-007444-c9vu8ako 183 23 traditionally traditionally RB cord-007444-c9vu8ako 183 24 preferred prefer VBN cord-007444-c9vu8ako 183 25 over over IN cord-007444-c9vu8ako 183 26 metered meter VBN cord-007444-c9vu8ako 183 27 - - HYPH cord-007444-c9vu8ako 183 28 dose dose NN cord-007444-c9vu8ako 183 29 inhalers inhaler NNS cord-007444-c9vu8ako 183 30 ( ( -LRB- cord-007444-c9vu8ako 183 31 MDIs mdi NNS cord-007444-c9vu8ako 183 32 ) ) -RRB- cord-007444-c9vu8ako 183 33 for for IN cord-007444-c9vu8ako 183 34 ease ease NN cord-007444-c9vu8ako 183 35 of of IN cord-007444-c9vu8ako 183 36 drug drug NN cord-007444-c9vu8ako 183 37 administration.68 administration.68 NN cord-007444-c9vu8ako 183 38 , , , cord-007444-c9vu8ako 183 39 74 74 CD cord-007444-c9vu8ako 183 40 * * NFP cord-007444-c9vu8ako 184 1 Although although IN cord-007444-c9vu8ako 184 2 there there EX cord-007444-c9vu8ako 184 3 are be VBP cord-007444-c9vu8ako 184 4 few few JJ cord-007444-c9vu8ako 184 5 data datum NNS cord-007444-c9vu8ako 184 6 to to TO cord-007444-c9vu8ako 184 7 support support VB cord-007444-c9vu8ako 184 8 the the DT cord-007444-c9vu8ako 184 9 choice choice NN cord-007444-c9vu8ako 184 10 of of IN cord-007444-c9vu8ako 184 11 either either DT cord-007444-c9vu8ako 184 12 P,-agonists p,-agonist NNS cord-007444-c9vu8ako 184 13 or or CC cord-007444-c9vu8ako 184 14 IB IB NNP cord-007444-c9vu8ako 184 15 as as IN cord-007444-c9vu8ako 184 16 first first JJ cord-007444-c9vu8ako 184 17 - - HYPH cord-007444-c9vu8ako 184 18 line line NN cord-007444-c9vu8ako 184 19 therapy therapy NN cord-007444-c9vu8ako 184 20 for for IN cord-007444-c9vu8ako 184 21 acute acute JJ cord-007444-c9vu8ako 184 22 exacerbations exacerbation NNS cord-007444-c9vu8ako 184 23 , , , cord-007444-c9vu8ako 184 24 P,-agonists p,-agonist NNS cord-007444-c9vu8ako 184 25 are be VBP cord-007444-c9vu8ako 184 26 usually usually RB cord-007444-c9vu8ako 184 27 given give VBN cord-007444-c9vu8ako 184 28 as as IN cord-007444-c9vu8ako 184 29 the the DT cord-007444-c9vu8ako 184 30 first first JJ cord-007444-c9vu8ako 184 31 step step NN cord-007444-c9vu8ako 184 32 , , , cord-007444-c9vu8ako 184 33 perhaps perhaps RB cord-007444-c9vu8ako 184 34 because because IN cord-007444-c9vu8ako 184 35 of of IN cord-007444-c9vu8ako 184 36 the the DT cord-007444-c9vu8ako 184 37 longer long JJR cord-007444-c9vu8ako 184 38 time time NN cord-007444-c9vu8ako 184 39 to to TO cord-007444-c9vu8ako 184 40 peak peak VB cord-007444-c9vu8ako 184 41 effect effect NN cord-007444-c9vu8ako 184 42 for for IN cord-007444-c9vu8ako 184 43 IB.7,73 IB.7,73 NNP cord-007444-c9vu8ako 185 1 When when WRB cord-007444-c9vu8ako 185 2 given give VBN cord-007444-c9vu8ako 185 3 in in IN cord-007444-c9vu8ako 185 4 recommended recommend VBN cord-007444-c9vu8ako 185 5 doses dose NNS cord-007444-c9vu8ako 185 6 ( ( -LRB- cord-007444-c9vu8ako 185 7 two two CD cord-007444-c9vu8ako 185 8 puffs puff NNS cord-007444-c9vu8ako 185 9 ) ) -RRB- cord-007444-c9vu8ako 185 10 , , , cord-007444-c9vu8ako 185 11 IB IB NNP cord-007444-c9vu8ako 185 12 generally generally RB cord-007444-c9vu8ako 185 13 produces produce VBZ cord-007444-c9vu8ako 185 14 greater great JJR cord-007444-c9vu8ako 185 15 bronchodilation bronchodilation NN cord-007444-c9vu8ako 185 16 than than IN cord-007444-c9vu8ako 185 17 p,-agoni p,-agoni NNP cord-007444-c9vu8ako 185 18 ~ ~ NFP cord-007444-c9vu8ako 185 19 ts.~~ ts.~~ NN cord-007444-c9vu8ako 185 20 , , , cord-007444-c9vu8ako 185 21 Ipratropium Ipratropium NNP cord-007444-c9vu8ako 185 22 bromide bromide NN cord-007444-c9vu8ako 185 23 and and CC cord-007444-c9vu8ako 185 24 p,-agonists p,-agonist NNS cord-007444-c9vu8ako 185 25 are be VBP cord-007444-c9vu8ako 185 26 often often RB cord-007444-c9vu8ako 185 27 used use VBN cord-007444-c9vu8ako 185 28 together together RB cord-007444-c9vu8ako 185 29 in in IN cord-007444-c9vu8ako 185 30 the the DT cord-007444-c9vu8ako 185 31 acute acute JJ cord-007444-c9vu8ako 185 32 setting setting NN cord-007444-c9vu8ako 185 33 , , , cord-007444-c9vu8ako 185 34 despite despite IN cord-007444-c9vu8ako 185 35 a a DT cord-007444-c9vu8ako 185 36 lack lack NN cord-007444-c9vu8ako 185 37 of of IN cord-007444-c9vu8ako 185 38 evidence evidence NN cord-007444-c9vu8ako 185 39 from from IN cord-007444-c9vu8ako 185 40 randomized randomize VBN cord-007444-c9vu8ako 185 41 - - HYPH cord-007444-c9vu8ako 185 42 controlled control VBN cord-007444-c9vu8ako 185 43 trials trial NNS cord-007444-c9vu8ako 185 44 that that IN cord-007444-c9vu8ako 185 45 they -PRON- PRP cord-007444-c9vu8ako 185 46 are be VBP cord-007444-c9vu8ako 185 47 more more RBR cord-007444-c9vu8ako 185 48 efficacious efficacious JJ cord-007444-c9vu8ako 185 49 in in IN cord-007444-c9vu8ako 185 50 tandem tandem NN cord-007444-c9vu8ako 185 51 than than IN cord-007444-c9vu8ako 185 52 either either DT cord-007444-c9vu8ako 185 53 agent agent NN cord-007444-c9vu8ako 185 54 alone alone RB cord-007444-c9vu8ako 185 55 in in IN cord-007444-c9vu8ako 185 56 that that DT cord-007444-c9vu8ako 186 1 ~e ~e NNP cord-007444-c9vu8ako 186 2 t t NNP cord-007444-c9vu8ako 186 3 t t NN cord-007444-c9vu8ako 187 1 i i PRP cord-007444-c9vu8ako 187 2 n n CC cord-007444-c9vu8ako 187 3 g g NN cord-007444-c9vu8ako 187 4 .~~,~~,~~ .~~,~~,~~ . cord-007444-c9vu8ako 188 1 In in IN cord-007444-c9vu8ako 188 2 a a DT cord-007444-c9vu8ako 188 3 doubleblind doubleblind NN cord-007444-c9vu8ako 188 4 , , , cord-007444-c9vu8ako 188 5 randomized randomized JJ cord-007444-c9vu8ako 188 6 study study NN cord-007444-c9vu8ako 188 7 involving involve VBG cord-007444-c9vu8ako 188 8 51 51 CD cord-007444-c9vu8ako 188 9 patients patient NNS cord-007444-c9vu8ako 188 10 with with IN cord-007444-c9vu8ako 188 11 AECOPD AECOPD NNP cord-007444-c9vu8ako 188 12 , , , cord-007444-c9vu8ako 188 13 the the DT cord-007444-c9vu8ako 188 14 effects effect NNS cord-007444-c9vu8ako 188 15 of of IN cord-007444-c9vu8ako 188 16 0.5 0.5 CD cord-007444-c9vu8ako 188 17 mg mg NNS cord-007444-c9vu8ako 188 18 of of IN cord-007444-c9vu8ako 188 19 IB IB NNP cord-007444-c9vu8ako 188 20 , , , cord-007444-c9vu8ako 188 21 1.25 1.25 CD cord-007444-c9vu8ako 188 22 mg mg NNS cord-007444-c9vu8ako 188 23 of of IN cord-007444-c9vu8ako 188 24 fenoterol fenoterol NNP cord-007444-c9vu8ako 188 25 , , , cord-007444-c9vu8ako 188 26 or or CC cord-007444-c9vu8ako 188 27 a a DT cord-007444-c9vu8ako 188 28 combination combination NN cord-007444-c9vu8ako 188 29 of of IN cord-007444-c9vu8ako 188 30 the the DT cord-007444-c9vu8ako 188 31 two two CD cord-007444-c9vu8ako 188 32 agents agent NNS cord-007444-c9vu8ako 188 33 were be VBD cord-007444-c9vu8ako 188 34 compared compare VBN cord-007444-c9vu8ako 188 35 . . . cord-007444-c9vu8ako 189 1 All all DT cord-007444-c9vu8ako 189 2 three three CD cord-007444-c9vu8ako 189 3 regimens regimen NNS cord-007444-c9vu8ako 189 4 resulted result VBD cord-007444-c9vu8ako 189 5 in in IN cord-007444-c9vu8ako 189 6 improved improve VBN cord-007444-c9vu8ako 189 7 spirometric spirometric JJ cord-007444-c9vu8ako 189 8 function function NN cord-007444-c9vu8ako 189 9 at at IN cord-007444-c9vu8ako 189 10 45 45 CD cord-007444-c9vu8ako 189 11 and and CC cord-007444-c9vu8ako 189 12 90 90 CD cord-007444-c9vu8ako 189 13 minutes minute NNS cord-007444-c9vu8ako 189 14 post post NN cord-007444-c9vu8ako 189 15 - - NN cord-007444-c9vu8ako 189 16 treatment treatment NN cord-007444-c9vu8ako 189 17 , , , cord-007444-c9vu8ako 189 18 but but CC cord-007444-c9vu8ako 189 19 combination combination NN cord-007444-c9vu8ako 189 20 therapy therapy NN cord-007444-c9vu8ako 189 21 was be VBD cord-007444-c9vu8ako 189 22 no no RB cord-007444-c9vu8ako 189 23 better well JJR cord-007444-c9vu8ako 189 24 than than IN cord-007444-c9vu8ako 189 25 either either DT cord-007444-c9vu8ako 189 26 agent agent NN cord-007444-c9vu8ako 189 27 alone alone RB cord-007444-c9vu8ako 189 28 . . . cord-007444-c9vu8ako 190 1 Similarly similarly RB cord-007444-c9vu8ako 190 2 , , , cord-007444-c9vu8ako 190 3 ODriscoll ODriscoll NNP cord-007444-c9vu8ako 190 4 et et NNP cord-007444-c9vu8ako 190 5 alas alas NN cord-007444-c9vu8ako 190 6 compared compare VBD cord-007444-c9vu8ako 190 7 nebulized nebulize VBD cord-007444-c9vu8ako 190 8 salbutamol salbutamol NN cord-007444-c9vu8ako 190 9 ( ( -LRB- cord-007444-c9vu8ako 190 10 10 10 CD cord-007444-c9vu8ako 190 11 mg mg NNP cord-007444-c9vu8ako 190 12 ) ) -RRB- cord-007444-c9vu8ako 190 13 with with IN cord-007444-c9vu8ako 190 14 and and CC cord-007444-c9vu8ako 190 15 without without IN cord-007444-c9vu8ako 190 16 IB IB NNP cord-007444-c9vu8ako 190 17 ( ( -LRB- cord-007444-c9vu8ako 190 18 0.5 0.5 CD cord-007444-c9vu8ako 190 19 mg mg CD cord-007444-c9vu8ako 190 20 ) ) -RRB- cord-007444-c9vu8ako 190 21 in in IN cord-007444-c9vu8ako 190 22 47 47 CD cord-007444-c9vu8ako 190 23 patients patient NNS cord-007444-c9vu8ako 190 24 with with IN cord-007444-c9vu8ako 190 25 AECOPD AECOPD NNP cord-007444-c9vu8ako 190 26 . . . cord-007444-c9vu8ako 191 1 One one CD cord-007444-c9vu8ako 191 2 hour hour NN cord-007444-c9vu8ako 191 3 following follow VBG cord-007444-c9vu8ako 191 4 treatment treatment NN cord-007444-c9vu8ako 191 5 , , , cord-007444-c9vu8ako 191 6 peak peak NN cord-007444-c9vu8ako 191 7 expiratory expiratory JJ cord-007444-c9vu8ako 191 8 flow flow NN cord-007444-c9vu8ako 191 9 rates rate NNS cord-007444-c9vu8ako 191 10 were be VBD cord-007444-c9vu8ako 191 11 not not RB cord-007444-c9vu8ako 191 12 significantly significantly RB cord-007444-c9vu8ako 191 13 different different JJ cord-007444-c9vu8ako 191 14 between between IN cord-007444-c9vu8ako 191 15 regimens.89 regimens.89 NNP cord-007444-c9vu8ako 191 16 Others other NNS cord-007444-c9vu8ako 191 17 have have VBP cord-007444-c9vu8ako 191 18 examined examine VBN cord-007444-c9vu8ako 191 19 clinical clinical JJ cord-007444-c9vu8ako 191 20 , , , cord-007444-c9vu8ako 191 21 rather rather RB cord-007444-c9vu8ako 191 22 than than IN cord-007444-c9vu8ako 191 23 spirometric spirometric NNP cord-007444-c9vu8ako 191 24 , , , cord-007444-c9vu8ako 191 25 outcomes outcome NNS cord-007444-c9vu8ako 191 26 following follow VBG cord-007444-c9vu8ako 191 27 combined combine VBN cord-007444-c9vu8ako 191 28 therapy therapy NN cord-007444-c9vu8ako 191 29 in in IN cord-007444-c9vu8ako 191 30 AECOPD.79 AECOPD.79 NNP cord-007444-c9vu8ako 191 31 , , , cord-007444-c9vu8ako 191 32 Patients patient NNS cord-007444-c9vu8ako 191 33 randomly randomly RB cord-007444-c9vu8ako 191 34 assigned assign VBN cord-007444-c9vu8ako 191 35 to to IN cord-007444-c9vu8ako 191 36 a a DT cord-007444-c9vu8ako 191 37 combination combination NN cord-007444-c9vu8ako 191 38 of of IN cord-007444-c9vu8ako 191 39 isoetharine isoetharine NNP cord-007444-c9vu8ako 191 40 and and CC cord-007444-c9vu8ako 191 41 IB IB NNP cord-007444-c9vu8ako 191 42 were be VBD cord-007444-c9vu8ako 191 43 discharged discharge VBN cord-007444-c9vu8ako 191 44 from from IN cord-007444-c9vu8ako 191 45 the the DT cord-007444-c9vu8ako 191 46 emergency emergency NN cord-007444-c9vu8ako 191 47 department department NN cord-007444-c9vu8ako 191 48 an an DT cord-007444-c9vu8ako 191 49 average average NN cord-007444-c9vu8ako 191 50 of of IN cord-007444-c9vu8ako 191 51 90 90 CD cord-007444-c9vu8ako 191 52 minutes minute NNS cord-007444-c9vu8ako 191 53 sooner soon RBR cord-007444-c9vu8ako 191 54 than than IN cord-007444-c9vu8ako 191 55 those those DT cord-007444-c9vu8ako 191 56 who who WP cord-007444-c9vu8ako 191 57 received receive VBD cord-007444-c9vu8ako 191 58 only only RB cord-007444-c9vu8ako 191 59 isoetharine isoetharine NNP cord-007444-c9vu8ako 191 60 . . . cord-007444-c9vu8ako 192 1 The the DT cord-007444-c9vu8ako 192 2 authors author NNS cord-007444-c9vu8ako 192 3 attributed attribute VBD cord-007444-c9vu8ako 192 4 this this DT cord-007444-c9vu8ako 192 5 time time NN cord-007444-c9vu8ako 192 6 saving save VBG cord-007444-c9vu8ako 192 7 to to IN cord-007444-c9vu8ako 192 8 approximately approximately RB cord-007444-c9vu8ako 192 9 five five CD cord-007444-c9vu8ako 192 10 puffs puff NNS cord-007444-c9vu8ako 192 11 of of IN cord-007444-c9vu8ako 192 12 IB IB NNP cord-007444-c9vu8ako 192 13 . . . cord-007444-c9vu8ako 193 1 Interestingly interestingly RB cord-007444-c9vu8ako 193 2 , , , cord-007444-c9vu8ako 193 3 mean mean JJ cord-007444-c9vu8ako 193 4 discharge discharge NN cord-007444-c9vu8ako 193 5 FEV FEV NNP cord-007444-c9vu8ako 193 6 , , , cord-007444-c9vu8ako 193 7 was be VBD cord-007444-c9vu8ako 193 8 not not RB cord-007444-c9vu8ako 193 9 different different JJ cord-007444-c9vu8ako 193 10 between between IN cord-007444-c9vu8ako 193 11 the the DT cord-007444-c9vu8ako 193 12 two two CD cord-007444-c9vu8ako 193 13 groups.11o groups.11o XX cord-007444-c9vu8ako 194 1 Because because IN cord-007444-c9vu8ako 194 2 these these DT cord-007444-c9vu8ako 194 3 studies study NNS cord-007444-c9vu8ako 194 4 followed follow VBD cord-007444-c9vu8ako 194 5 patients patient NNS cord-007444-c9vu8ako 194 6 for for IN cord-007444-c9vu8ako 194 7 only only RB cord-007444-c9vu8ako 194 8 60 60 CD cord-007444-c9vu8ako 194 9 to to TO cord-007444-c9vu8ako 194 10 90 90 CD cord-007444-c9vu8ako 194 11 minutes minute NNS cord-007444-c9vu8ako 194 12 , , , cord-007444-c9vu8ako 194 13 Moayyedi Moayyedi NNP cord-007444-c9vu8ako 194 14 et et NNP cord-007444-c9vu8ako 194 15 a179 a179 NNP cord-007444-c9vu8ako 194 16 recently recently RB cord-007444-c9vu8ako 194 17 attempted attempt VBD cord-007444-c9vu8ako 194 18 to to TO cord-007444-c9vu8ako 194 19 capture capture VB cord-007444-c9vu8ako 194 20 longer long JJR cord-007444-c9vu8ako 194 21 - - HYPH cord-007444-c9vu8ako 194 22 term term NN cord-007444-c9vu8ako 194 23 benefits benefit NNS cord-007444-c9vu8ako 194 24 of of IN cord-007444-c9vu8ako 194 25 combination combination NN cord-007444-c9vu8ako 194 26 therapy therapy NN cord-007444-c9vu8ako 194 27 . . . cord-007444-c9vu8ako 195 1 Comparing compare VBG cord-007444-c9vu8ako 195 2 nebulized nebulize VBN cord-007444-c9vu8ako 195 3 treatments treatment NNS cord-007444-c9vu8ako 195 4 of of IN cord-007444-c9vu8ako 195 5 salbutamol salbutamol NN cord-007444-c9vu8ako 195 6 with with IN cord-007444-c9vu8ako 195 7 and and CC cord-007444-c9vu8ako 195 8 without without IN cord-007444-c9vu8ako 195 9 IB IB NNP cord-007444-c9vu8ako 195 10 among among IN cord-007444-c9vu8ako 195 11 inpatients inpatient NNS cord-007444-c9vu8ako 195 12 with with IN cord-007444-c9vu8ako 195 13 AECOPD AECOPD NNP cord-007444-c9vu8ako 195 14 , , , cord-007444-c9vu8ako 195 15 they -PRON- PRP cord-007444-c9vu8ako 195 16 found find VBD cord-007444-c9vu8ako 195 17 no no DT cord-007444-c9vu8ako 195 18 difference difference NN cord-007444-c9vu8ako 195 19 in in IN cord-007444-c9vu8ako 195 20 duration duration NN cord-007444-c9vu8ako 195 21 of of IN cord-007444-c9vu8ako 195 22 stay stay NN cord-007444-c9vu8ako 195 23 , , , cord-007444-c9vu8ako 195 24 subjective subjective JJ cord-007444-c9vu8ako 195 25 breathlessness breathlessness NN cord-007444-c9vu8ako 195 26 , , , cord-007444-c9vu8ako 195 27 or or CC cord-007444-c9vu8ako 195 28 spirometric spirometric JJ cord-007444-c9vu8ako 195 29 values value NNS cord-007444-c9vu8ako 195 30 over over IN cord-007444-c9vu8ako 195 31 a a DT cord-007444-c9vu8ako 195 32 14-day 14-day CD cord-007444-c9vu8ako 195 33 assessment assessment NN cord-007444-c9vu8ako 195 34 period period NN cord-007444-c9vu8ako 195 35 . . . cord-007444-c9vu8ako 196 1 Considerable considerable JJ cord-007444-c9vu8ako 196 2 effort effort NN cord-007444-c9vu8ako 196 3 has have VBZ cord-007444-c9vu8ako 196 4 been be VBN cord-007444-c9vu8ako 196 5 made make VBN cord-007444-c9vu8ako 196 6 to to TO cord-007444-c9vu8ako 196 7 establish establish VB cord-007444-c9vu8ako 196 8 the the DT cord-007444-c9vu8ako 196 9 most most RBS cord-007444-c9vu8ako 196 10 effective effective JJ cord-007444-c9vu8ako 196 11 method method NN cord-007444-c9vu8ako 196 12 for for IN cord-007444-c9vu8ako 196 13 delivering deliver VBG cord-007444-c9vu8ako 196 14 bronchodilator bronchodilator NN cord-007444-c9vu8ako 196 15 drugs drug NNS cord-007444-c9vu8ako 196 16 to to IN cord-007444-c9vu8ako 196 17 patients patient NNS cord-007444-c9vu8ako 196 18 with with IN cord-007444-c9vu8ako 196 19 acute acute JJ cord-007444-c9vu8ako 196 20 airflow airflow NN cord-007444-c9vu8ako 196 21 obstruction obstruction NN cord-007444-c9vu8ako 196 22 . . . cord-007444-c9vu8ako 197 1 Delivery delivery NN cord-007444-c9vu8ako 197 2 methods method NNS cord-007444-c9vu8ako 197 3 include include VBP cord-007444-c9vu8ako 197 4 MDIs mdi NNS cord-007444-c9vu8ako 197 5 with with IN cord-007444-c9vu8ako 197 6 or or CC cord-007444-c9vu8ako 197 7 without without IN cord-007444-c9vu8ako 197 8 a a DT cord-007444-c9vu8ako 197 9 spacer spacer NN cord-007444-c9vu8ako 197 10 device device NN cord-007444-c9vu8ako 197 11 , , , cord-007444-c9vu8ako 197 12 nebulizers nebulizer NNS cord-007444-c9vu8ako 197 13 ( ( -LRB- cord-007444-c9vu8ako 197 14 hand hand NN cord-007444-c9vu8ako 197 15 - - HYPH cord-007444-c9vu8ako 197 16 held hold VBN cord-007444-c9vu8ako 197 17 or or CC cord-007444-c9vu8ako 197 18 attached attach VBN cord-007444-c9vu8ako 197 19 to to IN cord-007444-c9vu8ako 197 20 a a DT cord-007444-c9vu8ako 197 21 face face NN cord-007444-c9vu8ako 197 22 mask mask NN cord-007444-c9vu8ako 197 23 ) ) -RRB- cord-007444-c9vu8ako 197 24 , , , cord-007444-c9vu8ako 197 25 and and CC cord-007444-c9vu8ako 197 26 dry dry JJ cord-007444-c9vu8ako 197 27 powder powder NN cord-007444-c9vu8ako 197 28 inhalers inhaler NNS cord-007444-c9vu8ako 197 29 . . . cord-007444-c9vu8ako 198 1 A a DT cord-007444-c9vu8ako 198 2 recent recent JJ cord-007444-c9vu8ako 198 3 systematic systematic JJ cord-007444-c9vu8ako 198 4 review review NN cord-007444-c9vu8ako 198 5 of of IN cord-007444-c9vu8ako 198 6 12 12 CD cord-007444-c9vu8ako 198 7 randomized randomized JJ cord-007444-c9vu8ako 198 8 studies study NNS cord-007444-c9vu8ako 198 9 comparing compare VBG cord-007444-c9vu8ako 198 10 MDIs mdi NNS cord-007444-c9vu8ako 198 11 and and CC cord-007444-c9vu8ako 198 12 nebulizers nebulizer NNS cord-007444-c9vu8ako 198 13 for for IN cord-007444-c9vu8ako 198 14 administration administration NN cord-007444-c9vu8ako 198 15 of of IN cord-007444-c9vu8ako 198 16 p,-agonists p,-agonists NNPS cord-007444-c9vu8ako 198 17 in in IN cord-007444-c9vu8ako 198 18 acute acute JJ cord-007444-c9vu8ako 198 19 exacerbations exacerbation NNS cord-007444-c9vu8ako 198 20 of of IN cord-007444-c9vu8ako 198 21 asthma asthma NN cord-007444-c9vu8ako 198 22 and and CC cord-007444-c9vu8ako 198 23 COPD COPD NNP cord-007444-c9vu8ako 198 24 found find VBD cord-007444-c9vu8ako 198 25 the the DT cord-007444-c9vu8ako 198 26 two two CD cord-007444-c9vu8ako 198 27 methods method NNS cord-007444-c9vu8ako 198 28 to to TO cord-007444-c9vu8ako 198 29 be be VB cord-007444-c9vu8ako 198 30 equivalent.128 equivalent.128 NNP cord-007444-c9vu8ako 199 1 A a DT cord-007444-c9vu8ako 199 2 reasonable reasonable JJ cord-007444-c9vu8ako 199 3 approach approach NN cord-007444-c9vu8ako 199 4 advocated advocate VBN cord-007444-c9vu8ako 199 5 by by IN cord-007444-c9vu8ako 199 6 several several JJ cord-007444-c9vu8ako 199 7 workers worker NNS cord-007444-c9vu8ako 199 8 is be VBZ cord-007444-c9vu8ako 199 9 to to TO cord-007444-c9vu8ako 199 10 begin begin VB cord-007444-c9vu8ako 199 11 with with IN cord-007444-c9vu8ako 199 12 nebulized nebulized JJ cord-007444-c9vu8ako 199 13 treatments treatment NNS cord-007444-c9vu8ako 199 14 among among IN cord-007444-c9vu8ako 199 15 patients patient NNS cord-007444-c9vu8ako 199 16 who who WP cord-007444-c9vu8ako 199 17 are be VBP cord-007444-c9vu8ako 199 18 too too RB cord-007444-c9vu8ako 199 19 dyspneic dyspneic JJ cord-007444-c9vu8ako 199 20 to to TO cord-007444-c9vu8ako 199 21 use use VB cord-007444-c9vu8ako 199 22 an an DT cord-007444-c9vu8ako 199 23 MDI MDI NNP cord-007444-c9vu8ako 199 24 and and CC cord-007444-c9vu8ako 199 25 spacer spacer NN cord-007444-c9vu8ako 199 26 device device NN cord-007444-c9vu8ako 200 1 ~o ~o NFP cord-007444-c9vu8ako 201 1 r r NNP cord-007444-c9vu8ako 201 2 r r NN cord-007444-c9vu8ako 201 3 e e NN cord-007444-c9vu8ako 201 4 c c NN cord-007444-c9vu8ako 201 5 t t NNP cord-007444-c9vu8ako 201 6 l l NNP cord-007444-c9vu8ako 201 7 y y NNP cord-007444-c9vu8ako 201 8 .~~,~~~ .~~,~~~ . cord-007444-c9vu8ako 202 1 As as RB cord-007444-c9vu8ako 202 2 early early RB cord-007444-c9vu8ako 202 3 as as IN cord-007444-c9vu8ako 202 4 is be VBZ cord-007444-c9vu8ako 202 5 feasible feasible JJ cord-007444-c9vu8ako 202 6 patients patient NNS cord-007444-c9vu8ako 202 7 can can MD cord-007444-c9vu8ako 202 8 then then RB cord-007444-c9vu8ako 202 9 be be VB cord-007444-c9vu8ako 202 10 switched switch VBN cord-007444-c9vu8ako 202 11 to to IN cord-007444-c9vu8ako 202 12 MDIs mdi NNS cord-007444-c9vu8ako 202 13 , , , cord-007444-c9vu8ako 202 14 which which WDT cord-007444-c9vu8ako 202 15 can can MD cord-007444-c9vu8ako 202 16 result result VB cord-007444-c9vu8ako 202 17 in in IN cord-007444-c9vu8ako 202 18 considerable considerable JJ cord-007444-c9vu8ako 202 19 cost cost NN cord-007444-c9vu8ako 202 20 savings.m savings.m NNS cord-007444-c9vu8ako 202 21 , , , cord-007444-c9vu8ako 202 22 lZo lZo '' cord-007444-c9vu8ako 202 23 Theophylline theophylline JJ cord-007444-c9vu8ako 202 24 Theophylline theophylline NN cord-007444-c9vu8ako 202 25 has have VBZ cord-007444-c9vu8ako 202 26 been be VBN cord-007444-c9vu8ako 202 27 used use VBN cord-007444-c9vu8ako 202 28 for for IN cord-007444-c9vu8ako 202 29 decades decade NNS cord-007444-c9vu8ako 202 30 to to TO cord-007444-c9vu8ako 202 31 ameliorate ameliorate VB cord-007444-c9vu8ako 202 32 symptoms symptom NNS cord-007444-c9vu8ako 202 33 in in IN cord-007444-c9vu8ako 202 34 patients patient NNS cord-007444-c9vu8ako 202 35 with with IN cord-007444-c9vu8ako 202 36 airflow airflow NN cord-007444-c9vu8ako 202 37 obstruction.lZ9 obstruction.lZ9 NNP cord-007444-c9vu8ako 203 1 The the DT cord-007444-c9vu8ako 203 2 use use NN cord-007444-c9vu8ako 203 3 of of IN cord-007444-c9vu8ako 203 4 theophylline theophylline NN cord-007444-c9vu8ako 203 5 in in IN cord-007444-c9vu8ako 203 6 the the DT cord-007444-c9vu8ako 203 7 management management NN cord-007444-c9vu8ako 203 8 of of IN cord-007444-c9vu8ako 203 9 stable stable JJ cord-007444-c9vu8ako 203 10 COPD COPD NNP cord-007444-c9vu8ako 203 11 is be VBZ cord-007444-c9vu8ako 203 12 discussed discuss VBN cord-007444-c9vu8ako 203 13 in in IN cord-007444-c9vu8ako 203 14 the the DT cord-007444-c9vu8ako 203 15 article article NN cord-007444-c9vu8ako 203 16 by by IN cord-007444-c9vu8ako 203 17 Ferguson Ferguson NNP cord-007444-c9vu8ako 203 18 in in IN cord-007444-c9vu8ako 203 19 this this DT cord-007444-c9vu8ako 203 20 issue issue NN cord-007444-c9vu8ako 203 21 . . . cord-007444-c9vu8ako 204 1 Theophylline theophylline NN cord-007444-c9vu8ako 204 2 has have VBZ cord-007444-c9vu8ako 204 3 now now RB cord-007444-c9vu8ako 204 4 been be VBN cord-007444-c9vu8ako 204 5 relegated relegate VBN cord-007444-c9vu8ako 204 6 to to IN cord-007444-c9vu8ako 204 7 having have VBG cord-007444-c9vu8ako 204 8 a a DT cord-007444-c9vu8ako 204 9 minor minor JJ cord-007444-c9vu8ako 204 10 role role NN cord-007444-c9vu8ako 204 11 in in IN cord-007444-c9vu8ako 204 12 the the DT cord-007444-c9vu8ako 204 13 acute acute JJ cord-007444-c9vu8ako 204 14 setting setting NN cord-007444-c9vu8ako 204 15 because because IN cord-007444-c9vu8ako 204 16 of of IN cord-007444-c9vu8ako 204 17 the the DT cord-007444-c9vu8ako 204 18 development development NN cord-007444-c9vu8ako 204 19 of of IN cord-007444-c9vu8ako 204 20 safer safe JJR cord-007444-c9vu8ako 204 21 and and CC cord-007444-c9vu8ako 204 22 more more RBR cord-007444-c9vu8ako 204 23 potent potent JJ cord-007444-c9vu8ako 204 24 bronchodilators?l bronchodilators?l NNPS cord-007444-c9vu8ako 204 25 , , , cord-007444-c9vu8ako 204 26 74 74 CD cord-007444-c9vu8ako 205 1 The the DT cord-007444-c9vu8ako 205 2 lack lack NN cord-007444-c9vu8ako 205 3 of of IN cord-007444-c9vu8ako 205 4 convincing convincing JJ cord-007444-c9vu8ako 205 5 , , , cord-007444-c9vu8ako 205 6 well well RB cord-007444-c9vu8ako 205 7 - - HYPH cord-007444-c9vu8ako 205 8 designed design VBN cord-007444-c9vu8ako 205 9 trials trial NNS cord-007444-c9vu8ako 205 10 showing show VBG cord-007444-c9vu8ako 205 11 its -PRON- PRP$ cord-007444-c9vu8ako 205 12 efficacy efficacy NN cord-007444-c9vu8ako 205 13 has have VBZ cord-007444-c9vu8ako 205 14 further further RB cord-007444-c9vu8ako 205 15 contributed contribute VBN cord-007444-c9vu8ako 205 16 to to IN cord-007444-c9vu8ako 205 17 the the DT cord-007444-c9vu8ako 205 18 decline decline NN cord-007444-c9vu8ako 205 19 in in IN cord-007444-c9vu8ako 205 20 its -PRON- PRP$ cord-007444-c9vu8ako 205 21 use.7o use.7o NNP cord-007444-c9vu8ako 205 22 , , , cord-007444-c9vu8ako 205 23 99 99 CD cord-007444-c9vu8ako 205 24 , , , cord-007444-c9vu8ako 205 25 137 137 CD cord-007444-c9vu8ako 206 1 There there EX cord-007444-c9vu8ako 206 2 are be VBP cord-007444-c9vu8ako 206 3 only only RB cord-007444-c9vu8ako 206 4 two two CD cord-007444-c9vu8ako 206 5 published publish VBN cord-007444-c9vu8ako 206 6 studies study NNS cord-007444-c9vu8ako 206 7 that that WDT cord-007444-c9vu8ako 206 8 relate relate VBP cord-007444-c9vu8ako 206 9 specifically specifically RB cord-007444-c9vu8ako 206 10 to to IN cord-007444-c9vu8ako 206 11 the the DT cord-007444-c9vu8ako 206 12 role role NN cord-007444-c9vu8ako 206 13 of of IN cord-007444-c9vu8ako 206 14 theophylline theophylline NN cord-007444-c9vu8ako 206 15 in in IN cord-007444-c9vu8ako 206 16 the the DT cord-007444-c9vu8ako 206 17 treatment treatment NN cord-007444-c9vu8ako 206 18 of of IN cord-007444-c9vu8ako 206 19 COPD COPD NNP cord-007444-c9vu8ako 206 20 exacerbations exacerbation NNS cord-007444-c9vu8ako 206 21 . . . cord-007444-c9vu8ako 207 1 The the DT cord-007444-c9vu8ako 207 2 first first JJ cord-007444-c9vu8ako 207 3 , , , cord-007444-c9vu8ako 207 4 by by IN cord-007444-c9vu8ako 207 5 Rice Rice NNP cord-007444-c9vu8ako 207 6 et et NNP cord-007444-c9vu8ako 208 1 al,99 al,99 LS cord-007444-c9vu8ako 208 2 was be VBD cord-007444-c9vu8ako 208 3 a a DT cord-007444-c9vu8ako 208 4 small small JJ cord-007444-c9vu8ako 208 5 , , , cord-007444-c9vu8ako 208 6 yet yet CC cord-007444-c9vu8ako 208 7 rigorously rigorously RB cord-007444-c9vu8ako 208 8 controlled control VBN cord-007444-c9vu8ako 208 9 trial trial NN cord-007444-c9vu8ako 208 10 in in IN cord-007444-c9vu8ako 208 11 which which WDT cord-007444-c9vu8ako 208 12 patients patient NNS cord-007444-c9vu8ako 208 13 were be VBD cord-007444-c9vu8ako 208 14 randomized randomize VBN cord-007444-c9vu8ako 208 15 to to IN cord-007444-c9vu8ako 208 16 aminophylline aminophylline VB cord-007444-c9vu8ako 208 17 infusion infusion NN cord-007444-c9vu8ako 208 18 or or CC cord-007444-c9vu8ako 208 19 placebo placebo NN cord-007444-c9vu8ako 208 20 during during IN cord-007444-c9vu8ako 208 21 hospitalization hospitalization NN cord-007444-c9vu8ako 208 22 for for IN cord-007444-c9vu8ako 208 23 AE AE NNP cord-007444-c9vu8ako 208 24 - - HYPH cord-007444-c9vu8ako 208 25 COPD COPD NNP cord-007444-c9vu8ako 208 26 . . . cord-007444-c9vu8ako 209 1 The the DT cord-007444-c9vu8ako 209 2 drug drug NN cord-007444-c9vu8ako 209 3 conferred confer VBD cord-007444-c9vu8ako 209 4 no no DT cord-007444-c9vu8ako 209 5 incremental incremental JJ cord-007444-c9vu8ako 209 6 benefit benefit NN cord-007444-c9vu8ako 209 7 over over IN cord-007444-c9vu8ako 209 8 standard standard JJ cord-007444-c9vu8ako 209 9 care care NN cord-007444-c9vu8ako 209 10 in in IN cord-007444-c9vu8ako 209 11 either either CC cord-007444-c9vu8ako 209 12 subjective subjective JJ cord-007444-c9vu8ako 209 13 ( ( -LRB- cord-007444-c9vu8ako 209 14 dyspnea dyspnea NN cord-007444-c9vu8ako 209 15 scores score NNS cord-007444-c9vu8ako 209 16 ) ) -RRB- cord-007444-c9vu8ako 209 17 or or CC cord-007444-c9vu8ako 209 18 objective objective JJ cord-007444-c9vu8ako 209 19 ( ( -LRB- cord-007444-c9vu8ako 209 20 spirometry spirometry NNP cord-007444-c9vu8ako 209 21 ) ) -RRB- cord-007444-c9vu8ako 209 22 outcome outcome NN cord-007444-c9vu8ako 209 23 measures measure NNS cord-007444-c9vu8ako 209 24 . . . cord-007444-c9vu8ako 210 1 Gastrointestinal gastrointestinal JJ cord-007444-c9vu8ako 210 2 side side NN cord-007444-c9vu8ako 210 3 effects effect NNS cord-007444-c9vu8ako 210 4 were be VBD cord-007444-c9vu8ako 210 5 more more RBR cord-007444-c9vu8ako 210 6 common common JJ cord-007444-c9vu8ako 210 7 in in IN cord-007444-c9vu8ako 210 8 the the DT cord-007444-c9vu8ako 210 9 aminophylline aminophylline NN cord-007444-c9vu8ako 210 10 group group NN cord-007444-c9vu8ako 210 11 . . . cord-007444-c9vu8ako 211 1 An an DT cord-007444-c9vu8ako 211 2 emergency emergency NN cord-007444-c9vu8ako 211 3 department department NN cord-007444-c9vu8ako 211 4 - - HYPH cord-007444-c9vu8ako 211 5 based base VBN cord-007444-c9vu8ako 211 6 study study NN cord-007444-c9vu8ako 211 7 randomized randomize VBD cord-007444-c9vu8ako 211 8 patients patient NNS cord-007444-c9vu8ako 211 9 with with IN cord-007444-c9vu8ako 211 10 acute acute JJ cord-007444-c9vu8ako 211 11 bronchospasm bronchospasm NN cord-007444-c9vu8ako 211 12 to to TO cord-007444-c9vu8ako 211 13 receive receive VB cord-007444-c9vu8ako 211 14 either either CC cord-007444-c9vu8ako 211 15 aminophylline aminophylline NN cord-007444-c9vu8ako 211 16 or or CC cord-007444-c9vu8ako 211 17 p1a p1a CD cord-007444-c9vu8ako 212 1 ~ebo.l~~ ~ebo.l~~ NFP cord-007444-c9vu8ako 212 2 The the DT cord-007444-c9vu8ako 212 3 trial trial NN cord-007444-c9vu8ako 212 4 included include VBD cord-007444-c9vu8ako 212 5 patients patient NNS cord-007444-c9vu8ako 212 6 with with IN cord-007444-c9vu8ako 212 7 asthma asthma NN cord-007444-c9vu8ako 212 8 and and CC cord-007444-c9vu8ako 212 9 COPD COPD NNP cord-007444-c9vu8ako 212 10 but but CC cord-007444-c9vu8ako 212 11 failed fail VBD cord-007444-c9vu8ako 212 12 to to TO cord-007444-c9vu8ako 212 13 report report VB cord-007444-c9vu8ako 212 14 the the DT cord-007444-c9vu8ako 212 15 number number NN cord-007444-c9vu8ako 212 16 of of IN cord-007444-c9vu8ako 212 17 each each DT cord-007444-c9vu8ako 212 18 . . . cord-007444-c9vu8ako 213 1 Unexpectedly unexpectedly RB cord-007444-c9vu8ako 213 2 , , , cord-007444-c9vu8ako 213 3 there there EX cord-007444-c9vu8ako 213 4 was be VBD cord-007444-c9vu8ako 213 5 a a DT cord-007444-c9vu8ako 213 6 threefold threefold JJ cord-007444-c9vu8ako 213 7 decrease decrease NN cord-007444-c9vu8ako 213 8 in in IN cord-007444-c9vu8ako 213 9 the the DT cord-007444-c9vu8ako 213 10 hospital hospital NN cord-007444-c9vu8ako 213 11 admission admission NN cord-007444-c9vu8ako 213 12 rate rate NN cord-007444-c9vu8ako 213 13 for for IN cord-007444-c9vu8ako 213 14 patients patient NNS cord-007444-c9vu8ako 213 15 treated treat VBN cord-007444-c9vu8ako 213 16 with with IN cord-007444-c9vu8ako 213 17 aminophylline aminophylline NN cord-007444-c9vu8ako 213 18 ( ( -LRB- cord-007444-c9vu8ako 213 19 P p NN cord-007444-c9vu8ako 213 20 = = SYM cord-007444-c9vu8ako 213 21 0.016 0.016 CD cord-007444-c9vu8ako 213 22 ) ) -RRB- cord-007444-c9vu8ako 213 23 . . . cord-007444-c9vu8ako 214 1 The the DT cord-007444-c9vu8ako 214 2 authors author NNS cord-007444-c9vu8ako 214 3 argued argue VBD cord-007444-c9vu8ako 214 4 that that IN cord-007444-c9vu8ako 214 5 aminophylline aminophylline NN cord-007444-c9vu8ako 214 6 should should MD cord-007444-c9vu8ako 214 7 be be VB cord-007444-c9vu8ako 214 8 considered consider VBN cord-007444-c9vu8ako 214 9 in in IN cord-007444-c9vu8ako 214 10 selected select VBN cord-007444-c9vu8ako 214 11 patients patient NNS cord-007444-c9vu8ako 214 12 with with IN cord-007444-c9vu8ako 214 13 acute acute JJ cord-007444-c9vu8ako 214 14 exacerbations exacerbation NNS cord-007444-c9vu8ako 214 15 of of IN cord-007444-c9vu8ako 214 16 COPD COPD NNP cord-007444-c9vu8ako 214 17 and and CC cord-007444-c9vu8ako 214 18 asthma asthma NN cord-007444-c9vu8ako 214 19 because because IN cord-007444-c9vu8ako 214 20 reduced reduce VBN cord-007444-c9vu8ako 214 21 hospitalizations hospitalization NNS cord-007444-c9vu8ako 214 22 would would MD cord-007444-c9vu8ako 214 23 decrease decrease VB cord-007444-c9vu8ako 214 24 costs cost NNS cord-007444-c9vu8ako 214 25 . . . cord-007444-c9vu8ako 215 1 Although although IN cord-007444-c9vu8ako 215 2 their -PRON- PRP$ cord-007444-c9vu8ako 215 3 study study NN cord-007444-c9vu8ako 215 4 illustrates illustrate VBZ cord-007444-c9vu8ako 215 5 a a DT cord-007444-c9vu8ako 215 6 potentially potentially RB cord-007444-c9vu8ako 215 7 important important JJ cord-007444-c9vu8ako 215 8 clinical clinical JJ cord-007444-c9vu8ako 215 9 benefit benefit NN cord-007444-c9vu8ako 215 10 of of IN cord-007444-c9vu8ako 215 11 theophylline theophylline NN cord-007444-c9vu8ako 215 12 , , , cord-007444-c9vu8ako 215 13 a a DT cord-007444-c9vu8ako 215 14 cautious cautious JJ cord-007444-c9vu8ako 215 15 approach approach NN cord-007444-c9vu8ako 215 16 is be VBZ cord-007444-c9vu8ako 215 17 necessary necessary JJ cord-007444-c9vu8ako 215 18 . . . cord-007444-c9vu8ako 216 1 The the DT cord-007444-c9vu8ako 216 2 effect effect NN cord-007444-c9vu8ako 216 3 of of IN cord-007444-c9vu8ako 216 4 theophylline theophylline NN cord-007444-c9vu8ako 216 5 on on IN cord-007444-c9vu8ako 216 6 admission admission NN cord-007444-c9vu8ako 216 7 rates rate NNS cord-007444-c9vu8ako 216 8 was be VBD cord-007444-c9vu8ako 216 9 not not RB cord-007444-c9vu8ako 216 10 the the DT cord-007444-c9vu8ako 216 11 primary primary JJ cord-007444-c9vu8ako 216 12 outcome outcome NN cord-007444-c9vu8ako 216 13 variable variable NN cord-007444-c9vu8ako 216 14 and and CC cord-007444-c9vu8ako 216 15 the the DT cord-007444-c9vu8ako 216 16 reduction reduction NN cord-007444-c9vu8ako 216 17 in in IN cord-007444-c9vu8ako 216 18 admission admission NN cord-007444-c9vu8ako 216 19 rates rate NNS cord-007444-c9vu8ako 216 20 did do VBD cord-007444-c9vu8ako 216 21 not not RB cord-007444-c9vu8ako 216 22 quite quite RB cord-007444-c9vu8ako 216 23 reach reach VB cord-007444-c9vu8ako 216 24 statistical statistical JJ cord-007444-c9vu8ako 216 25 significance significance NN cord-007444-c9vu8ako 216 26 after after IN cord-007444-c9vu8ako 216 27 adjusting adjust VBG cord-007444-c9vu8ako 216 28 for for IN cord-007444-c9vu8ako 216 29 multiple multiple JJ cord-007444-c9vu8ako 216 30 comparisons comparison NNS cord-007444-c9vu8ako 216 31 . . . cord-007444-c9vu8ako 217 1 Even even RB cord-007444-c9vu8ako 217 2 though though IN cord-007444-c9vu8ako 217 3 the the DT cord-007444-c9vu8ako 217 4 magnitude magnitude NN cord-007444-c9vu8ako 217 5 of of IN cord-007444-c9vu8ako 217 6 the the DT cord-007444-c9vu8ako 217 7 clinical clinical JJ cord-007444-c9vu8ako 217 8 benefit benefit NN cord-007444-c9vu8ako 217 9 was be VBD cord-007444-c9vu8ako 217 10 large large JJ cord-007444-c9vu8ako 217 11 , , , cord-007444-c9vu8ako 217 12 theophylline theophylline NN cord-007444-c9vu8ako 217 13 produced produce VBD cord-007444-c9vu8ako 217 14 no no DT cord-007444-c9vu8ako 217 15 objective objective JJ cord-007444-c9vu8ako 217 16 improvement improvement NN cord-007444-c9vu8ako 217 17 in in IN cord-007444-c9vu8ako 217 18 pulmonary pulmonary JJ cord-007444-c9vu8ako 217 19 function function NN cord-007444-c9vu8ako 217 20 as as IN cord-007444-c9vu8ako 217 21 measured measure VBN cord-007444-c9vu8ako 217 22 by by IN cord-007444-c9vu8ako 217 23 spirometry spirometry NNP cord-007444-c9vu8ako 217 24 . . . cord-007444-c9vu8ako 218 1 Despite despite IN cord-007444-c9vu8ako 218 2 these these DT cord-007444-c9vu8ako 218 3 reservations reservation NNS cord-007444-c9vu8ako 218 4 , , , cord-007444-c9vu8ako 218 5 similar similar JJ cord-007444-c9vu8ako 218 6 reports report NNS cord-007444-c9vu8ako 218 7 of of IN cord-007444-c9vu8ako 218 8 clinical clinical JJ cord-007444-c9vu8ako 218 9 benefit benefit NN cord-007444-c9vu8ako 218 10 in in IN cord-007444-c9vu8ako 218 11 the the DT cord-007444-c9vu8ako 218 12 absence absence NN cord-007444-c9vu8ako 218 13 of of IN cord-007444-c9vu8ako 218 14 statistically statistically RB cord-007444-c9vu8ako 218 15 significant significant JJ cord-007444-c9vu8ako 218 16 spirometric spirometric JJ cord-007444-c9vu8ako 218 17 improvement improvement NN cord-007444-c9vu8ako 218 18 have have VBP cord-007444-c9vu8ako 218 19 been be VBN cord-007444-c9vu8ako 218 20 found find VBN cord-007444-c9vu8ako 218 21 in in IN cord-007444-c9vu8ako 218 22 studies study NNS cord-007444-c9vu8ako 218 23 of of IN cord-007444-c9vu8ako 218 24 corticosteroids corticosteroid NNS cord-007444-c9vu8ako 218 25 in in IN cord-007444-c9vu8ako 218 26 acute acute NN cord-007444-c9vu8ako 218 27 asthma71 asthma71 NNS cord-007444-c9vu8ako 218 28 and and CC cord-007444-c9vu8ako 218 29 bronchodilator bronchodilator NN cord-007444-c9vu8ako 218 30 therapy therapy NN cord-007444-c9vu8ako 218 31 in in IN cord-007444-c9vu8ako 218 32 acute acute JJ cord-007444-c9vu8ako 218 33 COPD.ll0 COPD.ll0 NNP cord-007444-c9vu8ako 218 34 Bacterial bacterial JJ cord-007444-c9vu8ako 218 35 infections infection NNS cord-007444-c9vu8ako 218 36 ' ' POS cord-007444-c9vu8ako 218 37 contribution contribution NN cord-007444-c9vu8ako 218 38 to to IN cord-007444-c9vu8ako 218 39 exacerbations exacerbation NNS cord-007444-c9vu8ako 218 40 of of IN cord-007444-c9vu8ako 218 41 COPD COPD NNP cord-007444-c9vu8ako 218 42 has have VBZ cord-007444-c9vu8ako 218 43 been be VBN cord-007444-c9vu8ako 218 44 inferred infer VBN cord-007444-c9vu8ako 218 45 from from IN cord-007444-c9vu8ako 218 46 studies study NNS cord-007444-c9vu8ako 218 47 demonstrating demonstrate VBG cord-007444-c9vu8ako 218 48 clinical clinical JJ cord-007444-c9vu8ako 218 49 benefit benefit NN cord-007444-c9vu8ako 218 50 as as IN cord-007444-c9vu8ako 218 51 a a DT cord-007444-c9vu8ako 218 52 result result NN cord-007444-c9vu8ako 218 53 of of IN cord-007444-c9vu8ako 218 54 antibiotic antibiotic JJ cord-007444-c9vu8ako 218 55 therapy therapy NN cord-007444-c9vu8ako 218 56 . . . cord-007444-c9vu8ako 219 1 Antibiotics antibiotic NNS cord-007444-c9vu8ako 219 2 have have VBP cord-007444-c9vu8ako 219 3 been be VBN cord-007444-c9vu8ako 219 4 employed employ VBN cord-007444-c9vu8ako 219 5 for for IN cord-007444-c9vu8ako 219 6 prophylaxis prophylaxis NN cord-007444-c9vu8ako 219 7 and and CC cord-007444-c9vu8ako 219 8 acute acute JJ cord-007444-c9vu8ako 219 9 treatment treatment NN cord-007444-c9vu8ako 219 10 of of IN cord-007444-c9vu8ako 219 11 AECOPD AECOPD NNP cord-007444-c9vu8ako 219 12 . . . cord-007444-c9vu8ako 220 1 In in IN cord-007444-c9vu8ako 220 2 the the DT cord-007444-c9vu8ako 220 3 1950s 1950 NNS cord-007444-c9vu8ako 220 4 and and CC cord-007444-c9vu8ako 220 5 1960s 1960 NNS cord-007444-c9vu8ako 220 6 , , , cord-007444-c9vu8ako 220 7 attention attention NN cord-007444-c9vu8ako 220 8 was be VBD cord-007444-c9vu8ako 220 9 given give VBN cord-007444-c9vu8ako 220 10 to to IN cord-007444-c9vu8ako 220 11 preventing prevent VBG cord-007444-c9vu8ako 220 12 exacerbations exacerbation NNS cord-007444-c9vu8ako 220 13 with with IN cord-007444-c9vu8ako 220 14 antibiotics antibiotic NNS cord-007444-c9vu8ako 220 15 . . . cord-007444-c9vu8ako 221 1 Murphy Murphy NNP cord-007444-c9vu8ako 221 2 and and CC cord-007444-c9vu8ako 221 3 Sethim Sethim NNP cord-007444-c9vu8ako 221 4 reviewed review VBD cord-007444-c9vu8ako 221 5 nine nine CD cord-007444-c9vu8ako 221 6 prospective prospective JJ cord-007444-c9vu8ako 221 7 , , , cord-007444-c9vu8ako 221 8 placebocontrolled placebocontrolled JJ cord-007444-c9vu8ako 221 9 trials trial NNS cord-007444-c9vu8ako 221 10 of of IN cord-007444-c9vu8ako 221 11 antibiotic antibiotic JJ cord-007444-c9vu8ako 221 12 prophylaxis prophylaxis NN cord-007444-c9vu8ako 221 13 . . . cord-007444-c9vu8ako 222 1 Of of IN cord-007444-c9vu8ako 222 2 these these DT cord-007444-c9vu8ako 222 3 , , , cord-007444-c9vu8ako 222 4 five five CD cord-007444-c9vu8ako 222 5 failed fail VBD cord-007444-c9vu8ako 222 6 to to TO cord-007444-c9vu8ako 222 7 show show VB cord-007444-c9vu8ako 222 8 any any DT cord-007444-c9vu8ako 222 9 reduction reduction NN cord-007444-c9vu8ako 222 10 in in IN cord-007444-c9vu8ako 222 11 the the DT cord-007444-c9vu8ako 222 12 frequency frequency NN cord-007444-c9vu8ako 222 13 of of IN cord-007444-c9vu8ako 222 14 exacerbations exacerbation NNS cord-007444-c9vu8ako 222 15 , , , cord-007444-c9vu8ako 222 16 although although IN cord-007444-c9vu8ako 222 17 two two CD cord-007444-c9vu8ako 222 18 demonstrated demonstrate VBD cord-007444-c9vu8ako 222 19 significantly significantly RB cord-007444-c9vu8ako 222 20 less less JJR cord-007444-c9vu8ako 222 21 time time NN cord-007444-c9vu8ako 222 22 lost lose VBN cord-007444-c9vu8ako 222 23 from from IN cord-007444-c9vu8ako 222 24 work work NN cord-007444-c9vu8ako 222 25 among among IN cord-007444-c9vu8ako 222 26 patients patient NNS cord-007444-c9vu8ako 222 27 receiving receive VBG cord-007444-c9vu8ako 222 28 antibiotics antibiotic NNS cord-007444-c9vu8ako 222 29 . . . cord-007444-c9vu8ako 223 1 In in IN cord-007444-c9vu8ako 223 2 contrast contrast NN cord-007444-c9vu8ako 223 3 , , , cord-007444-c9vu8ako 223 4 compared compare VBN cord-007444-c9vu8ako 223 5 with with IN cord-007444-c9vu8ako 223 6 placebo placebo NN cord-007444-c9vu8ako 223 7 , , , cord-007444-c9vu8ako 223 8 antibiotic antibiotic JJ cord-007444-c9vu8ako 223 9 prophylaxis prophylaxis NN cord-007444-c9vu8ako 223 10 significantly significantly RB cord-007444-c9vu8ako 223 11 reduced reduce VBD cord-007444-c9vu8ako 223 12 the the DT cord-007444-c9vu8ako 223 13 frequency frequency NN cord-007444-c9vu8ako 223 14 of of IN cord-007444-c9vu8ako 223 15 exacerbations exacerbation NNS cord-007444-c9vu8ako 223 16 in in IN cord-007444-c9vu8ako 223 17 four four CD cord-007444-c9vu8ako 223 18 studies study NNS cord-007444-c9vu8ako 223 19 . . . cord-007444-c9vu8ako 224 1 In in IN cord-007444-c9vu8ako 224 2 these these DT cord-007444-c9vu8ako 224 3 investigations investigation NNS cord-007444-c9vu8ako 224 4 , , , cord-007444-c9vu8ako 224 5 prophylaxis prophylaxis NN cord-007444-c9vu8ako 224 6 seemed seem VBD cord-007444-c9vu8ako 224 7 to to TO cord-007444-c9vu8ako 224 8 benefit benefit VB cord-007444-c9vu8ako 224 9 patients patient NNS cord-007444-c9vu8ako 224 10 suffering suffer VBG cord-007444-c9vu8ako 224 11 the the DT cord-007444-c9vu8ako 224 12 largest large JJS cord-007444-c9vu8ako 224 13 annual annual JJ cord-007444-c9vu8ako 224 14 number number NN cord-007444-c9vu8ako 224 15 of of IN cord-007444-c9vu8ako 224 16 exacerbations exacerbation NNS cord-007444-c9vu8ako 224 17 . . . cord-007444-c9vu8ako 225 1 Some some DT cord-007444-c9vu8ako 225 2 authorities authority NNS cord-007444-c9vu8ako 225 3 therefore therefore RB cord-007444-c9vu8ako 225 4 have have VBP cord-007444-c9vu8ako 225 5 recently recently RB cord-007444-c9vu8ako 225 6 suggested suggest VBN cord-007444-c9vu8ako 225 7 that that IN cord-007444-c9vu8ako 225 8 antibiotic antibiotic JJ cord-007444-c9vu8ako 225 9 prophylaxis prophylaxis NN cord-007444-c9vu8ako 225 10 may may MD cord-007444-c9vu8ako 225 11 be be VB cord-007444-c9vu8ako 225 12 appropriate appropriate JJ cord-007444-c9vu8ako 225 13 for for IN cord-007444-c9vu8ako 225 14 individuals individual NNS cord-007444-c9vu8ako 225 15 prone prone JJ cord-007444-c9vu8ako 225 16 to to IN cord-007444-c9vu8ako 225 17 frequent frequent JJ cord-007444-c9vu8ako 225 18 exacerbation^,'^ exacerbation^,'^ NNS cord-007444-c9vu8ako 225 19 although although IN cord-007444-c9vu8ako 225 20 this this DT cord-007444-c9vu8ako 225 21 practice practice NN cord-007444-c9vu8ako 225 22 is be VBZ cord-007444-c9vu8ako 225 23 not not RB cord-007444-c9vu8ako 225 24 recommended recommend VBN cord-007444-c9vu8ako 225 25 as as IN cord-007444-c9vu8ako 225 26 part part NN cord-007444-c9vu8ako 225 27 of of IN cord-007444-c9vu8ako 225 28 the the DT cord-007444-c9vu8ako 225 29 regular regular JJ cord-007444-c9vu8ako 225 30 care care NN cord-007444-c9vu8ako 225 31 of of IN cord-007444-c9vu8ako 225 32 all all DT cord-007444-c9vu8ako 225 33 patients patient NNS cord-007444-c9vu8ako 225 34 with with IN cord-007444-c9vu8ako 225 35 COPD COPD NNP cord-007444-c9vu8ako 225 36 . . . cord-007444-c9vu8ako 226 1 The the DT cord-007444-c9vu8ako 226 2 prescription prescription NN cord-007444-c9vu8ako 226 3 of of IN cord-007444-c9vu8ako 226 4 antibiotics antibiotic NNS cord-007444-c9vu8ako 226 5 to to TO cord-007444-c9vu8ako 226 6 facilitate facilitate VB cord-007444-c9vu8ako 226 7 early early JJ cord-007444-c9vu8ako 226 8 recovery recovery NN cord-007444-c9vu8ako 226 9 in in IN cord-007444-c9vu8ako 226 10 AECOPD AECOPD NNP cord-007444-c9vu8ako 226 11 has have VBZ cord-007444-c9vu8ako 226 12 become become VBN cord-007444-c9vu8ako 226 13 routine routine JJ cord-007444-c9vu8ako 226 14 despite despite IN cord-007444-c9vu8ako 226 15 unresolved unresolved JJ cord-007444-c9vu8ako 226 16 questions question NNS cord-007444-c9vu8ako 226 17 about about IN cord-007444-c9vu8ako 226 18 their -PRON- PRP$ cord-007444-c9vu8ako 226 19 true true JJ cord-007444-c9vu8ako 226 20 benefit benefit NN cord-007444-c9vu8ako 226 21 . . . cord-007444-c9vu8ako 226 22 ' ' '' cord-007444-c9vu8ako 227 1 " " `` cord-007444-c9vu8ako 227 2 51 51 CD cord-007444-c9vu8ako 227 3 , , , cord-007444-c9vu8ako 227 4 52 52 CD cord-007444-c9vu8ako 227 5 , , , cord-007444-c9vu8ako 227 6 83 83 CD cord-007444-c9vu8ako 227 7 Nicotra Nicotra NNP cord-007444-c9vu8ako 227 8 et et NNP cord-007444-c9vu8ako 227 9 aP7 ap7 NN cord-007444-c9vu8ako 228 1 randomized randomized JJ cord-007444-c9vu8ako 228 2 40 40 CD cord-007444-c9vu8ako 228 3 inpatients inpatient NNS cord-007444-c9vu8ako 228 4 with with IN cord-007444-c9vu8ako 228 5 AECOPD AECOPD NNP cord-007444-c9vu8ako 228 6 to to IN cord-007444-c9vu8ako 228 7 either either CC cord-007444-c9vu8ako 228 8 tetracycline tetracycline NN cord-007444-c9vu8ako 228 9 or or CC cord-007444-c9vu8ako 228 10 placebo placebo NN cord-007444-c9vu8ako 228 11 for for IN cord-007444-c9vu8ako 228 12 1 1 CD cord-007444-c9vu8ako 228 13 week week NN cord-007444-c9vu8ako 228 14 . . . cord-007444-c9vu8ako 229 1 At at IN cord-007444-c9vu8ako 229 2 7 7 CD cord-007444-c9vu8ako 229 3 days day NNS cord-007444-c9vu8ako 229 4 , , , cord-007444-c9vu8ako 229 5 there there EX cord-007444-c9vu8ako 229 6 was be VBD cord-007444-c9vu8ako 229 7 no no DT cord-007444-c9vu8ako 229 8 difference difference NN cord-007444-c9vu8ako 229 9 between between IN cord-007444-c9vu8ako 229 10 groups group NNS cord-007444-c9vu8ako 229 11 in in IN cord-007444-c9vu8ako 229 12 terms term NNS cord-007444-c9vu8ako 229 13 of of IN cord-007444-c9vu8ako 229 14 oxygenation oxygenation NN cord-007444-c9vu8ako 229 15 or or CC cord-007444-c9vu8ako 229 16 lung lung NN cord-007444-c9vu8ako 229 17 function function NN cord-007444-c9vu8ako 229 18 . . . cord-007444-c9vu8ako 230 1 In in IN cord-007444-c9vu8ako 230 2 a a DT cord-007444-c9vu8ako 230 3 similar similar JJ cord-007444-c9vu8ako 230 4 , , , cord-007444-c9vu8ako 230 5 but but CC cord-007444-c9vu8ako 230 6 larger large JJR cord-007444-c9vu8ako 230 7 , , , cord-007444-c9vu8ako 230 8 study study NN cord-007444-c9vu8ako 230 9 of of IN cord-007444-c9vu8ako 230 10 outpatients outpatient NNS cord-007444-c9vu8ako 230 11 with with IN cord-007444-c9vu8ako 230 12 uncomplicated uncomplicated JJ cord-007444-c9vu8ako 230 13 AECOPD AECOPD NNP cord-007444-c9vu8ako 230 14 , , , cord-007444-c9vu8ako 230 15 Jorgensedl Jorgensedl NNP cord-007444-c9vu8ako 230 16 also also RB cord-007444-c9vu8ako 230 17 could could MD cord-007444-c9vu8ako 230 18 not not RB cord-007444-c9vu8ako 230 19 demonstrate demonstrate VB cord-007444-c9vu8ako 230 20 a a DT cord-007444-c9vu8ako 230 21 clinically clinically RB cord-007444-c9vu8ako 230 22 important important JJ cord-007444-c9vu8ako 230 23 advantage advantage NN cord-007444-c9vu8ako 230 24 of of IN cord-007444-c9vu8ako 230 25 amoxicillin amoxicillin NNP cord-007444-c9vu8ako 230 26 over over IN cord-007444-c9vu8ako 230 27 placebo placebo NN cord-007444-c9vu8ako 230 28 . . . cord-007444-c9vu8ako 231 1 These these DT cord-007444-c9vu8ako 231 2 null null JJ cord-007444-c9vu8ako 231 3 trials trial NNS cord-007444-c9vu8ako 231 4 notwithstanding notwithstanding RB cord-007444-c9vu8ako 232 1 , , , cord-007444-c9vu8ako 232 2 the the DT cord-007444-c9vu8ako 232 3 highestquality highestquality NNP cord-007444-c9vu8ako 232 4 clinical clinical JJ cord-007444-c9vu8ako 232 5 study study NN cord-007444-c9vu8ako 232 6 to to IN cord-007444-c9vu8ako 232 7 date date NN cord-007444-c9vu8ako 232 8 , , , cord-007444-c9vu8ako 232 9 by by IN cord-007444-c9vu8ako 232 10 Anthonisen Anthonisen NNP cord-007444-c9vu8ako 232 11 et et NNP cord-007444-c9vu8ako 232 12 al al NNP cord-007444-c9vu8ako 232 13 , , , cord-007444-c9vu8ako 232 14 " " '' cord-007444-c9vu8ako 232 15 concluded conclude VBD cord-007444-c9vu8ako 232 16 that that IN cord-007444-c9vu8ako 232 17 antibiotics antibiotic NNS cord-007444-c9vu8ako 232 18 improved improve VBD cord-007444-c9vu8ako 232 19 outcomes outcome NNS cord-007444-c9vu8ako 232 20 . . . cord-007444-c9vu8ako 233 1 They -PRON- PRP cord-007444-c9vu8ako 233 2 randomized randomize VBD cord-007444-c9vu8ako 233 3 173 173 CD cord-007444-c9vu8ako 233 4 outpatients outpatient NNS cord-007444-c9vu8ako 233 5 to to TO cord-007444-c9vu8ako 233 6 receive receive VB cord-007444-c9vu8ako 233 7 either either CC cord-007444-c9vu8ako 233 8 placebo placebo NN cord-007444-c9vu8ako 233 9 or or CC cord-007444-c9vu8ako 233 10 broad broad JJ cord-007444-c9vu8ako 233 11 - - HYPH cord-007444-c9vu8ako 233 12 spectrum spectrum NN cord-007444-c9vu8ako 233 13 antibiotic antibiotic NN cord-007444-c9vu8ako 233 14 ( ( -LRB- cord-007444-c9vu8ako 233 15 amoxicillin amoxicillin NNP cord-007444-c9vu8ako 233 16 , , , cord-007444-c9vu8ako 233 17 trimethoprim trimethoprim NNP cord-007444-c9vu8ako 233 18 - - HYPH cord-007444-c9vu8ako 233 19 sulfamethoxazole sulfamethoxazole NNP cord-007444-c9vu8ako 233 20 , , , cord-007444-c9vu8ako 233 21 or or CC cord-007444-c9vu8ako 233 22 doxycycline doxycycline NNP cord-007444-c9vu8ako 233 23 ) ) -RRB- cord-007444-c9vu8ako 233 24 during during IN cord-007444-c9vu8ako 233 25 362 362 CD cord-007444-c9vu8ako 233 26 COPD COPD NNP cord-007444-c9vu8ako 233 27 exacerbations exacerbation NNS cord-007444-c9vu8ako 233 28 . . . cord-007444-c9vu8ako 234 1 Exacerbations exacerbation NNS cord-007444-c9vu8ako 234 2 were be VBD cord-007444-c9vu8ako 234 3 classified classify VBN cord-007444-c9vu8ako 234 4 according accord VBG cord-007444-c9vu8ako 234 5 to to IN cord-007444-c9vu8ako 234 6 severity severity NN cord-007444-c9vu8ako 234 7 . . . cord-007444-c9vu8ako 235 1 Type type NN cord-007444-c9vu8ako 235 2 1 1 CD cord-007444-c9vu8ako 235 3 ( ( -LRB- cord-007444-c9vu8ako 235 4 the the DT cord-007444-c9vu8ako 235 5 most most RBS cord-007444-c9vu8ako 235 6 severe severe JJ cord-007444-c9vu8ako 235 7 ) ) -RRB- cord-007444-c9vu8ako 235 8 was be VBD cord-007444-c9vu8ako 235 9 defined define VBN cord-007444-c9vu8ako 235 10 as as IN cord-007444-c9vu8ako 235 11 an an DT cord-007444-c9vu8ako 235 12 increase increase NN cord-007444-c9vu8ako 235 13 in in IN cord-007444-c9vu8ako 235 14 dyspnea dyspnea NN cord-007444-c9vu8ako 235 15 , , , cord-007444-c9vu8ako 235 16 sputum sputum NN cord-007444-c9vu8ako 235 17 volume volume NN cord-007444-c9vu8ako 235 18 , , , cord-007444-c9vu8ako 235 19 and and CC cord-007444-c9vu8ako 235 20 sputum sputum NN cord-007444-c9vu8ako 235 21 purulence purulence NN cord-007444-c9vu8ako 235 22 . . . cord-007444-c9vu8ako 236 1 Type type NN cord-007444-c9vu8ako 236 2 2 2 CD cord-007444-c9vu8ako 236 3 involved involve VBD cord-007444-c9vu8ako 236 4 the the DT cord-007444-c9vu8ako 236 5 presence presence NN cord-007444-c9vu8ako 236 6 of of IN cord-007444-c9vu8ako 236 7 only only RB cord-007444-c9vu8ako 236 8 two two CD cord-007444-c9vu8ako 236 9 of of IN cord-007444-c9vu8ako 236 10 the the DT cord-007444-c9vu8ako 236 11 three three CD cord-007444-c9vu8ako 236 12 symptoms symptom NNS cord-007444-c9vu8ako 236 13 , , , cord-007444-c9vu8ako 236 14 and and CC cord-007444-c9vu8ako 236 15 type type NN cord-007444-c9vu8ako 236 16 3 3 CD cord-007444-c9vu8ako 236 17 was be VBD cord-007444-c9vu8ako 236 18 defined define VBN cord-007444-c9vu8ako 236 19 as as IN cord-007444-c9vu8ako 236 20 the the DT cord-007444-c9vu8ako 236 21 presence presence NN cord-007444-c9vu8ako 236 22 of of IN cord-007444-c9vu8ako 236 23 one one CD cord-007444-c9vu8ako 236 24 of of IN cord-007444-c9vu8ako 236 25 the the DT cord-007444-c9vu8ako 236 26 three three CD cord-007444-c9vu8ako 236 27 symptoms symptom NNS cord-007444-c9vu8ako 236 28 in in IN cord-007444-c9vu8ako 236 29 addition addition NN cord-007444-c9vu8ako 236 30 to to IN cord-007444-c9vu8ako 236 31 one one CD cord-007444-c9vu8ako 236 32 other other JJ cord-007444-c9vu8ako 236 33 finding finding NN cord-007444-c9vu8ako 236 34 ( ( -LRB- cord-007444-c9vu8ako 236 35 sore sore JJ cord-007444-c9vu8ako 236 36 throat throat NN cord-007444-c9vu8ako 236 37 , , , cord-007444-c9vu8ako 236 38 rhinorrhea rhinorrhea NN cord-007444-c9vu8ako 236 39 , , , cord-007444-c9vu8ako 236 40 fever fever NN cord-007444-c9vu8ako 236 41 , , , cord-007444-c9vu8ako 236 42 increased increase VBN cord-007444-c9vu8ako 236 43 wheeze wheeze NN cord-007444-c9vu8ako 236 44 , , , cord-007444-c9vu8ako 236 45 or or CC cord-007444-c9vu8ako 236 46 increased increase VBN cord-007444-c9vu8ako 236 47 cough cough NN cord-007444-c9vu8ako 236 48 ) ) -RRB- cord-007444-c9vu8ako 236 49 . . . cord-007444-c9vu8ako 237 1 Compared compare VBN cord-007444-c9vu8ako 237 2 with with IN cord-007444-c9vu8ako 237 3 placebo placebo NN cord-007444-c9vu8ako 237 4 , , , cord-007444-c9vu8ako 237 5 antibiotics antibiotic NNS cord-007444-c9vu8ako 237 6 shortened shorten VBD cord-007444-c9vu8ako 237 7 the the DT cord-007444-c9vu8ako 237 8 duration duration NN cord-007444-c9vu8ako 237 9 of of IN cord-007444-c9vu8ako 237 10 exacerbations exacerbation NNS cord-007444-c9vu8ako 237 11 by by IN cord-007444-c9vu8ako 237 12 about about RB cord-007444-c9vu8ako 237 13 2 2 CD cord-007444-c9vu8ako 237 14 days day NNS cord-007444-c9vu8ako 237 15 and and CC cord-007444-c9vu8ako 237 16 accelerated accelerated JJ cord-007444-c9vu8ako 237 17 recovery recovery NN cord-007444-c9vu8ako 237 18 of of IN cord-007444-c9vu8ako 237 19 peak peak NN cord-007444-c9vu8ako 237 20 expiratory expiratory JJ cord-007444-c9vu8ako 237 21 flow flow NN cord-007444-c9vu8ako 237 22 rate rate NN cord-007444-c9vu8ako 237 23 ( ( -LRB- cord-007444-c9vu8ako 237 24 P p NN cord-007444-c9vu8ako 237 25 < < XX cord-007444-c9vu8ako 237 26 0.02 0.02 CD cord-007444-c9vu8ako 237 27 for for IN cord-007444-c9vu8ako 237 28 both both DT cord-007444-c9vu8ako 237 29 ) ) -RRB- cord-007444-c9vu8ako 237 30 . . . cord-007444-c9vu8ako 238 1 Treatment treatment NN cord-007444-c9vu8ako 238 2 success success NN cord-007444-c9vu8ako 238 3 , , , cord-007444-c9vu8ako 238 4 defined define VBN cord-007444-c9vu8ako 238 5 as as IN cord-007444-c9vu8ako 238 6 resolution resolution NN cord-007444-c9vu8ako 238 7 of of IN cord-007444-c9vu8ako 238 8 symptoms symptom NNS cord-007444-c9vu8ako 238 9 within within IN cord-007444-c9vu8ako 238 10 21 21 CD cord-007444-c9vu8ako 238 11 days day NNS cord-007444-c9vu8ako 238 12 , , , cord-007444-c9vu8ako 238 13 occurred occur VBD cord-007444-c9vu8ako 238 14 in in IN cord-007444-c9vu8ako 238 15 55 55 CD cord-007444-c9vu8ako 238 16 % % NN cord-007444-c9vu8ako 238 17 of of IN cord-007444-c9vu8ako 238 18 the the DT cord-007444-c9vu8ako 238 19 placebo placebo NN cord-007444-c9vu8ako 238 20 group group NN cord-007444-c9vu8ako 238 21 and and CC cord-007444-c9vu8ako 238 22 68.1 68.1 CD cord-007444-c9vu8ako 238 23 % % NN cord-007444-c9vu8ako 238 24 of of IN cord-007444-c9vu8ako 238 25 patients patient NNS cord-007444-c9vu8ako 238 26 receiving receive VBG cord-007444-c9vu8ako 238 27 active active JJ cord-007444-c9vu8ako 238 28 treatment treatment NN cord-007444-c9vu8ako 238 29 ( ( -LRB- cord-007444-c9vu8ako 238 30 P p NN cord-007444-c9vu8ako 238 31 < < XX cord-007444-c9vu8ako 238 32 0.05 0.05 CD cord-007444-c9vu8ako 238 33 ) ) -RRB- cord-007444-c9vu8ako 238 34 . . . cord-007444-c9vu8ako 239 1 Significantly significantly RB cord-007444-c9vu8ako 239 2 , , , cord-007444-c9vu8ako 239 3 among among IN cord-007444-c9vu8ako 239 4 patients patient NNS cord-007444-c9vu8ako 239 5 presenting present VBG cord-007444-c9vu8ako 239 6 with with IN cord-007444-c9vu8ako 239 7 type type NN cord-007444-c9vu8ako 239 8 l l NNP cord-007444-c9vu8ako 239 9 exacerbations exacerbation NNS cord-007444-c9vu8ako 239 10 , , , cord-007444-c9vu8ako 239 11 clinical clinical JJ cord-007444-c9vu8ako 239 12 deterioration deterioration NN cord-007444-c9vu8ako 239 13 was be VBD cord-007444-c9vu8ako 239 14 more more JJR cord-007444-c9vu8ako 239 15 than than IN cord-007444-c9vu8ako 239 16 twice twice RB cord-007444-c9vu8ako 239 17 as as RB cord-007444-c9vu8ako 239 18 common common JJ cord-007444-c9vu8ako 239 19 with with IN cord-007444-c9vu8ako 239 20 placebo placebo NN cord-007444-c9vu8ako 239 21 as as IN cord-007444-c9vu8ako 239 22 with with IN cord-007444-c9vu8ako 239 23 antibiotic antibiotic NN cord-007444-c9vu8ako 239 24 . . . cord-007444-c9vu8ako 240 1 A a DT cord-007444-c9vu8ako 240 2 clinician clinician NN cord-007444-c9vu8ako 240 3 therefore therefore RB cord-007444-c9vu8ako 240 4 would would MD cord-007444-c9vu8ako 240 5 need need VB cord-007444-c9vu8ako 240 6 to to TO cord-007444-c9vu8ako 240 7 treat treat VB cord-007444-c9vu8ako 240 8 roughly roughly RB cord-007444-c9vu8ako 240 9 eight eight CD cord-007444-c9vu8ako 240 10 exacerbations exacerbation NNS cord-007444-c9vu8ako 240 11 with with IN cord-007444-c9vu8ako 240 12 antibiotics antibiotic NNS cord-007444-c9vu8ako 240 13 to to TO cord-007444-c9vu8ako 240 14 achieve achieve VB cord-007444-c9vu8ako 240 15 one one CD cord-007444-c9vu8ako 240 16 treatment treatment NN cord-007444-c9vu8ako 240 17 success success NN cord-007444-c9vu8ako 240 18 beyond beyond IN cord-007444-c9vu8ako 240 19 chance chance NN cord-007444-c9vu8ako 240 20 , , , cord-007444-c9vu8ako 240 21 or or CC cord-007444-c9vu8ako 240 22 two two CD cord-007444-c9vu8ako 240 23 in in IN cord-007444-c9vu8ako 240 24 order order NN cord-007444-c9vu8ako 240 25 to to TO cord-007444-c9vu8ako 240 26 avoid avoid VB cord-007444-c9vu8ako 240 27 a a DT cord-007444-c9vu8ako 240 28 single single JJ cord-007444-c9vu8ako 240 29 deterioration deterioration NN cord-007444-c9vu8ako 240 30 . . . cord-007444-c9vu8ako 241 1 The the DT cord-007444-c9vu8ako 241 2 authors author NNS cord-007444-c9vu8ako 241 3 concluded conclude VBD cord-007444-c9vu8ako 241 4 that that IN cord-007444-c9vu8ako 241 5 avoidance avoidance NN cord-007444-c9vu8ako 241 6 of of IN cord-007444-c9vu8ako 241 7 deleterious deleterious JJ cord-007444-c9vu8ako 241 8 outcomes outcome NNS cord-007444-c9vu8ako 241 9 is be VBZ cord-007444-c9vu8ako 241 10 the the DT cord-007444-c9vu8ako 241 11 strongest strong JJS cord-007444-c9vu8ako 241 12 reason reason NN cord-007444-c9vu8ako 241 13 to to TO cord-007444-c9vu8ako 241 14 offer offer VB cord-007444-c9vu8ako 241 15 antibiotics antibiotic NNS cord-007444-c9vu8ako 241 16 to to IN cord-007444-c9vu8ako 241 17 patients patient NNS cord-007444-c9vu8ako 241 18 with with IN cord-007444-c9vu8ako 241 19 AE AE NNP cord-007444-c9vu8ako 241 20 - - HYPH cord-007444-c9vu8ako 241 21 COPD COPD NNP cord-007444-c9vu8ako 241 22 . . . cord-007444-c9vu8ako 242 1 Furthermore furthermore RB cord-007444-c9vu8ako 242 2 , , , cord-007444-c9vu8ako 242 3 they -PRON- PRP cord-007444-c9vu8ako 242 4 stated state VBD cord-007444-c9vu8ako 242 5 that that IN cord-007444-c9vu8ako 242 6 antibiotics antibiotic NNS cord-007444-c9vu8ako 242 7 are be VBP cord-007444-c9vu8ako 242 8 clearly clearly RB cord-007444-c9vu8ako 242 9 indicated indicate VBN cord-007444-c9vu8ako 242 10 in in IN cord-007444-c9vu8ako 242 11 type type NN cord-007444-c9vu8ako 242 12 1 1 CD cord-007444-c9vu8ako 242 13 exacerbations exacerbation NNS cord-007444-c9vu8ako 242 14 , , , cord-007444-c9vu8ako 242 15 of of IN cord-007444-c9vu8ako 242 16 no no DT cord-007444-c9vu8ako 242 17 benefit benefit NN cord-007444-c9vu8ako 242 18 in in IN cord-007444-c9vu8ako 242 19 type type NN cord-007444-c9vu8ako 242 20 3 3 CD cord-007444-c9vu8ako 242 21 exacerbations exacerbation NNS cord-007444-c9vu8ako 242 22 , , , cord-007444-c9vu8ako 242 23 and and CC cord-007444-c9vu8ako 242 24 probably probably RB cord-007444-c9vu8ako 242 25 justifiable justifiable JJ cord-007444-c9vu8ako 242 26 for for IN cord-007444-c9vu8ako 242 27 patients patient NNS cord-007444-c9vu8ako 242 28 with with IN cord-007444-c9vu8ako 242 29 type type NN cord-007444-c9vu8ako 242 30 2 2 CD cord-007444-c9vu8ako 242 31 presentations presentation NNS cord-007444-c9vu8ako 242 32 . . . cord-007444-c9vu8ako 243 1 " " '' cord-007444-c9vu8ako 244 1 Similar similar JJ cord-007444-c9vu8ako 244 2 findings finding NNS cord-007444-c9vu8ako 244 3 were be VBD cord-007444-c9vu8ako 244 4 reported report VBN cord-007444-c9vu8ako 244 5 in in IN cord-007444-c9vu8ako 244 6 another another DT cord-007444-c9vu8ako 244 7 largescale largescale JJ cord-007444-c9vu8ako 244 8 , , , cord-007444-c9vu8ako 244 9 randomized randomized JJ cord-007444-c9vu8ako 244 10 trial trial NN cord-007444-c9vu8ako 244 11 comparing compare VBG cord-007444-c9vu8ako 244 12 amoxicillin amoxicillin NNP cord-007444-c9vu8ako 244 13 / / SYM cord-007444-c9vu8ako 244 14 clavulanate clavulanate NNP cord-007444-c9vu8ako 244 15 to to IN cord-007444-c9vu8ako 244 16 placebo placebo NN cord-007444-c9vu8ako 244 17 ? ? . cord-007444-c9vu8ako 244 18 , , , cord-007444-c9vu8ako 245 1 Saint Saint NNP cord-007444-c9vu8ako 245 2 and and CC cord-007444-c9vu8ako 245 3 associate^'^^ associate^'^^ NNP cord-007444-c9vu8ako 245 4 systematically systematically RB cord-007444-c9vu8ako 245 5 reviewed review VBD cord-007444-c9vu8ako 245 6 the the DT cord-007444-c9vu8ako 245 7 clinical clinical JJ cord-007444-c9vu8ako 245 8 efficacy efficacy NN cord-007444-c9vu8ako 245 9 of of IN cord-007444-c9vu8ako 245 10 antibiotics antibiotic NNS cord-007444-c9vu8ako 245 11 for for IN cord-007444-c9vu8ako 245 12 AECOPD AECOPD NNP cord-007444-c9vu8ako 245 13 . . . cord-007444-c9vu8ako 246 1 They -PRON- PRP cord-007444-c9vu8ako 246 2 identified identify VBD cord-007444-c9vu8ako 246 3 nine nine CD cord-007444-c9vu8ako 246 4 randomized randomized JJ cord-007444-c9vu8ako 246 5 , , , cord-007444-c9vu8ako 246 6 placebo placebo NN cord-007444-c9vu8ako 246 7 - - HYPH cord-007444-c9vu8ako 246 8 controlled control VBN cord-007444-c9vu8ako 246 9 trials trial NNS cord-007444-c9vu8ako 246 10 of of IN cord-007444-c9vu8ako 246 11 antibiotics antibiotic NNS cord-007444-c9vu8ako 246 12 in in IN cord-007444-c9vu8ako 246 13 COPD COPD NNP cord-007444-c9vu8ako 246 14 exacerbations exacerbation NNS cord-007444-c9vu8ako 246 15 in in IN cord-007444-c9vu8ako 246 16 which which WDT cord-007444-c9vu8ako 246 17 the the DT cord-007444-c9vu8ako 246 18 patients patient NNS cord-007444-c9vu8ako 246 19 were be VBD cord-007444-c9vu8ako 246 20 followed follow VBN cord-007444-c9vu8ako 246 21 for for IN cord-007444-c9vu8ako 246 22 at at RB cord-007444-c9vu8ako 246 23 least least JJS cord-007444-c9vu8ako 246 24 5 5 CD cord-007444-c9vu8ako 246 25 days day NNS cord-007444-c9vu8ako 246 26 . . . cord-007444-c9vu8ako 247 1 Because because IN cord-007444-c9vu8ako 247 2 no no DT cord-007444-c9vu8ako 247 3 outcome outcome NN cord-007444-c9vu8ako 247 4 measure measure NN cord-007444-c9vu8ako 247 5 was be VBD cord-007444-c9vu8ako 247 6 common common JJ cord-007444-c9vu8ako 247 7 to to IN cord-007444-c9vu8ako 247 8 all all DT cord-007444-c9vu8ako 247 9 nine nine CD cord-007444-c9vu8ako 247 10 studies study NNS cord-007444-c9vu8ako 247 11 , , , cord-007444-c9vu8ako 247 12 the the DT cord-007444-c9vu8ako 247 13 authors author NNS cord-007444-c9vu8ako 247 14 derived derive VBD cord-007444-c9vu8ako 247 15 an an DT cord-007444-c9vu8ako 247 16 overall overall JJ cord-007444-c9vu8ako 247 17 effect effect NN cord-007444-c9vu8ako 247 18 size size NN cord-007444-c9vu8ako 247 19 to to TO cord-007444-c9vu8ako 247 20 quantify quantify VB cord-007444-c9vu8ako 247 21 the the DT cord-007444-c9vu8ako 247 22 efficacy efficacy NN cord-007444-c9vu8ako 247 23 of of IN cord-007444-c9vu8ako 247 24 antibiotics antibiotic NNS cord-007444-c9vu8ako 247 25 and and CC cord-007444-c9vu8ako 247 26 concluded conclude VBD cord-007444-c9vu8ako 247 27 that that IN cord-007444-c9vu8ako 247 28 a a DT cord-007444-c9vu8ako 247 29 small small JJ cord-007444-c9vu8ako 247 30 but but CC cord-007444-c9vu8ako 247 31 statistically statistically RB cord-007444-c9vu8ako 247 32 significant significant JJ cord-007444-c9vu8ako 247 33 improvement improvement NN cord-007444-c9vu8ako 247 34 could could MD cord-007444-c9vu8ako 247 35 be be VB cord-007444-c9vu8ako 247 36 expected expect VBN cord-007444-c9vu8ako 247 37 among among IN cord-007444-c9vu8ako 247 38 patients patient NNS cord-007444-c9vu8ako 247 39 receiving receive VBG cord-007444-c9vu8ako 247 40 antibiotics antibiotic NNS cord-007444-c9vu8ako 247 41 . . . cord-007444-c9vu8ako 248 1 From from IN cord-007444-c9vu8ako 248 2 the the DT cord-007444-c9vu8ako 248 3 six six CD cord-007444-c9vu8ako 248 4 trials trial NNS cord-007444-c9vu8ako 248 5 that that WDT cord-007444-c9vu8ako 248 6 reported report VBD cord-007444-c9vu8ako 248 7 peak peak JJ cord-007444-c9vu8ako 248 8 expiratory expiratory JJ cord-007444-c9vu8ako 248 9 flow flow NN cord-007444-c9vu8ako 248 10 rates rate NNS cord-007444-c9vu8ako 248 11 , , , cord-007444-c9vu8ako 248 12 an an DT cord-007444-c9vu8ako 248 13 overall overall JJ cord-007444-c9vu8ako 248 14 improvement improvement NN cord-007444-c9vu8ako 248 15 of of IN cord-007444-c9vu8ako 248 16 10.75 10.75 CD cord-007444-c9vu8ako 248 17 liters liter NNS cord-007444-c9vu8ako 248 18 per per IN cord-007444-c9vu8ako 248 19 minute minute NN cord-007444-c9vu8ako 248 20 favoring favor VBG cord-007444-c9vu8ako 248 21 the the DT cord-007444-c9vu8ako 248 22 antibiotic antibiotic JJ cord-007444-c9vu8ako 248 23 group group NN cord-007444-c9vu8ako 248 24 was be VBD cord-007444-c9vu8ako 248 25 noted note VBN cord-007444-c9vu8ako 248 26 . . . cord-007444-c9vu8ako 249 1 Although although IN cord-007444-c9vu8ako 249 2 small small JJ cord-007444-c9vu8ako 249 3 , , , cord-007444-c9vu8ako 249 4 such such PDT cord-007444-c9vu8ako 249 5 an an DT cord-007444-c9vu8ako 249 6 effect effect NN cord-007444-c9vu8ako 249 7 may may MD cord-007444-c9vu8ako 249 8 be be VB cord-007444-c9vu8ako 249 9 clinically clinically RB cord-007444-c9vu8ako 249 10 important important JJ cord-007444-c9vu8ako 249 11 for for IN cord-007444-c9vu8ako 249 12 patients patient NNS cord-007444-c9vu8ako 249 13 with with IN cord-007444-c9vu8ako 249 14 severely severely RB cord-007444-c9vu8ako 249 15 compromised compromise VBN cord-007444-c9vu8ako 249 16 baseline baseline JJ cord-007444-c9vu8ako 249 17 lung lung NN cord-007444-c9vu8ako 249 18 function function NN cord-007444-c9vu8ako 249 19 by by IN cord-007444-c9vu8ako 249 20 preventing prevent VBG cord-007444-c9vu8ako 249 21 respiratory respiratory JJ cord-007444-c9vu8ako 249 22 failure failure NN cord-007444-c9vu8ako 249 23 and and CC cord-007444-c9vu8ako 249 24 hospital hospital NN cord-007444-c9vu8ako 249 25 or or CC cord-007444-c9vu8ako 249 26 intensive intensive JJ cord-007444-c9vu8ako 249 27 care care NN cord-007444-c9vu8ako 249 28 unit unit NN cord-007444-c9vu8ako 249 29 ( ( -LRB- cord-007444-c9vu8ako 249 30 ICU ICU NNP cord-007444-c9vu8ako 249 31 ) ) -RRB- cord-007444-c9vu8ako 249 32 admission.5l admission.5l VBD cord-007444-c9vu8ako 249 33 To to TO cord-007444-c9vu8ako 249 34 reduce reduce VB cord-007444-c9vu8ako 249 35 the the DT cord-007444-c9vu8ako 249 36 risk risk NN cord-007444-c9vu8ako 249 37 for for IN cord-007444-c9vu8ako 249 38 treatment treatment NN cord-007444-c9vu8ako 249 39 failure failure NN cord-007444-c9vu8ako 249 40 , , , cord-007444-c9vu8ako 249 41 antibiotics antibiotic NNS cord-007444-c9vu8ako 249 42 should should MD cord-007444-c9vu8ako 249 43 be be VB cord-007444-c9vu8ako 249 44 selected select VBN cord-007444-c9vu8ako 249 45 according accord VBG cord-007444-c9vu8ako 249 46 to to IN cord-007444-c9vu8ako 249 47 pertinent pertinent JJ cord-007444-c9vu8ako 249 48 clinical clinical JJ cord-007444-c9vu8ako 249 49 data datum NNS cord-007444-c9vu8ako 249 50 and and CC cord-007444-c9vu8ako 249 51 the the DT cord-007444-c9vu8ako 249 52 potential potential NN cord-007444-c9vu8ako 249 53 for for IN cord-007444-c9vu8ako 249 54 antimicrobial antimicrobial JJ cord-007444-c9vu8ako 249 55 resistance resistance NN cord-007444-c9vu8ako 249 56 . . . cord-007444-c9vu8ako 250 1 Several several JJ cord-007444-c9vu8ako 250 2 schemes scheme NNS cord-007444-c9vu8ako 250 3 have have VBP cord-007444-c9vu8ako 250 4 been be VBN cord-007444-c9vu8ako 250 5 proposed propose VBN cord-007444-c9vu8ako 250 6 to to TO cord-007444-c9vu8ako 250 7 stratify stratify VB cord-007444-c9vu8ako 250 8 the the DT cord-007444-c9vu8ako 250 9 patient patient NN cord-007444-c9vu8ako 250 10 's 's POS cord-007444-c9vu8ako 250 11 risk risk NN cord-007444-c9vu8ako 250 12 and and CC cord-007444-c9vu8ako 250 13 select select VB cord-007444-c9vu8ako 250 14 the the DT cord-007444-c9vu8ako 250 15 most most RBS cord-007444-c9vu8ako 250 16 appropriate appropriate JJ cord-007444-c9vu8ako 250 17 therapy therapy NN cord-007444-c9vu8ako 250 18 . . . cord-007444-c9vu8ako 250 19 ' ' '' cord-007444-c9vu8ako 251 1 " " `` cord-007444-c9vu8ako 251 2 53 53 CD cord-007444-c9vu8ako 251 3 , , , cord-007444-c9vu8ako 251 4 72 72 CD cord-007444-c9vu8ako 251 5 , , , cord-007444-c9vu8ako 251 6 The the DT cord-007444-c9vu8ako 251 7 simplest simple JJS cord-007444-c9vu8ako 251 8 , , , cord-007444-c9vu8ako 251 9 and and CC cord-007444-c9vu8ako 251 10 most most RBS cord-007444-c9vu8ako 251 11 recent recent JJ cord-007444-c9vu8ako 251 12 , , , cord-007444-c9vu8ako 251 13 classification classification NN cord-007444-c9vu8ako 251 14 system system NN cord-007444-c9vu8ako 251 15 is be VBZ cord-007444-c9vu8ako 251 16 presented present VBN cord-007444-c9vu8ako 251 17 in in IN cord-007444-c9vu8ako 251 18 Table Table NNP cord-007444-c9vu8ako 251 19 _SP cord-007444-c9vu8ako 251 20 3 3 CD cord-007444-c9vu8ako 251 21 . . . cord-007444-c9vu8ako 252 1 G g NN cord-007444-c9vu8ako 253 1 r r LS cord-007444-c9vu8ako 253 2 o o NN cord-007444-c9vu8ako 254 1 s s NNP cord-007444-c9vu8ako 255 1 ~m ~m NNP cord-007444-c9vu8ako 255 2 a a DT cord-007444-c9vu8ako 255 3 n~~ n~~ NN cord-007444-c9vu8ako 255 4 has have VBZ cord-007444-c9vu8ako 255 5 classified classify VBN cord-007444-c9vu8ako 255 6 acute acute JJ cord-007444-c9vu8ako 255 7 exacerbations exacerbation NNS cord-007444-c9vu8ako 255 8 into into IN cord-007444-c9vu8ako 255 9 four four CD cord-007444-c9vu8ako 255 10 groups group NNS cord-007444-c9vu8ako 255 11 . . . cord-007444-c9vu8ako 256 1 Group group NN cord-007444-c9vu8ako 256 2 1 1 CD cord-007444-c9vu8ako 256 3 patients patient NNS cord-007444-c9vu8ako 256 4 have have VBP cord-007444-c9vu8ako 256 5 acute acute JJ cord-007444-c9vu8ako 256 6 simple simple JJ cord-007444-c9vu8ako 256 7 bronclutis bronclutis NN cord-007444-c9vu8ako 256 8 , , , cord-007444-c9vu8ako 256 9 likely likely JJ cord-007444-c9vu8ako 256 10 of of IN cord-007444-c9vu8ako 256 11 viral viral JJ cord-007444-c9vu8ako 256 12 origin origin NN cord-007444-c9vu8ako 256 13 , , , cord-007444-c9vu8ako 256 14 for for IN cord-007444-c9vu8ako 256 15 which which WDT cord-007444-c9vu8ako 256 16 anti- anti- JJ cord-007444-c9vu8ako 256 17 Antibiotic antibiotic JJ cord-007444-c9vu8ako 256 18 therapy therapy NN cord-007444-c9vu8ako 256 19 is be VBZ cord-007444-c9vu8ako 256 20 directed direct VBN cord-007444-c9vu8ako 256 21 at at IN cord-007444-c9vu8ako 256 22 l l NNP cord-007444-c9vu8ako 256 23 ? ? . cord-007444-c9vu8ako 256 24 aeruginosa aeruginosa NN cord-007444-c9vu8ako 256 25 and and CC cord-007444-c9vu8ako 256 26 other other JJ cord-007444-c9vu8ako 256 27 commonly commonly RB cord-007444-c9vu8ako 256 28 drug drug NN cord-007444-c9vu8ako 256 29 - - HYPH cord-007444-c9vu8ako 256 30 resistant resistant JJ cord-007444-c9vu8ako 256 31 gram gram NN cord-007444-c9vu8ako 256 32 - - HYPH cord-007444-c9vu8ako 256 33 negative negative JJ cord-007444-c9vu8ako 256 34 bacteria bacteria NNS cord-007444-c9vu8ako 256 35 ( ( -LRB- cord-007444-c9vu8ako 256 36 see see VB cord-007444-c9vu8ako 256 37 Table Table NNP cord-007444-c9vu8ako 256 38 3 3 CD cord-007444-c9vu8ako 256 39 ) ) -RRB- cord-007444-c9vu8ako 256 40 . . . cord-007444-c9vu8ako 257 1 As as IN cord-007444-c9vu8ako 257 2 noted note VBN cord-007444-c9vu8ako 257 3 , , , cord-007444-c9vu8ako 257 4 approaches approach VBZ cord-007444-c9vu8ako 257 5 to to IN cord-007444-c9vu8ako 257 6 antibiotic antibiotic JJ cord-007444-c9vu8ako 257 7 therapy therapy NN cord-007444-c9vu8ako 257 8 based base VBN cord-007444-c9vu8ako 257 9 upon upon IN cord-007444-c9vu8ako 257 10 a a DT cord-007444-c9vu8ako 257 11 rational rational JJ cord-007444-c9vu8ako 257 12 appraisal appraisal NN cord-007444-c9vu8ako 257 13 of of IN cord-007444-c9vu8ako 257 14 patient patient JJ cord-007444-c9vu8ako 257 15 risk risk NN cord-007444-c9vu8ako 257 16 factors factor NNS cord-007444-c9vu8ako 257 17 and and CC cord-007444-c9vu8ako 257 18 likely likely JJ cord-007444-c9vu8ako 257 19 pathogens pathogen NNS cord-007444-c9vu8ako 257 20 reduce reduce VBP cord-007444-c9vu8ako 257 21 the the DT cord-007444-c9vu8ako 257 22 risk risk NN cord-007444-c9vu8ako 257 23 for for IN cord-007444-c9vu8ako 257 24 treatment treatment NN cord-007444-c9vu8ako 257 25 failure failure NN cord-007444-c9vu8ako 257 26 and and CC cord-007444-c9vu8ako 257 27 avoid avoid VB cord-007444-c9vu8ako 257 28 unnecessary unnecessary JJ cord-007444-c9vu8ako 257 29 medical medical JJ cord-007444-c9vu8ako 257 30 and and CC cord-007444-c9vu8ako 257 31 economic economic JJ cord-007444-c9vu8ako 257 32 expense expense NN cord-007444-c9vu8ako 257 33 . . . cord-007444-c9vu8ako 258 1 There there EX cord-007444-c9vu8ako 258 2 are be VBP cord-007444-c9vu8ako 258 3 outcome outcome NN cord-007444-c9vu8ako 258 4 data datum NNS cord-007444-c9vu8ako 258 5 to to TO cord-007444-c9vu8ako 258 6 suggest suggest VB cord-007444-c9vu8ako 258 7 this this DT cord-007444-c9vu8ako 258 8 approach approach NN cord-007444-c9vu8ako 258 9 leads lead VBZ cord-007444-c9vu8ako 258 10 to to IN cord-007444-c9vu8ako 258 11 improved improve VBN cord-007444-c9vu8ako 258 12 clinical clinical JJ cord-007444-c9vu8ako 258 13 outcomes outcome NNS cord-007444-c9vu8ako 258 14 , , , cord-007444-c9vu8ako 258 15 with with IN cord-007444-c9vu8ako 258 16 reduced reduce VBN cord-007444-c9vu8ako 258 17 overall overall RB cord-007444-c9vu8ako 258 18 A a DT cord-007444-c9vu8ako 258 19 retrospective retrospective JJ cord-007444-c9vu8ako 258 20 study study NN cord-007444-c9vu8ako 258 21 by by IN cord-007444-c9vu8ako 258 22 Destache Destache NNP cord-007444-c9vu8ako 258 23 and and CC cord-007444-c9vu8ako 258 24 colleagues37 colleagues37 NNP cord-007444-c9vu8ako 258 25 demonstrated demonstrate VBD cord-007444-c9vu8ako 258 26 that that IN cord-007444-c9vu8ako 258 27 , , , cord-007444-c9vu8ako 258 28 compared compare VBN cord-007444-c9vu8ako 258 29 with with IN cord-007444-c9vu8ako 258 30 the the DT cord-007444-c9vu8ako 258 31 usual usual JJ cord-007444-c9vu8ako 258 32 first first JJ cord-007444-c9vu8ako 258 33 - - HYPH cord-007444-c9vu8ako 258 34 line line NN cord-007444-c9vu8ako 258 35 antibiotics antibiotic NNS cord-007444-c9vu8ako 258 36 in in IN cord-007444-c9vu8ako 258 37 the the DT cord-007444-c9vu8ako 258 38 treatment treatment NN cord-007444-c9vu8ako 258 39 of of IN cord-007444-c9vu8ako 258 40 acute acute JJ cord-007444-c9vu8ako 258 41 exacerbations exacerbation NNS cord-007444-c9vu8ako 258 42 of of IN cord-007444-c9vu8ako 258 43 chronic chronic JJ cord-007444-c9vu8ako 258 44 bronchitis bronchitis NN cord-007444-c9vu8ako 258 45 , , , cord-007444-c9vu8ako 258 46 the the DT cord-007444-c9vu8ako 258 47 use use NN cord-007444-c9vu8ako 258 48 of of IN cord-007444-c9vu8ako 258 49 newer new JJR cord-007444-c9vu8ako 258 50 antibiotics antibiotic NNS cord-007444-c9vu8ako 258 51 reduced reduce VBD cord-007444-c9vu8ako 258 52 both both CC cord-007444-c9vu8ako 258 53 the the DT cord-007444-c9vu8ako 258 54 hospitalization hospitalization NN cord-007444-c9vu8ako 258 55 rate rate NN cord-007444-c9vu8ako 258 56 and and CC cord-007444-c9vu8ako 258 57 failure failure NN cord-007444-c9vu8ako 258 58 rate rate NN cord-007444-c9vu8ako 258 59 . . . cord-007444-c9vu8ako 259 1 Although although IN cord-007444-c9vu8ako 259 2 the the DT cord-007444-c9vu8ako 259 3 acquisition acquisition NN cord-007444-c9vu8ako 259 4 cost cost NN cord-007444-c9vu8ako 259 5 of of IN cord-007444-c9vu8ako 259 6 newer new JJR cord-007444-c9vu8ako 259 7 antibiotics antibiotic NNS cord-007444-c9vu8ako 259 8 ( ( -LRB- cord-007444-c9vu8ako 259 9 cephalosporins cephalosporin NNS cord-007444-c9vu8ako 259 10 , , , cord-007444-c9vu8ako 259 11 macrolides macrolide NNS cord-007444-c9vu8ako 259 12 and and CC cord-007444-c9vu8ako 259 13 fluoroquinolones fluoroquinolone NNS cord-007444-c9vu8ako 259 14 ) ) -RRB- cord-007444-c9vu8ako 259 15 was be VBD cord-007444-c9vu8ako 259 16 higher high JJR cord-007444-c9vu8ako 259 17 , , , cord-007444-c9vu8ako 259 18 the the DT cord-007444-c9vu8ako 259 19 overall overall JJ cord-007444-c9vu8ako 259 20 costs cost NNS cord-007444-c9vu8ako 259 21 of of IN cord-007444-c9vu8ako 259 22 the the DT cord-007444-c9vu8ako 259 23 treated treat VBN cord-007444-c9vu8ako 259 24 patients patient NNS cord-007444-c9vu8ako 259 25 given give VBN cord-007444-c9vu8ako 259 26 these these DT cord-007444-c9vu8ako 259 27 drugs drug NNS cord-007444-c9vu8ako 259 28 were be VBD cord-007444-c9vu8ako 259 29 lower low JJR cord-007444-c9vu8ako 259 30 . . . cord-007444-c9vu8ako 260 1 In in IN cord-007444-c9vu8ako 260 2 particular particular JJ cord-007444-c9vu8ako 260 3 , , , cord-007444-c9vu8ako 260 4 the the DT cord-007444-c9vu8ako 260 5 group group NN cord-007444-c9vu8ako 260 6 receiving receive VBG cord-007444-c9vu8ako 260 7 amoxicillin/ amoxicillin/ NN cord-007444-c9vu8ako 260 8 clavulanate clavulanate NN cord-007444-c9vu8ako 260 9 , , , cord-007444-c9vu8ako 260 10 azithromycin azithromycin NNP cord-007444-c9vu8ako 260 11 , , , cord-007444-c9vu8ako 260 12 or or CC cord-007444-c9vu8ako 260 13 ciprofloxacin ciprofloxacin NN cord-007444-c9vu8ako 260 14 had have VBD cord-007444-c9vu8ako 260 15 the the DT cord-007444-c9vu8ako 260 16 lowest low JJS cord-007444-c9vu8ako 260 17 hospitalization hospitalization NN cord-007444-c9vu8ako 260 18 rate rate NN cord-007444-c9vu8ako 260 19 , , , cord-007444-c9vu8ako 260 20 clinical clinical JJ cord-007444-c9vu8ako 260 21 failure failure NN cord-007444-c9vu8ako 260 22 rate rate NN cord-007444-c9vu8ako 260 23 , , , cord-007444-c9vu8ako 260 24 and and CC cord-007444-c9vu8ako 260 25 costs cost NNS cord-007444-c9vu8ako 260 26 compared compare VBN cord-007444-c9vu8ako 260 27 with with IN cord-007444-c9vu8ako 260 28 cephalosporins cephalosporin NNS cord-007444-c9vu8ako 260 29 or or CC cord-007444-c9vu8ako 260 30 first first JJ cord-007444-c9vu8ako 260 31 - - HYPH cord-007444-c9vu8ako 260 32 line line NN cord-007444-c9vu8ako 260 33 therapy therapy NN cord-007444-c9vu8ako 260 34 . . . cord-007444-c9vu8ako 261 1 The the DT cord-007444-c9vu8ako 261 2 hypothesis hypothesis NN cord-007444-c9vu8ako 261 3 that that WDT cord-007444-c9vu8ako 261 4 aggressive aggressive JJ cord-007444-c9vu8ako 261 5 antibiotic antibiotic JJ cord-007444-c9vu8ako 261 6 therapy therapy NN cord-007444-c9vu8ako 261 7 should should MD cord-007444-c9vu8ako 261 8 be be VB cord-007444-c9vu8ako 261 9 offered offer VBN cord-007444-c9vu8ako 261 10 to to IN cord-007444-c9vu8ako 261 11 high high JJ cord-007444-c9vu8ako 261 12 - - HYPH cord-007444-c9vu8ako 261 13 risk risk NN cord-007444-c9vu8ako 261 14 patients patient NNS cord-007444-c9vu8ako 261 15 was be VBD cord-007444-c9vu8ako 261 16 tested test VBN cord-007444-c9vu8ako 261 17 in in IN cord-007444-c9vu8ako 261 18 a a DT cord-007444-c9vu8ako 261 19 recent recent JJ cord-007444-c9vu8ako 261 20 , , , cord-007444-c9vu8ako 261 21 prospective prospective JJ cord-007444-c9vu8ako 261 22 , , , cord-007444-c9vu8ako 261 23 health health NN cord-007444-c9vu8ako 261 24 economic economic JJ cord-007444-c9vu8ako 261 25 study.= study.= NN cord-007444-c9vu8ako 261 26 Patients patient NNS cord-007444-c9vu8ako 261 27 with with IN cord-007444-c9vu8ako 261 28 at at RB cord-007444-c9vu8ako 261 29 least least RBS cord-007444-c9vu8ako 261 30 three three CD cord-007444-c9vu8ako 261 31 treated treat VBN cord-007444-c9vu8ako 261 32 exacerbations exacerbation NNS cord-007444-c9vu8ako 261 33 of of IN cord-007444-c9vu8ako 261 34 chronic chronic JJ cord-007444-c9vu8ako 261 35 bronchitis bronchitis NN cord-007444-c9vu8ako 261 36 in in IN cord-007444-c9vu8ako 261 37 the the DT cord-007444-c9vu8ako 261 38 past past JJ cord-007444-c9vu8ako 261 39 year year NN cord-007444-c9vu8ako 261 40 were be VBD cord-007444-c9vu8ako 261 41 randomized randomize VBN cord-007444-c9vu8ako 261 42 to to TO cord-007444-c9vu8ako 261 43 receive receive VB cord-007444-c9vu8ako 261 44 either either CC cord-007444-c9vu8ako 261 45 ciprofloxacin ciprofloxacin NN cord-007444-c9vu8ako 261 46 or or CC cord-007444-c9vu8ako 261 47 any any DT cord-007444-c9vu8ako 261 48 nonquinolone nonquinolone NN cord-007444-c9vu8ako 261 49 - - HYPH cord-007444-c9vu8ako 261 50 based base VBN cord-007444-c9vu8ako 261 51 therapy therapy NN cord-007444-c9vu8ako 261 52 for for IN cord-007444-c9vu8ako 261 53 their -PRON- PRP$ cord-007444-c9vu8ako 261 54 next next JJ cord-007444-c9vu8ako 261 55 acute acute JJ cord-007444-c9vu8ako 261 56 exacerbation exacerbation NN cord-007444-c9vu8ako 261 57 . . . cord-007444-c9vu8ako 262 1 Clinical clinical JJ cord-007444-c9vu8ako 262 2 endpoints endpoint NNS cord-007444-c9vu8ako 262 3 ( ( -LRB- cord-007444-c9vu8ako 262 4 days day NNS cord-007444-c9vu8ako 262 5 of of IN cord-007444-c9vu8ako 262 6 illness illness NN cord-007444-c9vu8ako 262 7 , , , cord-007444-c9vu8ako 262 8 hospitalizations hospitalization NNS cord-007444-c9vu8ako 262 9 , , , cord-007444-c9vu8ako 262 10 time time NN cord-007444-c9vu8ako 262 11 to to IN cord-007444-c9vu8ako 262 12 next next JJ cord-007444-c9vu8ako 262 13 exacerbation exacerbation NN cord-007444-c9vu8ako 262 14 ) ) -RRB- cord-007444-c9vu8ako 262 15 were be VBD cord-007444-c9vu8ako 262 16 blended blend VBN cord-007444-c9vu8ako 262 17 with with IN cord-007444-c9vu8ako 262 18 quality quality NN cord-007444-c9vu8ako 262 19 - - HYPH cord-007444-c9vu8ako 262 20 of of IN cord-007444-c9vu8ako 262 21 - - HYPH cord-007444-c9vu8ako 262 22 life life NN cord-007444-c9vu8ako 262 23 measurements measurement NNS cord-007444-c9vu8ako 262 24 ( ( -LRB- cord-007444-c9vu8ako 262 25 Nottingham Nottingham NNP cord-007444-c9vu8ako 262 26 Health Health NNP cord-007444-c9vu8ako 262 27 Profile Profile NNP cord-007444-c9vu8ako 262 28 , , , cord-007444-c9vu8ako 262 29 St. St. NNP cord-007444-c9vu8ako 262 30 George George NNP cord-007444-c9vu8ako 262 31 's 's POS cord-007444-c9vu8ako 262 32 Hospital Hospital NNP cord-007444-c9vu8ako 262 33 Respiratory Respiratory NNP cord-007444-c9vu8ako 262 34 Questionnaire Questionnaire NNP cord-007444-c9vu8ako 262 35 , , , cord-007444-c9vu8ako 262 36 Health Health NNP cord-007444-c9vu8ako 262 37 Utility Utility NNP cord-007444-c9vu8ako 262 38 Index Index NNP cord-007444-c9vu8ako 262 39 ) ) -RRB- cord-007444-c9vu8ako 262 40 , , , cord-007444-c9vu8ako 262 41 and and CC cord-007444-c9vu8ako 262 42 total total JJ cord-007444-c9vu8ako 262 43 respiratory respiratory JJ cord-007444-c9vu8ako 262 44 costs cost NNS cord-007444-c9vu8ako 262 45 from from IN cord-007444-c9vu8ako 262 46 a a DT cord-007444-c9vu8ako 262 47 societal societal JJ cord-007444-c9vu8ako 262 48 perspective perspective NN cord-007444-c9vu8ako 262 49 . . . cord-007444-c9vu8ako 263 1 Although although IN cord-007444-c9vu8ako 263 2 the the DT cord-007444-c9vu8ako 263 3 overall overall JJ cord-007444-c9vu8ako 263 4 results result NNS cord-007444-c9vu8ako 263 5 indicated indicate VBD cord-007444-c9vu8ako 263 6 no no DT cord-007444-c9vu8ako 263 7 advantage advantage NN cord-007444-c9vu8ako 263 8 for for IN cord-007444-c9vu8ako 263 9 either either DT cord-007444-c9vu8ako 263 10 treatment treatment NN cord-007444-c9vu8ako 263 11 arm arm NN cord-007444-c9vu8ako 263 12 , , , cord-007444-c9vu8ako 263 13 in in IN cord-007444-c9vu8ako 263 14 patients patient NNS cord-007444-c9vu8ako 263 15 with with IN cord-007444-c9vu8ako 263 16 risk risk NN cord-007444-c9vu8ako 263 17 factors factor NNS cord-007444-c9vu8ako 263 18 ( ( -LRB- cord-007444-c9vu8ako 263 19 severe severe JJ cord-007444-c9vu8ako 263 20 underlying underlying JJ cord-007444-c9vu8ako 263 21 lung lung NN cord-007444-c9vu8ako 263 22 disease disease NN cord-007444-c9vu8ako 263 23 , , , cord-007444-c9vu8ako 263 24 more more JJR cord-007444-c9vu8ako 263 25 than than IN cord-007444-c9vu8ako 263 26 four four CD cord-007444-c9vu8ako 263 27 exacerbations exacerbation NNS cord-007444-c9vu8ako 263 28 per per IN cord-007444-c9vu8ako 263 29 year year NN cord-007444-c9vu8ako 263 30 , , , cord-007444-c9vu8ako 263 31 duration duration NN cord-007444-c9vu8ako 263 32 of of IN cord-007444-c9vu8ako 263 33 bronchitis bronchitis NN cord-007444-c9vu8ako 263 34 greater great JJR cord-007444-c9vu8ako 263 35 than than IN cord-007444-c9vu8ako 263 36 10 10 CD cord-007444-c9vu8ako 263 37 years year NNS cord-007444-c9vu8ako 263 38 , , , cord-007444-c9vu8ako 263 39 elderly elderly JJ cord-007444-c9vu8ako 263 40 , , , cord-007444-c9vu8ako 263 41 significant significant JJ cord-007444-c9vu8ako 263 42 comorbid comorbid NN cord-007444-c9vu8ako 263 43 illness illness NN cord-007444-c9vu8ako 263 44 ) ) -RRB- cord-007444-c9vu8ako 264 1 the the DT cord-007444-c9vu8ako 264 2 use use NN cord-007444-c9vu8ako 264 3 of of IN cord-007444-c9vu8ako 264 4 ciprofloxacin ciprofloxacin NN cord-007444-c9vu8ako 264 5 led lead VBN cord-007444-c9vu8ako 264 6 to to IN cord-007444-c9vu8ako 264 7 improved improve VBN cord-007444-c9vu8ako 264 8 clinical clinical JJ cord-007444-c9vu8ako 264 9 outcome outcome NN cord-007444-c9vu8ako 264 10 , , , cord-007444-c9vu8ako 264 11 higher high JJR cord-007444-c9vu8ako 264 12 quality quality NN cord-007444-c9vu8ako 264 13 of of IN cord-007444-c9vu8ako 264 14 life life NN cord-007444-c9vu8ako 264 15 , , , cord-007444-c9vu8ako 264 16 and and CC cord-007444-c9vu8ako 264 17 fewer few JJR cord-007444-c9vu8ako 264 18 costs cost NNS cord-007444-c9vu8ako 264 19 . . . cord-007444-c9vu8ako 265 1 The the DT cord-007444-c9vu8ako 265 2 results result NNS cord-007444-c9vu8ako 265 3 of of IN cord-007444-c9vu8ako 265 4 this this DT cord-007444-c9vu8ako 265 5 study study NN cord-007444-c9vu8ako 265 6 would would MD cord-007444-c9vu8ako 265 7 suggest suggest VB cord-007444-c9vu8ako 265 8 that that IN cord-007444-c9vu8ako 265 9 aggressive aggressive JJ cord-007444-c9vu8ako 265 10 antimicrobial antimicrobial JJ cord-007444-c9vu8ako 265 11 therapy therapy NN cord-007444-c9vu8ako 265 12 directed direct VBN cord-007444-c9vu8ako 265 13 especially especially RB cord-007444-c9vu8ako 265 14 toward toward IN cord-007444-c9vu8ako 265 15 resistant resistant JJ cord-007444-c9vu8ako 265 16 organisms organism NNS cord-007444-c9vu8ako 265 17 in in IN cord-007444-c9vu8ako 265 18 high high JJ cord-007444-c9vu8ako 265 19 - - HYPH cord-007444-c9vu8ako 265 20 risk risk NN cord-007444-c9vu8ako 265 21 patients patient NNS cord-007444-c9vu8ako 265 22 is be VBZ cord-007444-c9vu8ako 265 23 a a DT cord-007444-c9vu8ako 265 24 more more RBR cord-007444-c9vu8ako 265 25 effective effective JJ cord-007444-c9vu8ako 265 26 strategy strategy NN cord-007444-c9vu8ako 265 27 than than IN cord-007444-c9vu8ako 265 28 no no DT cord-007444-c9vu8ako 265 29 therapy therapy NN cord-007444-c9vu8ako 265 30 or or CC cord-007444-c9vu8ako 265 31 therapy therapy NN cord-007444-c9vu8ako 265 32 with with IN cord-007444-c9vu8ako 265 33 older old JJR cord-007444-c9vu8ako 265 34 antimicrobials antimicrobial NNS cord-007444-c9vu8ako 265 35 that that WDT cord-007444-c9vu8ako 265 36 would would MD cord-007444-c9vu8ako 265 37 not not RB cord-007444-c9vu8ako 265 38 be be VB cord-007444-c9vu8ako 265 39 effective effective JJ cord-007444-c9vu8ako 265 40 against against IN cord-007444-c9vu8ako 265 41 the the DT cord-007444-c9vu8ako 265 42 usual usual JJ cord-007444-c9vu8ako 265 43 target target NN cord-007444-c9vu8ako 265 44 organisms organism NNS cord-007444-c9vu8ako 265 45 , , , cord-007444-c9vu8ako 265 46 particularly particularly RB cord-007444-c9vu8ako 265 47 P p NN cord-007444-c9vu8ako 265 48 - - HYPH cord-007444-c9vu8ako 265 49 lactamase lactamase NN cord-007444-c9vu8ako 265 50 - - HYPH cord-007444-c9vu8ako 265 51 producing produce VBG cord-007444-c9vu8ako 265 52 H. h. NN cord-007444-c9vu8ako 265 53 influenzae influenzae NN cord-007444-c9vu8ako 265 54 . . . cord-007444-c9vu8ako 266 1 Further further JJ cord-007444-c9vu8ako 266 2 studies study NNS cord-007444-c9vu8ako 266 3 are be VBP cord-007444-c9vu8ako 266 4 needed need VBN cord-007444-c9vu8ako 266 5 to to TO cord-007444-c9vu8ako 266 6 clarify clarify VB cord-007444-c9vu8ako 266 7 the the DT cord-007444-c9vu8ako 266 8 optimal optimal JJ cord-007444-c9vu8ako 266 9 antibiotic antibiotic JJ cord-007444-c9vu8ako 266 10 treatment treatment NN cord-007444-c9vu8ako 266 11 regimens regimen NNS cord-007444-c9vu8ako 266 12 for for IN cord-007444-c9vu8ako 266 13 subgroups subgroup NNS cord-007444-c9vu8ako 266 14 of of IN cord-007444-c9vu8ako 266 15 patients patient NNS cord-007444-c9vu8ako 266 16 with with IN cord-007444-c9vu8ako 266 17 AECOPD AECOPD NNP cord-007444-c9vu8ako 266 18 . . . cord-007444-c9vu8ako 267 1 Randomized randomized JJ cord-007444-c9vu8ako 267 2 , , , cord-007444-c9vu8ako 267 3 controlled control VBN cord-007444-c9vu8ako 267 4 trials trial NNS cord-007444-c9vu8ako 267 5 of of IN cord-007444-c9vu8ako 267 6 the the DT cord-007444-c9vu8ako 267 7 efficacy efficacy NN cord-007444-c9vu8ako 267 8 of of IN cord-007444-c9vu8ako 267 9 corticosteroids corticosteroid NNS cord-007444-c9vu8ako 267 10 for for IN cord-007444-c9vu8ako 267 11 acute acute JJ cord-007444-c9vu8ako 267 12 exacerbations exacerbation NNS cord-007444-c9vu8ako 267 13 of of IN cord-007444-c9vu8ako 267 14 COPD COPD NNP cord-007444-c9vu8ako 267 15 are be VBP cord-007444-c9vu8ako 267 16 summarized summarize VBN cord-007444-c9vu8ako 267 17 in in IN cord-007444-c9vu8ako 267 18 Table Table NNP cord-007444-c9vu8ako 267 19 4 4 CD cord-007444-c9vu8ako 267 20 . . . cord-007444-c9vu8ako 268 1 Their -PRON- PRP$ cord-007444-c9vu8ako 268 2 role role NN cord-007444-c9vu8ako 268 3 in in IN cord-007444-c9vu8ako 268 4 outpatient outpatient NN cord-007444-c9vu8ako 268 5 exacerbations exacerbation NNS cord-007444-c9vu8ako 268 6 has have VBZ cord-007444-c9vu8ako 268 7 been be VBN cord-007444-c9vu8ako 268 8 evaluated evaluate VBN cord-007444-c9vu8ako 268 9 in in IN cord-007444-c9vu8ako 268 10 only only RB cord-007444-c9vu8ako 268 11 one one CD cord-007444-c9vu8ako 268 12 small small JJ cord-007444-c9vu8ako 268 13 study.lZ5 study.lZ5 NNS cord-007444-c9vu8ako 268 14 Compared compare VBN cord-007444-c9vu8ako 268 15 with with IN cord-007444-c9vu8ako 268 16 placebo placebo NN cord-007444-c9vu8ako 268 17 , , , cord-007444-c9vu8ako 268 18 oral oral JJ cord-007444-c9vu8ako 268 19 prednisone prednisone NNP cord-007444-c9vu8ako 268 20 ( ( -LRB- cord-007444-c9vu8ako 268 21 60 60 CD cord-007444-c9vu8ako 268 22 mg mg NN cord-007444-c9vu8ako 268 23 tapered taper VBD cord-007444-c9vu8ako 268 24 to to IN cord-007444-c9vu8ako 268 25 0 0 CD cord-007444-c9vu8ako 268 26 mg mg NN cord-007444-c9vu8ako 268 27 over over IN cord-007444-c9vu8ako 268 28 9 9 CD cord-007444-c9vu8ako 268 29 days day NNS cord-007444-c9vu8ako 268 30 ) ) -RRB- cord-007444-c9vu8ako 268 31 significantly significantly RB cord-007444-c9vu8ako 268 32 improved improve VBD cord-007444-c9vu8ako 268 33 airflow airflow NN cord-007444-c9vu8ako 268 34 and and CC cord-007444-c9vu8ako 268 35 oxygenation oxygenation NN cord-007444-c9vu8ako 268 36 and and CC cord-007444-c9vu8ako 268 37 resulted result VBD cord-007444-c9vu8ako 268 38 in in IN cord-007444-c9vu8ako 268 39 fewer few JJR cord-007444-c9vu8ako 268 40 treatment treatment NN cord-007444-c9vu8ako 268 41 failures failure NNS cord-007444-c9vu8ako 268 42 . . . cord-007444-c9vu8ako 269 1 FEV FEV NNP cord-007444-c9vu8ako 269 2 , , , cord-007444-c9vu8ako 269 3 improved improve VBD cord-007444-c9vu8ako 269 4 on on IN cord-007444-c9vu8ako 269 5 average average NN cord-007444-c9vu8ako 269 6 by by IN cord-007444-c9vu8ako 269 7 only only RB cord-007444-c9vu8ako 269 8 50 50 CD cord-007444-c9vu8ako 269 9 mL ml NN cord-007444-c9vu8ako 269 10 per per IN cord-007444-c9vu8ako 269 11 day day NN cord-007444-c9vu8ako 269 12 among among IN cord-007444-c9vu8ako 269 13 patients patient NNS cord-007444-c9vu8ako 269 14 receiving receive VBG cord-007444-c9vu8ako 269 15 prednis0ne.9~ prednis0ne.9~ ADD cord-007444-c9vu8ako 269 16 These these DT cord-007444-c9vu8ako 269 17 findings finding NNS cord-007444-c9vu8ako 269 18 support support VBP cord-007444-c9vu8ako 269 19 earlier early JJR cord-007444-c9vu8ako 269 20 retrospective retrospective JJ cord-007444-c9vu8ako 269 21 data datum NNS cord-007444-c9vu8ako 269 22 that that WDT cord-007444-c9vu8ako 269 23 suggest suggest VBP cord-007444-c9vu8ako 269 24 that that IN cord-007444-c9vu8ako 269 25 , , , cord-007444-c9vu8ako 269 26 among among IN cord-007444-c9vu8ako 269 27 patients patient NNS cord-007444-c9vu8ako 269 28 with with IN cord-007444-c9vu8ako 269 29 AECOPD AECOPD NNP cord-007444-c9vu8ako 269 30 presenting present VBG cord-007444-c9vu8ako 269 31 to to IN cord-007444-c9vu8ako 269 32 an an DT cord-007444-c9vu8ako 269 33 emergency emergency NN cord-007444-c9vu8ako 269 34 department department NN cord-007444-c9vu8ako 269 35 ( ( -LRB- cord-007444-c9vu8ako 269 36 ED ED NNP cord-007444-c9vu8ako 269 37 ) ) -RRB- cord-007444-c9vu8ako 269 38 , , , cord-007444-c9vu8ako 269 39 the the DT cord-007444-c9vu8ako 269 40 incidence incidence NN cord-007444-c9vu8ako 269 41 of of IN cord-007444-c9vu8ako 269 42 revisit revisit NN cord-007444-c9vu8ako 269 43 to to IN cord-007444-c9vu8ako 269 44 the the DT cord-007444-c9vu8ako 269 45 ED ED NNP cord-007444-c9vu8ako 269 46 within within IN cord-007444-c9vu8ako 269 47 48 48 CD cord-007444-c9vu8ako 269 48 hours hour NNS cord-007444-c9vu8ako 269 49 is be VBZ cord-007444-c9vu8ako 269 50 significantly significantly RB cord-007444-c9vu8ako 269 51 reduced reduce VBN cord-007444-c9vu8ako 269 52 if if IN cord-007444-c9vu8ako 269 53 corticosteroids corticosteroid NNS cord-007444-c9vu8ako 269 54 are be VBP cord-007444-c9vu8ako 269 55 prescribed.82 prescribed.82 JJ cord-007444-c9vu8ako 269 56 Corticosteroids Corticosteroids NNPS cord-007444-c9vu8ako 269 57 are be VBP cord-007444-c9vu8ako 269 58 often often RB cord-007444-c9vu8ako 269 59 given give VBN cord-007444-c9vu8ako 269 60 initially initially RB cord-007444-c9vu8ako 269 61 by by IN cord-007444-c9vu8ako 269 62 ED ED NNP cord-007444-c9vu8ako 269 63 physicians physician NNS cord-007444-c9vu8ako 269 64 and and CC cord-007444-c9vu8ako 269 65 several several JJ cord-007444-c9vu8ako 269 66 trials trial NNS cord-007444-c9vu8ako 269 67 have have VBP cord-007444-c9vu8ako 269 68 examined examine VBN cord-007444-c9vu8ako 269 69 this this DT cord-007444-c9vu8ako 269 70 practice.2z practice.2z NN cord-007444-c9vu8ako 269 71 , , , cord-007444-c9vu8ako 269 72 Emerman Emerman NNP cord-007444-c9vu8ako 269 73 et et NNP cord-007444-c9vu8ako 269 74 a143 a143 NNP cord-007444-c9vu8ako 269 75 studied study VBD cord-007444-c9vu8ako 269 76 the the DT cord-007444-c9vu8ako 269 77 effect effect NN cord-007444-c9vu8ako 269 78 of of IN cord-007444-c9vu8ako 269 79 a a DT cord-007444-c9vu8ako 269 80 single single JJ cord-007444-c9vu8ako 269 81 dose dose NN cord-007444-c9vu8ako 269 82 of of IN cord-007444-c9vu8ako 269 83 methylprednisolone methylprednisolone NN cord-007444-c9vu8ako 269 84 ( ( -LRB- cord-007444-c9vu8ako 269 85 100 100 CD cord-007444-c9vu8ako 269 86 mg mg NNS cord-007444-c9vu8ako 269 87 intravenously intravenously RB cord-007444-c9vu8ako 269 88 [ [ -LRB- cord-007444-c9vu8ako 269 89 IV IV NNP cord-007444-c9vu8ako 269 90 ] ] -RRB- cord-007444-c9vu8ako 269 91 ) ) -RRB- cord-007444-c9vu8ako 269 92 upon upon IN cord-007444-c9vu8ako 269 93 pulmonary pulmonary JJ cord-007444-c9vu8ako 269 94 function function NN cord-007444-c9vu8ako 269 95 and and CC cord-007444-c9vu8ako 269 96 hospitalization hospitalization NN cord-007444-c9vu8ako 269 97 rates rate NNS cord-007444-c9vu8ako 269 98 for for IN cord-007444-c9vu8ako 269 99 98 98 CD cord-007444-c9vu8ako 269 100 patients patient NNS cord-007444-c9vu8ako 269 101 in in IN cord-007444-c9vu8ako 269 102 the the DT cord-007444-c9vu8ako 269 103 ED ED NNP cord-007444-c9vu8ako 269 104 with with IN cord-007444-c9vu8ako 269 105 COPD COPD NNP cord-007444-c9vu8ako 269 106 exacerbations exacerbation NNS cord-007444-c9vu8ako 269 107 . . . cord-007444-c9vu8ako 270 1 They -PRON- PRP cord-007444-c9vu8ako 270 2 failed fail VBD cord-007444-c9vu8ako 270 3 to to TO cord-007444-c9vu8ako 270 4 show show VB cord-007444-c9vu8ako 270 5 any any DT cord-007444-c9vu8ako 270 6 improvement improvement NN cord-007444-c9vu8ako 270 7 in in IN cord-007444-c9vu8ako 270 8 spirometry spirometry NN cord-007444-c9vu8ako 270 9 or or CC cord-007444-c9vu8ako 270 10 decrease decrease VB cord-007444-c9vu8ako 270 11 in in IN cord-007444-c9vu8ako 270 12 the the DT cord-007444-c9vu8ako 270 13 rate rate NN cord-007444-c9vu8ako 270 14 of of IN cord-007444-c9vu8ako 270 15 hospitalization hospitalization NN cord-007444-c9vu8ako 270 16 . . . cord-007444-c9vu8ako 271 1 Patients patient NNS cord-007444-c9vu8ako 271 2 were be VBD cord-007444-c9vu8ako 271 3 treated treat VBN cord-007444-c9vu8ako 271 4 for for IN cord-007444-c9vu8ako 271 5 approximately approximately RB cord-007444-c9vu8ako 271 6 4.5 4.5 CD cord-007444-c9vu8ako 271 7 hours hour NNS cord-007444-c9vu8ako 271 8 and and CC cord-007444-c9vu8ako 271 9 the the DT cord-007444-c9vu8ako 271 10 single single JJ cord-007444-c9vu8ako 271 11 steroid steroid NN cord-007444-c9vu8ako 271 12 dose dose NN cord-007444-c9vu8ako 271 13 and and CC cord-007444-c9vu8ako 271 14 short short JJ cord-007444-c9vu8ako 271 15 period period NN cord-007444-c9vu8ako 271 16 of of IN cord-007444-c9vu8ako 271 17 observation observation NN cord-007444-c9vu8ako 271 18 , , , cord-007444-c9vu8ako 271 19 however however RB cord-007444-c9vu8ako 271 20 , , , cord-007444-c9vu8ako 271 21 have have VBP cord-007444-c9vu8ako 271 22 been be VBN cord-007444-c9vu8ako 271 23 postulated postulate VBN cord-007444-c9vu8ako 271 24 to to TO cord-007444-c9vu8ako 271 25 account account VB cord-007444-c9vu8ako 271 26 for for IN cord-007444-c9vu8ako 271 27 the the DT cord-007444-c9vu8ako 271 28 apparent apparent JJ cord-007444-c9vu8ako 271 29 lack lack NN cord-007444-c9vu8ako 271 30 of of IN cord-007444-c9vu8ako 271 31 effi effi NNP cord-007444-c9vu8ako 271 32 - - HYPH cord-007444-c9vu8ako 271 33 cacy cacy NNP cord-007444-c9vu8ako 271 34 of of IN cord-007444-c9vu8ako 271 35 steroids steroid NNS cord-007444-c9vu8ako 271 36 in in IN cord-007444-c9vu8ako 271 37 this this DT cord-007444-c9vu8ako 271 38 study.74 study.74 NN cord-007444-c9vu8ako 272 1 More more RBR cord-007444-c9vu8ako 272 2 recently recently RB cord-007444-c9vu8ako 272 3 , , , cord-007444-c9vu8ako 272 4 Bullard Bullard NNP cord-007444-c9vu8ako 272 5 et et NNP cord-007444-c9vu8ako 272 6 al al NNP cord-007444-c9vu8ako 272 7 " " `` cord-007444-c9vu8ako 272 8 demonstrated demonstrate VBD cord-007444-c9vu8ako 272 9 a a DT cord-007444-c9vu8ako 272 10 beneficial beneficial JJ cord-007444-c9vu8ako 272 11 effect effect NN cord-007444-c9vu8ako 272 12 of of IN cord-007444-c9vu8ako 272 13 steroids steroid NNS cord-007444-c9vu8ako 272 14 upon upon IN cord-007444-c9vu8ako 272 15 flow flow NN cord-007444-c9vu8ako 272 16 rates rate NNS cord-007444-c9vu8ako 272 17 as as RB cord-007444-c9vu8ako 272 18 early early RB cord-007444-c9vu8ako 272 19 as as IN cord-007444-c9vu8ako 272 20 6 6 CD cord-007444-c9vu8ako 272 21 hours hour NNS cord-007444-c9vu8ako 272 22 after after IN cord-007444-c9vu8ako 272 23 initiation initiation NN cord-007444-c9vu8ako 272 24 of of IN cord-007444-c9vu8ako 272 25 treatment treatment NN cord-007444-c9vu8ako 272 26 . . . cord-007444-c9vu8ako 273 1 In in IN cord-007444-c9vu8ako 273 2 1980 1980 CD cord-007444-c9vu8ako 273 3 , , , cord-007444-c9vu8ako 273 4 AlberP alberp CD cord-007444-c9vu8ako 273 5 provided provide VBD cord-007444-c9vu8ako 273 6 the the DT cord-007444-c9vu8ako 273 7 initial initial JJ cord-007444-c9vu8ako 273 8 justification justification NN cord-007444-c9vu8ako 273 9 for for IN cord-007444-c9vu8ako 273 10 the the DT cord-007444-c9vu8ako 273 11 routine routine JJ cord-007444-c9vu8ako 273 12 use use NN cord-007444-c9vu8ako 273 13 of of IN cord-007444-c9vu8ako 273 14 systemic systemic JJ cord-007444-c9vu8ako 273 15 steroids steroid NNS cord-007444-c9vu8ako 273 16 in in IN cord-007444-c9vu8ako 273 17 the the DT cord-007444-c9vu8ako 273 18 care care NN cord-007444-c9vu8ako 273 19 of of IN cord-007444-c9vu8ako 273 20 hospitalized hospitalize VBN cord-007444-c9vu8ako 273 21 patients patient NNS cord-007444-c9vu8ako 273 22 with with IN cord-007444-c9vu8ako 273 23 COPD COPD NNP cord-007444-c9vu8ako 273 24 exacerbations exacerbation NNS cord-007444-c9vu8ako 273 25 . . . cord-007444-c9vu8ako 274 1 Forty forty CD cord-007444-c9vu8ako 274 2 - - HYPH cord-007444-c9vu8ako 274 3 four four CD cord-007444-c9vu8ako 274 4 patients patient NNS cord-007444-c9vu8ako 274 5 with with IN cord-007444-c9vu8ako 274 6 COPD COPD NNP cord-007444-c9vu8ako 274 7 and and CC cord-007444-c9vu8ako 274 8 acute acute JJ cord-007444-c9vu8ako 274 9 respiratory respiratory JJ cord-007444-c9vu8ako 274 10 insufficiency insufficiency NN cord-007444-c9vu8ako 274 11 were be VBD cord-007444-c9vu8ako 274 12 randomized randomize VBN cord-007444-c9vu8ako 274 13 to to IN cord-007444-c9vu8ako 274 14 placebo placebo NN cord-007444-c9vu8ako 274 15 or or CC cord-007444-c9vu8ako 274 16 methylprednisolone methylprednisolone NNP cord-007444-c9vu8ako 274 17 0.5 0.5 CD cord-007444-c9vu8ako 275 1 mg mg NNP cord-007444-c9vu8ako 275 2 / / SYM cord-007444-c9vu8ako 275 3 kg kg CC cord-007444-c9vu8ako 275 4 intravenously intravenously RB cord-007444-c9vu8ako 275 5 every every DT cord-007444-c9vu8ako 275 6 6 6 CD cord-007444-c9vu8ako 275 7 hours hour NNS cord-007444-c9vu8ako 275 8 for for IN cord-007444-c9vu8ako 275 9 3 3 CD cord-007444-c9vu8ako 275 10 days day NNS cord-007444-c9vu8ako 275 11 . . . cord-007444-c9vu8ako 276 1 Those those DT cord-007444-c9vu8ako 276 2 treated treat VBN cord-007444-c9vu8ako 276 3 with with IN cord-007444-c9vu8ako 276 4 steroids steroid NNS cord-007444-c9vu8ako 276 5 were be VBD cord-007444-c9vu8ako 276 6 significantly significantly RB cord-007444-c9vu8ako 276 7 more more RBR cord-007444-c9vu8ako 276 8 likely likely JJ cord-007444-c9vu8ako 276 9 to to TO cord-007444-c9vu8ako 276 10 achieve achieve VB cord-007444-c9vu8ako 276 11 a a DT cord-007444-c9vu8ako 276 12 40 40 CD cord-007444-c9vu8ako 276 13 % % NN cord-007444-c9vu8ako 276 14 or or CC cord-007444-c9vu8ako 276 15 greater great JJR cord-007444-c9vu8ako 276 16 increase increase NN cord-007444-c9vu8ako 276 17 in in IN cord-007444-c9vu8ako 276 18 FEV FEV NNP cord-007444-c9vu8ako 276 19 , , , cord-007444-c9vu8ako 276 20 over over IN cord-007444-c9vu8ako 276 21 their -PRON- PRP$ cord-007444-c9vu8ako 276 22 baseline baseline NN cord-007444-c9vu8ako 276 23 . . . cord-007444-c9vu8ako 277 1 This this DT cord-007444-c9vu8ako 277 2 effect effect NN cord-007444-c9vu8ako 277 3 was be VBD cord-007444-c9vu8ako 277 4 observed observe VBN cord-007444-c9vu8ako 277 5 by by IN cord-007444-c9vu8ako 277 6 12 12 CD cord-007444-c9vu8ako 277 7 hours hour NNS cord-007444-c9vu8ako 277 8 following follow VBG cord-007444-c9vu8ako 277 9 the the DT cord-007444-c9vu8ako 277 10 start start NN cord-007444-c9vu8ako 277 11 of of IN cord-007444-c9vu8ako 277 12 treatment treatment NN cord-007444-c9vu8ako 277 13 and and CC cord-007444-c9vu8ako 277 14 persisted persist VBD cord-007444-c9vu8ako 277 15 for for IN cord-007444-c9vu8ako 277 16 72 72 CD cord-007444-c9vu8ako 277 17 hours hour NNS cord-007444-c9vu8ako 277 18 . . . cord-007444-c9vu8ako 278 1 Corticosteroids corticosteroid NNS cord-007444-c9vu8ako 278 2 improved improve VBD cord-007444-c9vu8ako 278 3 postbronchodilator postbronchodilator NN cord-007444-c9vu8ako 278 4 lung lung NN cord-007444-c9vu8ako 278 5 function function NN cord-007444-c9vu8ako 278 6 more more JJR cord-007444-c9vu8ako 278 7 than than IN cord-007444-c9vu8ako 278 8 placebo placebo NN cord-007444-c9vu8ako 278 9 but but CC cord-007444-c9vu8ako 278 10 had have VBD cord-007444-c9vu8ako 278 11 minimal minimal JJ cord-007444-c9vu8ako 278 12 effect effect NN cord-007444-c9vu8ako 278 13 upon upon IN cord-007444-c9vu8ako 278 14 total total JJ cord-007444-c9vu8ako 278 15 symptoms symptom NNS cord-007444-c9vu8ako 278 16 in in IN cord-007444-c9vu8ako 278 17 another another DT cord-007444-c9vu8ako 278 18 small small JJ cord-007444-c9vu8ako 278 19 trial trial NN cord-007444-c9vu8ako 278 20 in in IN cord-007444-c9vu8ako 278 21 which which WDT cord-007444-c9vu8ako 278 22 hospitalized hospitalize VBN cord-007444-c9vu8ako 278 23 patients patient NNS cord-007444-c9vu8ako 278 24 were be VBD cord-007444-c9vu8ako 278 25 randomized randomize VBN cord-007444-c9vu8ako 278 26 to to TO cord-007444-c9vu8ako 278 27 receive receive VB cord-007444-c9vu8ako 278 28 placebo placebo NN cord-007444-c9vu8ako 278 29 or or CC cord-007444-c9vu8ako 278 30 30 30 CD cord-007444-c9vu8ako 278 31 mg mg NN cord-007444-c9vu8ako 278 32 of of IN cord-007444-c9vu8ako 278 33 oral oral JJ cord-007444-c9vu8ako 278 34 prednisolone prednisolone NN cord-007444-c9vu8ako 278 35 for for IN cord-007444-c9vu8ako 278 36 14 14 CD cord-007444-c9vu8ako 278 37 days.% days.% CD cord-007444-c9vu8ako 279 1 Although although IN cord-007444-c9vu8ako 279 2 the the DT cord-007444-c9vu8ako 279 3 studies study NNS cord-007444-c9vu8ako 279 4 described describe VBN cord-007444-c9vu8ako 279 5 have have VBP cord-007444-c9vu8ako 279 6 established establish VBN cord-007444-c9vu8ako 279 7 that that IN cord-007444-c9vu8ako 279 8 corticosteroids corticosteroid NNS cord-007444-c9vu8ako 279 9 significantly significantly RB cord-007444-c9vu8ako 279 10 increase increase VBP cord-007444-c9vu8ako 279 11 FEV FEV NNP cord-007444-c9vu8ako 279 12 , , , cord-007444-c9vu8ako 279 13 over over IN cord-007444-c9vu8ako 279 14 the the DT cord-007444-c9vu8ako 279 15 short short JJ cord-007444-c9vu8ako 279 16 term term NN cord-007444-c9vu8ako 279 17 , , , cord-007444-c9vu8ako 279 18 no no DT cord-007444-c9vu8ako 279 19 study study NN cord-007444-c9vu8ako 279 20 was be VBD cord-007444-c9vu8ako 279 21 explicitly explicitly RB cord-007444-c9vu8ako 279 22 designed design VBN cord-007444-c9vu8ako 279 23 to to TO cord-007444-c9vu8ako 279 24 capture capture VB cord-007444-c9vu8ako 279 25 longer long JJR cord-007444-c9vu8ako 279 26 - - HYPH cord-007444-c9vu8ako 279 27 term term NN cord-007444-c9vu8ako 279 28 endpoints endpoint NNS cord-007444-c9vu8ako 279 29 or or CC cord-007444-c9vu8ako 279 30 the the DT cord-007444-c9vu8ako 279 31 adverse adverse JJ cord-007444-c9vu8ako 279 32 consequences consequence NNS cord-007444-c9vu8ako 279 33 associated associate VBN cord-007444-c9vu8ako 279 34 with with IN cord-007444-c9vu8ako 279 35 steroid steroid NN cord-007444-c9vu8ako 279 36 therapy therapy NN cord-007444-c9vu8ako 279 37 ! ! . cord-007444-c9vu8ako 279 38 " " '' cord-007444-c9vu8ako 280 1 lo2 lo2 NNP cord-007444-c9vu8ako 280 2 Rostomlo2 Rostomlo2 NNP cord-007444-c9vu8ako 280 3 studied study VBD cord-007444-c9vu8ako 280 4 hospitalized hospitalize VBN cord-007444-c9vu8ako 280 5 patients patient NNS cord-007444-c9vu8ako 280 6 with with IN cord-007444-c9vu8ako 280 7 AE AE NNP cord-007444-c9vu8ako 280 8 - - HYPH cord-007444-c9vu8ako 280 9 COPD COPD NNP cord-007444-c9vu8ako 280 10 given give VBN cord-007444-c9vu8ako 280 11 placebo placebo NN cord-007444-c9vu8ako 280 12 or or CC cord-007444-c9vu8ako 280 13 methylprednisolone methylprednisolone NN cord-007444-c9vu8ako 280 14 ( ( -LRB- cord-007444-c9vu8ako 280 15 40 40 CD cord-007444-c9vu8ako 280 16 mg mg NNP cord-007444-c9vu8ako 280 17 tapered taper VBD cord-007444-c9vu8ako 280 18 to to IN cord-007444-c9vu8ako 280 19 0 0 CD cord-007444-c9vu8ako 280 20 mg mg NN cord-007444-c9vu8ako 280 21 over over IN cord-007444-c9vu8ako 280 22 1 1 CD cord-007444-c9vu8ako 280 23 month month NN cord-007444-c9vu8ako 280 24 ) ) -RRB- cord-007444-c9vu8ako 280 25 and and CC cord-007444-c9vu8ako 280 26 followed follow VBD cord-007444-c9vu8ako 280 27 for for IN cord-007444-c9vu8ako 280 28 1 1 CD cord-007444-c9vu8ako 280 29 month month NN cord-007444-c9vu8ako 280 30 after after IN cord-007444-c9vu8ako 280 31 discharge discharge NN cord-007444-c9vu8ako 280 32 . . . cord-007444-c9vu8ako 281 1 Mean mean JJ cord-007444-c9vu8ako 281 2 FEV FEV NNP cord-007444-c9vu8ako 281 3 , , , cord-007444-c9vu8ako 281 4 and and CC cord-007444-c9vu8ako 281 5 FVC fvc NN cord-007444-c9vu8ako 281 6 values value NNS cord-007444-c9vu8ako 281 7 were be VBD cord-007444-c9vu8ako 281 8 no no RB cord-007444-c9vu8ako 281 9 different different JJ cord-007444-c9vu8ako 281 10 between between IN cord-007444-c9vu8ako 281 11 the the DT cord-007444-c9vu8ako 281 12 treatment treatment NN cord-007444-c9vu8ako 281 13 groups group NNS cord-007444-c9vu8ako 281 14 at at IN cord-007444-c9vu8ako 281 15 the the DT cord-007444-c9vu8ako 281 16 end end NN cord-007444-c9vu8ako 281 17 of of IN cord-007444-c9vu8ako 281 18 the the DT cord-007444-c9vu8ako 281 19 study study NN cord-007444-c9vu8ako 281 20 . . . cord-007444-c9vu8ako 282 1 More more RBR cord-007444-c9vu8ako 282 2 recently recently RB cord-007444-c9vu8ako 282 3 , , , cord-007444-c9vu8ako 282 4 Niewoehner Niewoehner NNP cord-007444-c9vu8ako 282 5 et et NNP cord-007444-c9vu8ako 282 6 alas alas UH cord-007444-c9vu8ako 282 7 published publish VBD cord-007444-c9vu8ako 282 8 the the DT cord-007444-c9vu8ako 282 9 important important JJ cord-007444-c9vu8ako 282 10 Systemic Systemic NNP cord-007444-c9vu8ako 282 11 Corticosteroids Corticosteroids NNPS cord-007444-c9vu8ako 282 12 in in IN cord-007444-c9vu8ako 282 13 Chronic Chronic NNP cord-007444-c9vu8ako 282 14 Obstructive obstructive JJ cord-007444-c9vu8ako 282 15 Pulmonary Pulmonary NNP cord-007444-c9vu8ako 282 16 Disease Disease NNP cord-007444-c9vu8ako 282 17 Exacerbations Exacerbations NNP cord-007444-c9vu8ako 282 18 trial trial NN cord-007444-c9vu8ako 282 19 . . . cord-007444-c9vu8ako 283 1 They -PRON- PRP cord-007444-c9vu8ako 283 2 performed perform VBD cord-007444-c9vu8ako 283 3 a a DT cord-007444-c9vu8ako 283 4 three three CD cord-007444-c9vu8ako 283 5 - - HYPH cord-007444-c9vu8ako 283 6 way way NN cord-007444-c9vu8ako 283 7 randomization randomization NN cord-007444-c9vu8ako 283 8 whereby whereby IN cord-007444-c9vu8ako 283 9 80 80 CD cord-007444-c9vu8ako 283 10 patients patient NNS cord-007444-c9vu8ako 283 11 received receive VBD cord-007444-c9vu8ako 283 12 an an DT cord-007444-c9vu8ako 283 13 8-week 8-week CD cord-007444-c9vu8ako 283 14 course course NN cord-007444-c9vu8ako 283 15 of of IN cord-007444-c9vu8ako 283 16 glucocorticoids glucocorticoid NNS cord-007444-c9vu8ako 283 17 , , , cord-007444-c9vu8ako 283 18 80 80 CD cord-007444-c9vu8ako 283 19 received receive VBD cord-007444-c9vu8ako 283 20 a a DT cord-007444-c9vu8ako 283 21 2-week 2-week CD cord-007444-c9vu8ako 283 22 course course NN cord-007444-c9vu8ako 283 23 , , , cord-007444-c9vu8ako 283 24 and and CC cord-007444-c9vu8ako 283 25 111 111 CD cord-007444-c9vu8ako 283 26 re- re- JJ cord-007444-c9vu8ako 283 27 ceived ceived JJ cord-007444-c9vu8ako 283 28 placebo placebo NN cord-007444-c9vu8ako 283 29 . . . cord-007444-c9vu8ako 284 1 Steroids steroid NNS cord-007444-c9vu8ako 284 2 resulted result VBD cord-007444-c9vu8ako 284 3 in in IN cord-007444-c9vu8ako 284 4 faster fast JJR cord-007444-c9vu8ako 284 5 recovery recovery NN cord-007444-c9vu8ako 284 6 of of IN cord-007444-c9vu8ako 284 7 FEV FEV NNP cord-007444-c9vu8ako 284 8 , , , cord-007444-c9vu8ako 284 9 and and CC cord-007444-c9vu8ako 284 10 shortened shorten VBN cord-007444-c9vu8ako 284 11 hospital hospital NN cord-007444-c9vu8ako 284 12 stay stay NN cord-007444-c9vu8ako 284 13 by by IN cord-007444-c9vu8ako 284 14 1 1 CD cord-007444-c9vu8ako 284 15 day day NN cord-007444-c9vu8ako 284 16 ( ( -LRB- cord-007444-c9vu8ako 284 17 P p NN cord-007444-c9vu8ako 284 18 < < XX cord-007444-c9vu8ako 284 19 0.05 0.05 CD cord-007444-c9vu8ako 284 20 ) ) -RRB- cord-007444-c9vu8ako 284 21 . . . cord-007444-c9vu8ako 285 1 At at IN cord-007444-c9vu8ako 285 2 both both DT cord-007444-c9vu8ako 285 3 30 30 CD cord-007444-c9vu8ako 285 4 and and CC cord-007444-c9vu8ako 285 5 90 90 CD cord-007444-c9vu8ako 285 6 days day NNS cord-007444-c9vu8ako 285 7 , , , cord-007444-c9vu8ako 285 8 steroid steroid NN cord-007444-c9vu8ako 285 9 therapy therapy NN cord-007444-c9vu8ako 285 10 reduced reduce VBN cord-007444-c9vu8ako 285 11 treatment treatment NN cord-007444-c9vu8ako 285 12 failures failure NNS cord-007444-c9vu8ako 285 13 ( ( -LRB- cord-007444-c9vu8ako 285 14 defined define VBN cord-007444-c9vu8ako 285 15 as as IN cord-007444-c9vu8ako 285 16 death death NN cord-007444-c9vu8ako 285 17 from from IN cord-007444-c9vu8ako 285 18 any any DT cord-007444-c9vu8ako 285 19 cause cause NN cord-007444-c9vu8ako 285 20 , , , cord-007444-c9vu8ako 285 21 need need VBP cord-007444-c9vu8ako 285 22 for for IN cord-007444-c9vu8ako 285 23 intubation intubation NN cord-007444-c9vu8ako 285 24 , , , cord-007444-c9vu8ako 285 25 readmission readmission NN cord-007444-c9vu8ako 285 26 , , , cord-007444-c9vu8ako 285 27 or or CC cord-007444-c9vu8ako 285 28 intensification intensification NN cord-007444-c9vu8ako 285 29 of of IN cord-007444-c9vu8ako 285 30 drug drug NN cord-007444-c9vu8ako 285 31 therapy therapy NN cord-007444-c9vu8ako 285 32 ) ) -RRB- cord-007444-c9vu8ako 285 33 by by IN cord-007444-c9vu8ako 285 34 approximately approximately RB cord-007444-c9vu8ako 285 35 10 10 CD cord-007444-c9vu8ako 285 36 % % NN cord-007444-c9vu8ako 285 37 . . . cord-007444-c9vu8ako 286 1 There there EX cord-007444-c9vu8ako 286 2 was be VBD cord-007444-c9vu8ako 286 3 no no DT cord-007444-c9vu8ako 286 4 difference difference NN cord-007444-c9vu8ako 286 5 between between IN cord-007444-c9vu8ako 286 6 2 2 CD cord-007444-c9vu8ako 286 7 and and CC cord-007444-c9vu8ako 286 8 8 8 CD cord-007444-c9vu8ako 286 9 weeks week NNS cord-007444-c9vu8ako 286 10 of of IN cord-007444-c9vu8ako 286 11 treatment treatment NN cord-007444-c9vu8ako 286 12 with with IN cord-007444-c9vu8ako 286 13 respect respect NN cord-007444-c9vu8ako 286 14 to to IN cord-007444-c9vu8ako 286 15 spirometry spirometry NN cord-007444-c9vu8ako 286 16 or or CC cord-007444-c9vu8ako 286 17 treatment treatment NN cord-007444-c9vu8ako 286 18 failure failure NN cord-007444-c9vu8ako 286 19 rates rate NNS cord-007444-c9vu8ako 286 20 , , , cord-007444-c9vu8ako 286 21 however however RB cord-007444-c9vu8ako 286 22 . . . cord-007444-c9vu8ako 287 1 The the DT cord-007444-c9vu8ako 287 2 dose dose NN cord-007444-c9vu8ako 287 3 of of IN cord-007444-c9vu8ako 287 4 methylprednisolone methylprednisolone NN cord-007444-c9vu8ako 287 5 was be VBD cord-007444-c9vu8ako 287 6 high high JJ cord-007444-c9vu8ako 287 7 ( ( -LRB- cord-007444-c9vu8ako 287 8 125 125 CD cord-007444-c9vu8ako 287 9 mg mg NN cord-007444-c9vu8ako 287 10 every every DT cord-007444-c9vu8ako 287 11 6 6 CD cord-007444-c9vu8ako 287 12 hours hour NNS cord-007444-c9vu8ako 287 13 for for IN cord-007444-c9vu8ako 287 14 3 3 CD cord-007444-c9vu8ako 287 15 days day NNS cord-007444-c9vu8ako 287 16 ) ) -RRB- cord-007444-c9vu8ako 287 17 and and CC cord-007444-c9vu8ako 287 18 resulted result VBD cord-007444-c9vu8ako 287 19 in in IN cord-007444-c9vu8ako 287 20 significantly significantly RB cord-007444-c9vu8ako 287 21 more more JJR cord-007444-c9vu8ako 287 22 hyperglycemia hyperglycemia NN cord-007444-c9vu8ako 287 23 and and CC cord-007444-c9vu8ako 287 24 , , , cord-007444-c9vu8ako 287 25 possibly possibly RB cord-007444-c9vu8ako 287 26 , , , cord-007444-c9vu8ako 287 27 increased increase VBN cord-007444-c9vu8ako 287 28 secondary secondary JJ cord-007444-c9vu8ako 287 29 infection infection NN cord-007444-c9vu8ako 287 30 rates rate NNS cord-007444-c9vu8ako 287 31 . . . cord-007444-c9vu8ako 288 1 ' ' '' cord-007444-c9vu8ako 288 2 06 06 CD cord-007444-c9vu8ako 289 1 In in IN cord-007444-c9vu8ako 289 2 summary summary NN cord-007444-c9vu8ako 289 3 , , , cord-007444-c9vu8ako 289 4 the the DT cord-007444-c9vu8ako 289 5 evidence evidence NN cord-007444-c9vu8ako 289 6 from from IN cord-007444-c9vu8ako 289 7 randomized randomized JJ cord-007444-c9vu8ako 289 8 , , , cord-007444-c9vu8ako 289 9 controlled control VBN cord-007444-c9vu8ako 289 10 trials trial NNS cord-007444-c9vu8ako 289 11 supports support VBZ cord-007444-c9vu8ako 289 12 the the DT cord-007444-c9vu8ako 289 13 conclusion conclusion NN cord-007444-c9vu8ako 289 14 that that IN cord-007444-c9vu8ako 289 15 among among IN cord-007444-c9vu8ako 289 16 patients patient NNS cord-007444-c9vu8ako 289 17 with with IN cord-007444-c9vu8ako 289 18 acute acute JJ cord-007444-c9vu8ako 289 19 exacerbations exacerbation NNS cord-007444-c9vu8ako 289 20 , , , cord-007444-c9vu8ako 289 21 oral oral JJ cord-007444-c9vu8ako 289 22 or or CC cord-007444-c9vu8ako 289 23 intravenous intravenous JJ cord-007444-c9vu8ako 289 24 corticosteroids corticosteroid NNS cord-007444-c9vu8ako 289 25 significantly significantly RB cord-007444-c9vu8ako 289 26 increase increase VBP cord-007444-c9vu8ako 289 27 the the DT cord-007444-c9vu8ako 289 28 FEV FEV NNP cord-007444-c9vu8ako 289 29 , , , cord-007444-c9vu8ako 289 30 for for IN cord-007444-c9vu8ako 289 31 up up IN cord-007444-c9vu8ako 289 32 to to TO cord-007444-c9vu8ako 289 33 72 72 CD cord-007444-c9vu8ako 289 34 hours hour NNS cord-007444-c9vu8ako 289 35 and and CC cord-007444-c9vu8ako 289 36 likely likely RB cord-007444-c9vu8ako 289 37 reduce reduce VB cord-007444-c9vu8ako 289 38 the the DT cord-007444-c9vu8ako 289 39 risk risk NN cord-007444-c9vu8ako 289 40 for for IN cord-007444-c9vu8ako 289 41 treatment treatment NN cord-007444-c9vu8ako 289 42 failure failure NN cord-007444-c9vu8ako 289 43 . . . cord-007444-c9vu8ako 290 1 There there EX cord-007444-c9vu8ako 290 2 is be VBZ cord-007444-c9vu8ako 290 3 no no DT cord-007444-c9vu8ako 290 4 proved prove VBN cord-007444-c9vu8ako 290 5 benefit benefit NN cord-007444-c9vu8ako 290 6 for for IN cord-007444-c9vu8ako 290 7 treatment treatment NN cord-007444-c9vu8ako 290 8 longer long RBR cord-007444-c9vu8ako 290 9 than than IN cord-007444-c9vu8ako 290 10 2 2 CD cord-007444-c9vu8ako 290 11 weeks week NNS cord-007444-c9vu8ako 290 12 . . . cord-007444-c9vu8ako 291 1 Hyperglycemia hyperglycemia NN cord-007444-c9vu8ako 291 2 is be VBZ cord-007444-c9vu8ako 291 3 the the DT cord-007444-c9vu8ako 291 4 most most RBS cord-007444-c9vu8ako 291 5 common common JJ cord-007444-c9vu8ako 291 6 short short JJ cord-007444-c9vu8ako 291 7 - - HYPH cord-007444-c9vu8ako 291 8 term term NN cord-007444-c9vu8ako 291 9 complication complication NN cord-007444-c9vu8ako 291 10 of of IN cord-007444-c9vu8ako 291 11 steroid steroid NN cord-007444-c9vu8ako 291 12 treatment treatment NN cord-007444-c9vu8ako 291 13 . . . cord-007444-c9vu8ako 292 1 As as IN cord-007444-c9vu8ako 292 2 further further JJ cord-007444-c9vu8ako 292 3 studies study NNS cord-007444-c9vu8ako 292 4 become become VBP cord-007444-c9vu8ako 292 5 available available JJ cord-007444-c9vu8ako 292 6 , , , cord-007444-c9vu8ako 292 7 it -PRON- PRP cord-007444-c9vu8ako 292 8 will will MD cord-007444-c9vu8ako 292 9 be be VB cord-007444-c9vu8ako 292 10 possible possible JJ cord-007444-c9vu8ako 292 11 to to TO cord-007444-c9vu8ako 292 12 better better RB cord-007444-c9vu8ako 292 13 understand understand VB cord-007444-c9vu8ako 292 14 the the DT cord-007444-c9vu8ako 292 15 risk risk NN cord-007444-c9vu8ako 292 16 - - HYPH cord-007444-c9vu8ako 292 17 benefit benefit NN cord-007444-c9vu8ako 292 18 ratio ratio NN cord-007444-c9vu8ako 292 19 for for IN cord-007444-c9vu8ako 292 20 corticosteroids corticosteroid NNS cord-007444-c9vu8ako 292 21 and and CC cord-007444-c9vu8ako 292 22 , , , cord-007444-c9vu8ako 292 23 through through IN cord-007444-c9vu8ako 292 24 meta meta NNP cord-007444-c9vu8ako 292 25 - - HYPH cord-007444-c9vu8ako 292 26 analysis analysis NNP cord-007444-c9vu8ako 292 27 , , , cord-007444-c9vu8ako 292 28 to to TO cord-007444-c9vu8ako 292 29 better better RB cord-007444-c9vu8ako 292 30 define define VB cord-007444-c9vu8ako 292 31 the the DT cord-007444-c9vu8ako 292 32 optimum optimum JJ cord-007444-c9vu8ako 292 33 dose dose NN cord-007444-c9vu8ako 292 34 and and CC cord-007444-c9vu8ako 292 35 duration duration NN cord-007444-c9vu8ako 292 36 of of IN cord-007444-c9vu8ako 292 37 therapy.136 therapy.136 CD cord-007444-c9vu8ako 293 1 It -PRON- PRP cord-007444-c9vu8ako 293 2 is be VBZ cord-007444-c9vu8ako 293 3 also also RB cord-007444-c9vu8ako 293 4 important important JJ cord-007444-c9vu8ako 293 5 to to TO cord-007444-c9vu8ako 293 6 investigate investigate VB cord-007444-c9vu8ako 293 7 the the DT cord-007444-c9vu8ako 293 8 long long JJ cord-007444-c9vu8ako 293 9 - - HYPH cord-007444-c9vu8ako 293 10 term term NN cord-007444-c9vu8ako 293 11 risk risk NN cord-007444-c9vu8ako 293 12 for for IN cord-007444-c9vu8ako 293 13 adverse adverse JJ cord-007444-c9vu8ako 293 14 effects effect NNS cord-007444-c9vu8ako 293 15 of of IN cord-007444-c9vu8ako 293 16 intermittent intermittent JJ cord-007444-c9vu8ako 293 17 corticosteroids corticosteroid NNS cord-007444-c9vu8ako 293 18 in in IN cord-007444-c9vu8ako 293 19 patients patient NNS cord-007444-c9vu8ako 293 20 who who WP cord-007444-c9vu8ako 293 21 require require VBP cord-007444-c9vu8ako 293 22 them -PRON- PRP cord-007444-c9vu8ako 293 23 for for IN cord-007444-c9vu8ako 293 24 recurrent recurrent JJ cord-007444-c9vu8ako 293 25 exacerbations exacerbation NNS cord-007444-c9vu8ako 293 26 over over IN cord-007444-c9vu8ako 293 27 many many JJ cord-007444-c9vu8ako 293 28 years year NNS cord-007444-c9vu8ako 293 29 time time NN cord-007444-c9vu8ako 293 30 . . . cord-007444-c9vu8ako 294 1 Noninvasive noninvasive JJ cord-007444-c9vu8ako 294 2 positive positive JJ cord-007444-c9vu8ako 294 3 - - HYPH cord-007444-c9vu8ako 294 4 pressure pressure NN cord-007444-c9vu8ako 294 5 ventilation ventilation NN cord-007444-c9vu8ako 294 6 ( ( -LRB- cord-007444-c9vu8ako 294 7 NPPV NPPV NNP cord-007444-c9vu8ako 294 8 ) ) -RRB- cord-007444-c9vu8ako 294 9 is be VBZ cord-007444-c9vu8ako 294 10 arguably arguably RB cord-007444-c9vu8ako 294 11 the the DT cord-007444-c9vu8ako 294 12 most most RBS cord-007444-c9vu8ako 294 13 significant significant JJ cord-007444-c9vu8ako 294 14 recent recent JJ cord-007444-c9vu8ako 294 15 advance advance NN cord-007444-c9vu8ako 294 16 in in IN cord-007444-c9vu8ako 294 17 the the DT cord-007444-c9vu8ako 294 18 care care NN cord-007444-c9vu8ako 294 19 of of IN cord-007444-c9vu8ako 294 20 patients patient NNS cord-007444-c9vu8ako 294 21 with with IN cord-007444-c9vu8ako 294 22 COPD COPD NNP cord-007444-c9vu8ako 294 23 with with IN cord-007444-c9vu8ako 294 24 acute acute JJ cord-007444-c9vu8ako 294 25 respiratory respiratory JJ cord-007444-c9vu8ako 294 26 failure failure NN cord-007444-c9vu8ako 294 27 . . . cord-007444-c9vu8ako 295 1 It -PRON- PRP cord-007444-c9vu8ako 295 2 avoids avoid VBZ cord-007444-c9vu8ako 295 3 the the DT cord-007444-c9vu8ako 295 4 complications complication NNS cord-007444-c9vu8ako 295 5 of of IN cord-007444-c9vu8ako 295 6 endotracheal endotracheal JJ cord-007444-c9vu8ako 295 7 intubation intubation NN cord-007444-c9vu8ako 295 8 and and CC cord-007444-c9vu8ako 295 9 preserves preserve VBZ cord-007444-c9vu8ako 295 10 airway airway NN cord-007444-c9vu8ako 295 11 defense defense NN cord-007444-c9vu8ako 295 12 mechanisms mechanism NNS cord-007444-c9vu8ako 295 13 while while IN cord-007444-c9vu8ako 295 14 allowing allow VBG cord-007444-c9vu8ako 295 15 patients patient NNS cord-007444-c9vu8ako 295 16 to to TO cord-007444-c9vu8ako 295 17 eat eat VB cord-007444-c9vu8ako 295 18 , , , cord-007444-c9vu8ako 295 19 speak speak VB cord-007444-c9vu8ako 295 20 , , , cord-007444-c9vu8ako 295 21 and and CC cord-007444-c9vu8ako 295 22 expectorate expectorate VBP cord-007444-c9vu8ako 295 23 secretions secretion NNS cord-007444-c9vu8ako 295 24 . . . cord-007444-c9vu8ako 296 1 Acute acute JJ cord-007444-c9vu8ako 296 2 respira respira JJ cord-007444-c9vu8ako 296 3 - - HYPH cord-007444-c9vu8ako 296 4 tory tory JJ cord-007444-c9vu8ako 296 5 failure failure NN cord-007444-c9vu8ako 296 6 in in IN cord-007444-c9vu8ako 296 7 COPD COPD NNP cord-007444-c9vu8ako 296 8 is be VBZ cord-007444-c9vu8ako 296 9 often often RB cord-007444-c9vu8ako 296 10 characterized characterize VBN cord-007444-c9vu8ako 296 11 by by IN cord-007444-c9vu8ako 296 12 a a DT cord-007444-c9vu8ako 296 13 vicious vicious JJ cord-007444-c9vu8ako 296 14 circle circle NN cord-007444-c9vu8ako 296 15 wherein wherein WRB cord-007444-c9vu8ako 296 16 the the DT cord-007444-c9vu8ako 296 17 respiratory respiratory JJ cord-007444-c9vu8ako 296 18 muscles muscle NNS cord-007444-c9vu8ako 296 19 must must MD cord-007444-c9vu8ako 296 20 meet meet VB cord-007444-c9vu8ako 296 21 ever ever RB cord-007444-c9vu8ako 296 22 - - HYPH cord-007444-c9vu8ako 296 23 increasing increase VBG cord-007444-c9vu8ako 296 24 ventilatory ventilatory JJ cord-007444-c9vu8ako 296 25 demands demand NNS cord-007444-c9vu8ako 296 26 under under IN cord-007444-c9vu8ako 296 27 conditions condition NNS cord-007444-c9vu8ako 296 28 of of IN cord-007444-c9vu8ako 296 29 worsening worsen VBG cord-007444-c9vu8ako 296 30 hypoxemia hypoxemia NN cord-007444-c9vu8ako 296 31 , , , cord-007444-c9vu8ako 296 32 hypercapnia hypercapnia NN cord-007444-c9vu8ako 296 33 , , , cord-007444-c9vu8ako 296 34 and and CC cord-007444-c9vu8ako 296 35 acidosis acidosis NN cord-007444-c9vu8ako 296 36 . . . cord-007444-c9vu8ako 297 1 When when WRB cord-007444-c9vu8ako 297 2 the the DT cord-007444-c9vu8ako 297 3 increased increase VBN cord-007444-c9vu8ako 297 4 metabolic metabolic JJ cord-007444-c9vu8ako 297 5 requirements requirement NNS cord-007444-c9vu8ako 297 6 of of IN cord-007444-c9vu8ako 297 7 the the DT cord-007444-c9vu8ako 297 8 respiratory respiratory JJ cord-007444-c9vu8ako 297 9 muscles muscle NNS cord-007444-c9vu8ako 297 10 can can MD cord-007444-c9vu8ako 297 11 not not RB cord-007444-c9vu8ako 297 12 be be VB cord-007444-c9vu8ako 297 13 matched match VBN cord-007444-c9vu8ako 297 14 by by IN cord-007444-c9vu8ako 297 15 a a DT cord-007444-c9vu8ako 297 16 commensurate commensurate JJ cord-007444-c9vu8ako 297 17 rise rise NN cord-007444-c9vu8ako 297 18 in in IN cord-007444-c9vu8ako 297 19 the the DT cord-007444-c9vu8ako 297 20 cardiac cardiac JJ cord-007444-c9vu8ako 297 21 output output NN cord-007444-c9vu8ako 297 22 , , , cord-007444-c9vu8ako 297 23 further further JJ cord-007444-c9vu8ako 297 24 acidosis acidosis NN cord-007444-c9vu8ako 297 25 and and CC cord-007444-c9vu8ako 297 26 muscle muscle NN cord-007444-c9vu8ako 297 27 fatigue fatigue NN cord-007444-c9vu8ako 297 28 ensue ensue NN cord-007444-c9vu8ako 297 29 . . . cord-007444-c9vu8ako 298 1 By by IN cord-007444-c9vu8ako 298 2 allowing allow VBG cord-007444-c9vu8ako 298 3 the the DT cord-007444-c9vu8ako 298 4 muscles muscle NNS cord-007444-c9vu8ako 298 5 to to TO cord-007444-c9vu8ako 298 6 rest rest VB cord-007444-c9vu8ako 298 7 , , , cord-007444-c9vu8ako 298 8 NPPV NPPV NNP cord-007444-c9vu8ako 298 9 interrupts interrupt VBZ cord-007444-c9vu8ako 298 10 this this DT cord-007444-c9vu8ako 298 11 process process NN cord-007444-c9vu8ako 298 12 , , , cord-007444-c9vu8ako 298 13 thereby thereby RB cord-007444-c9vu8ako 298 14 preventing prevent VBG cord-007444-c9vu8ako 298 15 respiratory respiratory JJ cord-007444-c9vu8ako 298 16 arrest arrest NN cord-007444-c9vu8ako 298 17 and and CC cord-007444-c9vu8ako 298 18 death.n death.n NNP cord-007444-c9vu8ako 298 19 Table table NN cord-007444-c9vu8ako 298 20 5 5 CD cord-007444-c9vu8ako 299 1 summarizes summarize VBZ cord-007444-c9vu8ako 299 2 the the DT cord-007444-c9vu8ako 299 3 randomized randomized JJ cord-007444-c9vu8ako 299 4 , , , cord-007444-c9vu8ako 299 5 controlled control VBN cord-007444-c9vu8ako 299 6 trials trial NNS cord-007444-c9vu8ako 299 7 of of IN cord-007444-c9vu8ako 299 8 NPPV NPPV NNP cord-007444-c9vu8ako 299 9 in in IN cord-007444-c9vu8ako 299 10 AECOPD AECOPD NNP cord-007444-c9vu8ako 299 11 . . . cord-007444-c9vu8ako 300 1 Bott Bott NNP cord-007444-c9vu8ako 300 2 et et IN cord-007444-c9vu8ako 300 3 all8 all8 NN cord-007444-c9vu8ako 300 4 randomized randomize VBD cord-007444-c9vu8ako 300 5 60 60 CD cord-007444-c9vu8ako 300 6 patients patient NNS cord-007444-c9vu8ako 300 7 with with IN cord-007444-c9vu8ako 300 8 COPD COPD NNP cord-007444-c9vu8ako 300 9 and and CC cord-007444-c9vu8ako 300 10 hypoxemic hypoxemic JJ cord-007444-c9vu8ako 300 11 - - HYPH cord-007444-c9vu8ako 300 12 hypercarbic hypercarbic JJ cord-007444-c9vu8ako 300 13 respiratory respiratory JJ cord-007444-c9vu8ako 300 14 failure failure NN cord-007444-c9vu8ako 300 15 to to IN cord-007444-c9vu8ako 300 16 either either CC cord-007444-c9vu8ako 300 17 conventional conventional JJ cord-007444-c9vu8ako 300 18 treatment treatment NN cord-007444-c9vu8ako 300 19 or or CC cord-007444-c9vu8ako 300 20 volume volume NN cord-007444-c9vu8ako 300 21 - - HYPH cord-007444-c9vu8ako 300 22 cycled cycle VBN cord-007444-c9vu8ako 300 23 nasal nasal NN cord-007444-c9vu8ako 300 24 NPPV NPPV NNP cord-007444-c9vu8ako 300 25 . . . cord-007444-c9vu8ako 301 1 Patients patient NNS cord-007444-c9vu8ako 301 2 in in IN cord-007444-c9vu8ako 301 3 both both DT cord-007444-c9vu8ako 301 4 groups group NNS cord-007444-c9vu8ako 301 5 had have VBD cord-007444-c9vu8ako 301 6 similar similar JJ cord-007444-c9vu8ako 301 7 pretreatment pretreatment JJ cord-007444-c9vu8ako 301 8 blood blood NN cord-007444-c9vu8ako 301 9 gas gas NN cord-007444-c9vu8ako 301 10 and and CC cord-007444-c9vu8ako 301 11 spirometric spirometric JJ cord-007444-c9vu8ako 301 12 abnormalities abnormality NNS cord-007444-c9vu8ako 301 13 . . . cord-007444-c9vu8ako 302 1 At at IN cord-007444-c9vu8ako 302 2 1 1 CD cord-007444-c9vu8ako 302 3 hour hour NN cord-007444-c9vu8ako 302 4 , , , cord-007444-c9vu8ako 302 5 there there EX cord-007444-c9vu8ako 302 6 was be VBD cord-007444-c9vu8ako 302 7 a a DT cord-007444-c9vu8ako 302 8 significant significant JJ cord-007444-c9vu8ako 302 9 rise rise NN cord-007444-c9vu8ako 302 10 in in IN cord-007444-c9vu8ako 302 11 pH ph NN cord-007444-c9vu8ako 302 12 and and CC cord-007444-c9vu8ako 302 13 drop drop VB cord-007444-c9vu8ako 302 14 in in IN cord-007444-c9vu8ako 303 1 Paco2 paco2 JJ cord-007444-c9vu8ako 303 2 in in IN cord-007444-c9vu8ako 303 3 the the DT cord-007444-c9vu8ako 303 4 NPPV NPPV NNP cord-007444-c9vu8ako 303 5 group group NN cord-007444-c9vu8ako 304 1 compared compare VBN cord-007444-c9vu8ako 304 2 with with IN cord-007444-c9vu8ako 304 3 conventional conventional JJ cord-007444-c9vu8ako 304 4 treatment treatment NN cord-007444-c9vu8ako 304 5 . . . cord-007444-c9vu8ako 305 1 NPPV NPPV NNP cord-007444-c9vu8ako 305 2 also also RB cord-007444-c9vu8ako 305 3 resulted result VBD cord-007444-c9vu8ako 305 4 in in IN cord-007444-c9vu8ako 305 5 significantly significantly RB cord-007444-c9vu8ako 305 6 less less JJR cord-007444-c9vu8ako 305 7 breathlessness breathlessness NN cord-007444-c9vu8ako 305 8 by by IN cord-007444-c9vu8ako 305 9 day day NN cord-007444-c9vu8ako 305 10 3 3 CD cord-007444-c9vu8ako 305 11 . . . cord-007444-c9vu8ako 306 1 Most most RBS cord-007444-c9vu8ako 306 2 importantly importantly RB cord-007444-c9vu8ako 306 3 , , , cord-007444-c9vu8ako 306 4 however however RB cord-007444-c9vu8ako 306 5 , , , cord-007444-c9vu8ako 306 6 intention intention NN cord-007444-c9vu8ako 306 7 - - HYPH cord-007444-c9vu8ako 306 8 to to IN cord-007444-c9vu8ako 306 9 - - HYPH cord-007444-c9vu8ako 306 10 treat treat VB cord-007444-c9vu8ako 306 11 analysis analysis NN cord-007444-c9vu8ako 306 12 revealed reveal VBD cord-007444-c9vu8ako 306 13 a a DT cord-007444-c9vu8ako 306 14 trend trend NN cord-007444-c9vu8ako 306 15 toward toward IN cord-007444-c9vu8ako 306 16 lower low JJR cord-007444-c9vu8ako 306 17 30-day 30-day CD cord-007444-c9vu8ako 306 18 mortality mortality NN cord-007444-c9vu8ako 306 19 in in IN cord-007444-c9vu8ako 306 20 the the DT cord-007444-c9vu8ako 306 21 NPPV NPPV NNP cord-007444-c9vu8ako 306 22 group group NN cord-007444-c9vu8ako 306 23 ( ( -LRB- cord-007444-c9vu8ako 306 24 3 3 CD cord-007444-c9vu8ako 306 25 / / SYM cord-007444-c9vu8ako 306 26 30 30 CD cord-007444-c9vu8ako 306 27 versus versus IN cord-007444-c9vu8ako 306 28 9 9 CD cord-007444-c9vu8ako 306 29 / / SYM cord-007444-c9vu8ako 306 30 30 30 CD cord-007444-c9vu8ako 306 31 , , , cord-007444-c9vu8ako 306 32 relative relative JJ cord-007444-c9vu8ako 306 33 risk risk NN cord-007444-c9vu8ako 306 34 = = SYM cord-007444-c9vu8ako 306 35 0.33 0.33 CD cord-007444-c9vu8ako 306 36 , , , cord-007444-c9vu8ako 306 37 95 95 CD cord-007444-c9vu8ako 306 38 % % NN cord-007444-c9vu8ako 306 39 CI CI NNP cord-007444-c9vu8ako 306 40 0.1 0.1 CD cord-007444-c9vu8ako 306 41 - - HYPH cord-007444-c9vu8ako 306 42 1.11 1.11 CD cord-007444-c9vu8ako 306 43 , , , cord-007444-c9vu8ako 306 44 P p NN cord-007444-c9vu8ako 306 45 = = SYM cord-007444-c9vu8ako 306 46 ns ns NN cord-007444-c9vu8ako 306 47 ) ) -RRB- cord-007444-c9vu8ako 306 48 . . . cord-007444-c9vu8ako 307 1 This this DT cord-007444-c9vu8ako 307 2 effect effect NN cord-007444-c9vu8ako 307 3 became become VBD cord-007444-c9vu8ako 307 4 significant significant JJ cord-007444-c9vu8ako 307 5 after after IN cord-007444-c9vu8ako 307 6 excluding exclude VBG cord-007444-c9vu8ako 307 7 the the DT cord-007444-c9vu8ako 307 8 four four CD cord-007444-c9vu8ako 307 9 patients patient NNS cord-007444-c9vu8ako 307 10 randomized randomize VBN cord-007444-c9vu8ako 307 11 to to IN cord-007444-c9vu8ako 307 12 NPPV NPPV NNP cord-007444-c9vu8ako 307 13 who who WP cord-007444-c9vu8ako 307 14 did do VBD cord-007444-c9vu8ako 307 15 not not RB cord-007444-c9vu8ako 307 16 receive receive VB cord-007444-c9vu8ako 307 17 it -PRON- PRP cord-007444-c9vu8ako 307 18 ( ( -LRB- cord-007444-c9vu8ako 307 19 two two CD cord-007444-c9vu8ako 307 20 were be VBD cord-007444-c9vu8ako 307 21 confused confused JJ cord-007444-c9vu8ako 307 22 , , , cord-007444-c9vu8ako 307 23 one one CD cord-007444-c9vu8ako 307 24 was be VBD cord-007444-c9vu8ako 307 25 unable unable JJ cord-007444-c9vu8ako 307 26 to to TO cord-007444-c9vu8ako 307 27 breathe breathe VB cord-007444-c9vu8ako 307 28 through through IN cord-007444-c9vu8ako 307 29 his -PRON- PRP$ cord-007444-c9vu8ako 307 30 nose nose NN cord-007444-c9vu8ako 307 31 , , , cord-007444-c9vu8ako 307 32 one one PRP cord-007444-c9vu8ako 307 33 had have VBD cord-007444-c9vu8ako 307 34 all all DT cord-007444-c9vu8ako 307 35 active active JJ cord-007444-c9vu8ako 307 36 treatment treatment NN cord-007444-c9vu8ako 307 37 withdrawn withdraw VBN cord-007444-c9vu8ako 307 38 ) ) -RRB- cord-007444-c9vu8ako 307 39 . . . cord-007444-c9vu8ako 308 1 None none NN cord-007444-c9vu8ako 308 2 of of IN cord-007444-c9vu8ako 308 3 the the DT cord-007444-c9vu8ako 308 4 patients patient NNS cord-007444-c9vu8ako 308 5 randomized randomize VBN cord-007444-c9vu8ako 308 6 to to IN cord-007444-c9vu8ako 308 7 NPPV NPPV NNP cord-007444-c9vu8ako 308 8 required require VBN cord-007444-c9vu8ako 308 9 intubation intubation NN cord-007444-c9vu8ako 308 10 and and CC cord-007444-c9vu8ako 308 11 no no DT cord-007444-c9vu8ako 308 12 serious serious JJ cord-007444-c9vu8ako 308 13 complications complication NNS cord-007444-c9vu8ako 308 14 of of IN cord-007444-c9vu8ako 308 15 NPPV NPPV NNP cord-007444-c9vu8ako 308 16 were be VBD cord-007444-c9vu8ako 308 17 reported report VBN cord-007444-c9vu8ako 308 18 . . . cord-007444-c9vu8ako 309 1 The the DT cord-007444-c9vu8ako 309 2 study study NN cord-007444-c9vu8ako 309 3 has have VBZ cord-007444-c9vu8ako 309 4 been be VBN cord-007444-c9vu8ako 309 5 criticized criticize VBN cord-007444-c9vu8ako 309 6 for for IN cord-007444-c9vu8ako 309 7 the the DT cord-007444-c9vu8ako 309 8 lack lack NN cord-007444-c9vu8ako 309 9 of of IN cord-007444-c9vu8ako 309 10 standardized standardized JJ cord-007444-c9vu8ako 309 11 treatment treatment NN cord-007444-c9vu8ako 309 12 in in IN cord-007444-c9vu8ako 309 13 both both DT cord-007444-c9vu8ako 309 14 groups group NNS cord-007444-c9vu8ako 309 15 and and CC cord-007444-c9vu8ako 309 16 for for IN cord-007444-c9vu8ako 309 17 the the DT cord-007444-c9vu8ako 309 18 unusually unusually RB cord-007444-c9vu8ako 309 19 high high JJ cord-007444-c9vu8ako 309 20 mortality mortality NN cord-007444-c9vu8ako 309 21 in in IN cord-007444-c9vu8ako 309 22 the the DT cord-007444-c9vu8ako 309 23 control control NN cord-007444-c9vu8ako 309 24 group group NN cord-007444-c9vu8ako 309 25 . . . cord-007444-c9vu8ako 310 1 76 76 CD cord-007444-c9vu8ako 310 2 Kramer Kramer NNP cord-007444-c9vu8ako 310 3 et et NNP cord-007444-c9vu8ako 310 4 aF5 aF5 NNP cord-007444-c9vu8ako 310 5 investigated investigate VBD cord-007444-c9vu8ako 310 6 the the DT cord-007444-c9vu8ako 310 7 impact impact NN cord-007444-c9vu8ako 310 8 of of IN cord-007444-c9vu8ako 310 9 NPPV NPPV NNP cord-007444-c9vu8ako 310 10 on on IN cord-007444-c9vu8ako 310 11 need need NN cord-007444-c9vu8ako 310 12 for for IN cord-007444-c9vu8ako 310 13 intubation intubation NN cord-007444-c9vu8ako 310 14 among among IN cord-007444-c9vu8ako 310 15 31 31 CD cord-007444-c9vu8ako 310 16 patients patient NNS cord-007444-c9vu8ako 310 17 with with IN cord-007444-c9vu8ako 310 18 severe severe JJ cord-007444-c9vu8ako 310 19 hypercarbic hypercarbic JJ cord-007444-c9vu8ako 310 20 respiratory respiratory JJ cord-007444-c9vu8ako 310 21 failure failure NN cord-007444-c9vu8ako 310 22 , , , cord-007444-c9vu8ako 310 23 most most JJS cord-007444-c9vu8ako 310 24 with with IN cord-007444-c9vu8ako 310 25 COPD COPD NNP cord-007444-c9vu8ako 310 26 exacerbations exacerbation NNS cord-007444-c9vu8ako 310 27 . . . cord-007444-c9vu8ako 311 1 Sixteen sixteen CD cord-007444-c9vu8ako 311 2 patients patient NNS cord-007444-c9vu8ako 311 3 ( ( -LRB- cord-007444-c9vu8ako 311 4 11 11 CD cord-007444-c9vu8ako 311 5 with with IN cord-007444-c9vu8ako 311 6 COPD COPD NNP cord-007444-c9vu8ako 311 7 ) ) -RRB- cord-007444-c9vu8ako 311 8 were be VBD cord-007444-c9vu8ako 311 9 randomized randomize VBN cord-007444-c9vu8ako 311 10 to to IN cord-007444-c9vu8ako 311 11 pressure pressure NN cord-007444-c9vu8ako 311 12 - - HYPH cord-007444-c9vu8ako 311 13 limited limit VBN cord-007444-c9vu8ako 311 14 nasal nasal NN cord-007444-c9vu8ako 311 15 NPPV NPPV NNP cord-007444-c9vu8ako 311 16 in in IN cord-007444-c9vu8ako 311 17 addition addition NN cord-007444-c9vu8ako 311 18 to to IN cord-007444-c9vu8ako 311 19 standard standard JJ cord-007444-c9vu8ako 311 20 care care NN cord-007444-c9vu8ako 311 21 and and CC cord-007444-c9vu8ako 311 22 15 15 CD cord-007444-c9vu8ako 311 23 patients patient NNS cord-007444-c9vu8ako 311 24 ( ( -LRB- cord-007444-c9vu8ako 311 25 12 12 CD cord-007444-c9vu8ako 311 26 with with IN cord-007444-c9vu8ako 311 27 COPD COPD NNP cord-007444-c9vu8ako 311 28 ) ) -RRB- cord-007444-c9vu8ako 311 29 received receive VBD cord-007444-c9vu8ako 311 30 standard standard JJ cord-007444-c9vu8ako 311 31 care care NN cord-007444-c9vu8ako 311 32 alone alone RB cord-007444-c9vu8ako 311 33 . . . cord-007444-c9vu8ako 312 1 Clear clear VB cord-007444-c9vu8ako 312 2 a a DT cord-007444-c9vu8ako 312 3 priori priori FW cord-007444-c9vu8ako 312 4 indications indication NNS cord-007444-c9vu8ako 312 5 for for IN cord-007444-c9vu8ako 312 6 intubation intubation NN cord-007444-c9vu8ako 312 7 were be VBD cord-007444-c9vu8ako 312 8 given give VBN cord-007444-c9vu8ako 312 9 . . . cord-007444-c9vu8ako 313 1 Significantly significantly RB cord-007444-c9vu8ako 313 2 , , , cord-007444-c9vu8ako 313 3 only only RB cord-007444-c9vu8ako 313 4 five five CD cord-007444-c9vu8ako 313 5 patients patient NNS cord-007444-c9vu8ako 313 6 ( ( -LRB- cord-007444-c9vu8ako 313 7 31 31 CD cord-007444-c9vu8ako 313 8 % % NN cord-007444-c9vu8ako 313 9 ) ) -RRB- cord-007444-c9vu8ako 313 10 in in IN cord-007444-c9vu8ako 313 11 the the DT cord-007444-c9vu8ako 313 12 NPPV NPPV NNP cord-007444-c9vu8ako 313 13 group group NN cord-007444-c9vu8ako 313 14 required require VBD cord-007444-c9vu8ako 313 15 intubation intubation NN cord-007444-c9vu8ako 313 16 , , , cord-007444-c9vu8ako 313 17 compared compare VBN cord-007444-c9vu8ako 313 18 with with IN cord-007444-c9vu8ako 313 19 11 11 CD cord-007444-c9vu8ako 313 20 ( ( -LRB- cord-007444-c9vu8ako 313 21 73 73 CD cord-007444-c9vu8ako 313 22 % % NN cord-007444-c9vu8ako 313 23 ) ) -RRB- cord-007444-c9vu8ako 313 24 in in IN cord-007444-c9vu8ako 313 25 the the DT cord-007444-c9vu8ako 313 26 standard standard JJ cord-007444-c9vu8ako 313 27 therapy therapy NN cord-007444-c9vu8ako 313 28 arm arm NN cord-007444-c9vu8ako 313 29 . . . cord-007444-c9vu8ako 314 1 Furthermore furthermore RB cord-007444-c9vu8ako 314 2 , , , cord-007444-c9vu8ako 314 3 maximal maximal JJ cord-007444-c9vu8ako 314 4 inspiratory inspiratory JJ cord-007444-c9vu8ako 314 5 pressures pressure NNS cord-007444-c9vu8ako 314 6 increased increase VBD cord-007444-c9vu8ako 314 7 significantly significantly RB cord-007444-c9vu8ako 314 8 in in IN cord-007444-c9vu8ako 314 9 the the DT cord-007444-c9vu8ako 314 10 NPPV NPPV NNP cord-007444-c9vu8ako 314 11 arm arm NN cord-007444-c9vu8ako 314 12 over over IN cord-007444-c9vu8ako 314 13 6 6 CD cord-007444-c9vu8ako 314 14 hours hour NNS cord-007444-c9vu8ako 314 15 , , , cord-007444-c9vu8ako 314 16 indicating indicate VBG cord-007444-c9vu8ako 314 17 a a DT cord-007444-c9vu8ako 314 18 rapid rapid JJ cord-007444-c9vu8ako 314 19 reversal reversal NN cord-007444-c9vu8ako 314 20 of of IN cord-007444-c9vu8ako 314 21 diaphragmatic diaphragmatic JJ cord-007444-c9vu8ako 314 22 fatigue fatigue NN cord-007444-c9vu8ako 314 23 . . . cord-007444-c9vu8ako 315 1 In in IN cord-007444-c9vu8ako 315 2 contrast contrast NN cord-007444-c9vu8ako 315 3 to to IN cord-007444-c9vu8ako 315 4 work work NN cord-007444-c9vu8ako 315 5 by by IN cord-007444-c9vu8ako 315 6 Bott Bott NNP cord-007444-c9vu8ako 315 7 , , , cord-007444-c9vu8ako 315 8 Is be VBZ cord-007444-c9vu8ako 315 9 however however RB cord-007444-c9vu8ako 315 10 , , , cord-007444-c9vu8ako 315 11 there there EX cord-007444-c9vu8ako 315 12 were be VBD cord-007444-c9vu8ako 315 13 no no DT cord-007444-c9vu8ako 315 14 significant significant JJ cord-007444-c9vu8ako 315 15 differences difference NNS cord-007444-c9vu8ako 315 16 in in IN cord-007444-c9vu8ako 315 17 Pam2 Pam2 NNP cord-007444-c9vu8ako 315 18 between between IN cord-007444-c9vu8ako 315 19 the the DT cord-007444-c9vu8ako 315 20 treatment treatment NN cord-007444-c9vu8ako 315 21 groups group NNS cord-007444-c9vu8ako 315 22 at at IN cord-007444-c9vu8ako 315 23 any any DT cord-007444-c9vu8ako 315 24 time time NN cord-007444-c9vu8ako 315 25 over over IN cord-007444-c9vu8ako 315 26 the the DT cord-007444-c9vu8ako 315 27 first first JJ cord-007444-c9vu8ako 315 28 24 24 CD cord-007444-c9vu8ako 315 29 hours hour NNS cord-007444-c9vu8ako 315 30 . . . cord-007444-c9vu8ako 316 1 The the DT cord-007444-c9vu8ako 316 2 study study NN cord-007444-c9vu8ako 316 3 was be VBD cord-007444-c9vu8ako 316 4 underpowered underpowered JJ cord-007444-c9vu8ako 316 5 to to TO cord-007444-c9vu8ako 316 6 detect detect VB cord-007444-c9vu8ako 316 7 differences difference NNS cord-007444-c9vu8ako 316 8 in in IN cord-007444-c9vu8ako 316 9 mortality mortality NN cord-007444-c9vu8ako 316 10 . . . cord-007444-c9vu8ako 317 1 A a DT cord-007444-c9vu8ako 317 2 more more RBR cord-007444-c9vu8ako 317 3 recent recent JJ cord-007444-c9vu8ako 317 4 European european JJ cord-007444-c9vu8ako 317 5 multicenter multicenter JJ cord-007444-c9vu8ako 317 6 trialz1 trialz1 NN cord-007444-c9vu8ako 317 7 randomized randomize VBD cord-007444-c9vu8ako 317 8 85 85 CD cord-007444-c9vu8ako 317 9 patients patient NNS cord-007444-c9vu8ako 317 10 to to IN cord-007444-c9vu8ako 317 11 standard standard JJ cord-007444-c9vu8ako 317 12 therapy therapy NN cord-007444-c9vu8ako 317 13 or or CC cord-007444-c9vu8ako 317 14 pressure pressure NN cord-007444-c9vu8ako 317 15 - - HYPH cord-007444-c9vu8ako 317 16 limited limit VBN cord-007444-c9vu8ako 317 17 NPPV nppv NN cord-007444-c9vu8ako 317 18 by by IN cord-007444-c9vu8ako 317 19 face face NN cord-007444-c9vu8ako 317 20 mask mask NN cord-007444-c9vu8ako 317 21 . . . cord-007444-c9vu8ako 318 1 All all DT cord-007444-c9vu8ako 318 2 patients patient NNS cord-007444-c9vu8ako 318 3 required require VBD cord-007444-c9vu8ako 318 4 admission admission NN cord-007444-c9vu8ako 318 5 to to IN cord-007444-c9vu8ako 318 6 an an DT cord-007444-c9vu8ako 318 7 intensive intensive JJ cord-007444-c9vu8ako 318 8 care care NN cord-007444-c9vu8ako 318 9 unit unit NN cord-007444-c9vu8ako 318 10 and and CC cord-007444-c9vu8ako 318 11 were be VBD cord-007444-c9vu8ako 318 12 followed follow VBN cord-007444-c9vu8ako 318 13 until until IN cord-007444-c9vu8ako 318 14 death death NN cord-007444-c9vu8ako 318 15 or or CC cord-007444-c9vu8ako 318 16 hospital hospital NN cord-007444-c9vu8ako 318 17 discharge discharge NN cord-007444-c9vu8ako 318 18 . . . cord-007444-c9vu8ako 319 1 Noninvasive noninvasive JJ cord-007444-c9vu8ako 319 2 ventilation ventilation NN cord-007444-c9vu8ako 319 3 markedly markedly RB cord-007444-c9vu8ako 319 4 reduced reduce VBD cord-007444-c9vu8ako 319 5 the the DT cord-007444-c9vu8ako 319 6 need need NN cord-007444-c9vu8ako 319 7 for for IN cord-007444-c9vu8ako 319 8 intubation intubation NN cord-007444-c9vu8ako 319 9 ( ( -LRB- cord-007444-c9vu8ako 319 10 controls control VBZ cord-007444-c9vu8ako 319 11 74 74 CD cord-007444-c9vu8ako 319 12 % % NN cord-007444-c9vu8ako 319 13 versus versus IN cord-007444-c9vu8ako 319 14 NPPV NPPV NNP cord-007444-c9vu8ako 319 15 26 26 CD cord-007444-c9vu8ako 319 16 % % NN cord-007444-c9vu8ako 319 17 ) ) -RRB- cord-007444-c9vu8ako 319 18 . . . cord-007444-c9vu8ako 320 1 Compared compare VBN cord-007444-c9vu8ako 320 2 with with IN cord-007444-c9vu8ako 320 3 standard standard JJ cord-007444-c9vu8ako 320 4 care care NN cord-007444-c9vu8ako 320 5 , , , cord-007444-c9vu8ako 320 6 NPPV NPPV NNP cord-007444-c9vu8ako 320 7 also also RB cord-007444-c9vu8ako 320 8 significantly significantly RB cord-007444-c9vu8ako 320 9 reduced reduce VBD cord-007444-c9vu8ako 320 10 mortality mortality NN cord-007444-c9vu8ako 320 11 ( ( -LRB- cord-007444-c9vu8ako 320 12 9 9 CD cord-007444-c9vu8ako 320 13 % % NN cord-007444-c9vu8ako 320 14 versus versus IN cord-007444-c9vu8ako 320 15 29 29 CD cord-007444-c9vu8ako 320 16 % % NN cord-007444-c9vu8ako 320 17 ) ) -RRB- cord-007444-c9vu8ako 320 18 , , , cord-007444-c9vu8ako 320 19 complication complication NN cord-007444-c9vu8ako 320 20 rates rate NNS cord-007444-c9vu8ako 320 21 ( ( -LRB- cord-007444-c9vu8ako 320 22 16 16 CD cord-007444-c9vu8ako 320 23 % % NN cord-007444-c9vu8ako 320 24 versus versus IN cord-007444-c9vu8ako 320 25 48 48 CD cord-007444-c9vu8ako 320 26 % % NN cord-007444-c9vu8ako 320 27 ) ) -RRB- cord-007444-c9vu8ako 320 28 , , , cord-007444-c9vu8ako 320 29 and and CC cord-007444-c9vu8ako 320 30 mean mean JJ cord-007444-c9vu8ako 320 31 duration duration NN cord-007444-c9vu8ako 320 32 of of IN cord-007444-c9vu8ako 320 33 hospital hospital NN cord-007444-c9vu8ako 320 34 stay stay NN cord-007444-c9vu8ako 320 35 ( ( -LRB- cord-007444-c9vu8ako 320 36 23 23 CD cord-007444-c9vu8ako 320 37 days day NNS cord-007444-c9vu8ako 320 38 versus versus IN cord-007444-c9vu8ako 320 39 35 35 CD cord-007444-c9vu8ako 320 40 days day NNS cord-007444-c9vu8ako 320 41 ) ) -RRB- cord-007444-c9vu8ako 320 42 ( ( -LRB- cord-007444-c9vu8ako 320 43 all all DT cord-007444-c9vu8ako 320 44 P p NN cord-007444-c9vu8ako 320 45 < < XX cord-007444-c9vu8ako 320 46 0.05).21 0.05).21 . cord-007444-c9vu8ako 320 47 More more RBR cord-007444-c9vu8ako 320 48 recently recently RB cord-007444-c9vu8ako 320 49 , , , cord-007444-c9vu8ako 320 50 celikel celikel NNP cord-007444-c9vu8ako 320 51 et et NNP cord-007444-c9vu8ako 320 52 a130 a130 NNP cord-007444-c9vu8ako 320 53 compared compare VBN cord-007444-c9vu8ako 320 54 pressurelimited pressurelimite VBN cord-007444-c9vu8ako 320 55 NPPV NPPV NNP cord-007444-c9vu8ako 320 56 by by IN cord-007444-c9vu8ako 320 57 face face NN cord-007444-c9vu8ako 320 58 mask mask NN cord-007444-c9vu8ako 320 59 with with IN cord-007444-c9vu8ako 320 60 usual usual JJ cord-007444-c9vu8ako 320 61 care care NN cord-007444-c9vu8ako 320 62 among among IN cord-007444-c9vu8ako 320 63 patients patient NNS cord-007444-c9vu8ako 320 64 with with IN cord-007444-c9vu8ako 320 65 moderately moderately RB cord-007444-c9vu8ako 320 66 severe severe JJ cord-007444-c9vu8ako 320 67 hypercarbic hypercarbic JJ cord-007444-c9vu8ako 320 68 acute acute JJ cord-007444-c9vu8ako 320 69 respiratory respiratory JJ cord-007444-c9vu8ako 320 70 failure failure NN cord-007444-c9vu8ako 320 71 and and CC cord-007444-c9vu8ako 320 72 COPD COPD NNP cord-007444-c9vu8ako 320 73 . . . cord-007444-c9vu8ako 321 1 Noninvasive noninvasive JJ cord-007444-c9vu8ako 321 2 positive positive JJ cord-007444-c9vu8ako 321 3 - - HYPH cord-007444-c9vu8ako 321 4 pressure pressure NN cord-007444-c9vu8ako 321 5 ventilation ventilation NN cord-007444-c9vu8ako 321 6 resulted result VBD cord-007444-c9vu8ako 321 7 in in IN cord-007444-c9vu8ako 321 8 significantly significantly RB cord-007444-c9vu8ako 321 9 fewer few JJR cord-007444-c9vu8ako 321 10 treatment treatment NN cord-007444-c9vu8ako 321 11 failures failure NNS cord-007444-c9vu8ako 321 12 , , , cord-007444-c9vu8ako 321 13 defined define VBN cord-007444-c9vu8ako 321 14 as as IN cord-007444-c9vu8ako 321 15 need need NN cord-007444-c9vu8ako 321 16 for for IN cord-007444-c9vu8ako 321 17 intubation intubation NN cord-007444-c9vu8ako 321 18 in in IN cord-007444-c9vu8ako 321 19 the the DT cord-007444-c9vu8ako 321 20 NPPV NPPV NNP cord-007444-c9vu8ako 321 21 group group NN cord-007444-c9vu8ako 321 22 and and CC cord-007444-c9vu8ako 321 23 need need NN cord-007444-c9vu8ako 321 24 for for IN cord-007444-c9vu8ako 321 25 NPPV NPPV NNP cord-007444-c9vu8ako 321 26 or or CC cord-007444-c9vu8ako 321 27 intubation intubation NN cord-007444-c9vu8ako 321 28 in in IN cord-007444-c9vu8ako 321 29 the the DT cord-007444-c9vu8ako 321 30 control control NN cord-007444-c9vu8ako 321 31 group group NN cord-007444-c9vu8ako 321 32 . . . cord-007444-c9vu8ako 322 1 Hospital hospital NN cord-007444-c9vu8ako 322 2 stays stay NNS cord-007444-c9vu8ako 322 3 were be VBD cord-007444-c9vu8ako 322 4 significantly significantly RB cord-007444-c9vu8ako 322 5 shorter short JJR cord-007444-c9vu8ako 322 6 in in IN cord-007444-c9vu8ako 322 7 the the DT cord-007444-c9vu8ako 322 8 NPPV NPPV NNP cord-007444-c9vu8ako 322 9 group group NN cord-007444-c9vu8ako 322 10 . . . cord-007444-c9vu8ako 323 1 In in IN cord-007444-c9vu8ako 323 2 contrast contrast NN cord-007444-c9vu8ako 323 3 , , , cord-007444-c9vu8ako 323 4 Barb6 Barb6 NNP cord-007444-c9vu8ako 323 5 et et NNP cord-007444-c9vu8ako 323 6 al al NNP cord-007444-c9vu8ako 323 7 , , , cord-007444-c9vu8ako 323 8 I5 I5 NNP cord-007444-c9vu8ako 323 9 however however RB cord-007444-c9vu8ako 323 10 , , , cord-007444-c9vu8ako 323 11 were be VBD cord-007444-c9vu8ako 323 12 unable unable JJ cord-007444-c9vu8ako 323 13 to to TO cord-007444-c9vu8ako 323 14 demonstrate demonstrate VB cord-007444-c9vu8ako 323 15 any any DT cord-007444-c9vu8ako 323 16 statistically statistically RB cord-007444-c9vu8ako 323 17 significant significant JJ cord-007444-c9vu8ako 323 18 benefit benefit NN cord-007444-c9vu8ako 323 19 of of IN cord-007444-c9vu8ako 323 20 nasal nasal NN cord-007444-c9vu8ako 323 21 NPPV NPPV NNP cord-007444-c9vu8ako 323 22 over over IN cord-007444-c9vu8ako 323 23 conventional conventional JJ cord-007444-c9vu8ako 323 24 treatment treatment NN cord-007444-c9vu8ako 323 25 in in IN cord-007444-c9vu8ako 323 26 terms term NNS cord-007444-c9vu8ako 323 27 of of IN cord-007444-c9vu8ako 323 28 duration duration NN cord-007444-c9vu8ako 323 29 of of IN cord-007444-c9vu8ako 323 30 hospitalization hospitalization NN cord-007444-c9vu8ako 323 31 , , , cord-007444-c9vu8ako 323 32 dyspnea dyspnea NN cord-007444-c9vu8ako 323 33 scores score NNS cord-007444-c9vu8ako 323 34 , , , cord-007444-c9vu8ako 323 35 arterial arterial JJ cord-007444-c9vu8ako 323 36 blood blood NN cord-007444-c9vu8ako 323 37 gas gas NN cord-007444-c9vu8ako 323 38 measurements measurement NNS cord-007444-c9vu8ako 323 39 , , , cord-007444-c9vu8ako 323 40 or or CC cord-007444-c9vu8ako 323 41 maximal maximal JJ cord-007444-c9vu8ako 323 42 inspiratory inspiratory JJ cord-007444-c9vu8ako 323 43 pressures pressure NNS cord-007444-c9vu8ako 323 44 . . . cord-007444-c9vu8ako 324 1 Patients patient NNS cord-007444-c9vu8ako 324 2 in in IN cord-007444-c9vu8ako 324 3 this this DT cord-007444-c9vu8ako 324 4 trial trial NN cord-007444-c9vu8ako 324 5 , , , cord-007444-c9vu8ako 324 6 however however RB cord-007444-c9vu8ako 324 7 , , , cord-007444-c9vu8ako 324 8 were be VBD cord-007444-c9vu8ako 324 9 clearly clearly RB cord-007444-c9vu8ako 324 10 not not RB cord-007444-c9vu8ako 324 11 as as RB cord-007444-c9vu8ako 324 12 ill ill JJ cord-007444-c9vu8ako 324 13 as as IN cord-007444-c9vu8ako 324 14 those those DT cord-007444-c9vu8ako 324 15 in in IN cord-007444-c9vu8ako 324 16 other other JJ cord-007444-c9vu8ako 324 17 studies study NNS cord-007444-c9vu8ako 324 18 . . . cord-007444-c9vu8ako 325 1 Indeed indeed RB cord-007444-c9vu8ako 325 2 , , , cord-007444-c9vu8ako 325 3 no no DT cord-007444-c9vu8ako 325 4 patient patient NN cord-007444-c9vu8ako 325 5 in in IN cord-007444-c9vu8ako 325 6 either either DT cord-007444-c9vu8ako 325 7 group group NN cord-007444-c9vu8ako 325 8 required require VBD cord-007444-c9vu8ako 325 9 intubation intubation NN cord-007444-c9vu8ako 325 10 . . . cord-007444-c9vu8ako 326 1 Randomized randomized JJ cord-007444-c9vu8ako 326 2 , , , cord-007444-c9vu8ako 326 3 controlled control VBN cord-007444-c9vu8ako 326 4 trials trial NNS cord-007444-c9vu8ako 326 5 of of IN cord-007444-c9vu8ako 326 6 NPPV NPPV NNP cord-007444-c9vu8ako 326 7 for for IN cord-007444-c9vu8ako 326 8 the the DT cord-007444-c9vu8ako 326 9 treatment treatment NN cord-007444-c9vu8ako 326 10 of of IN cord-007444-c9vu8ako 326 11 AECOPD AECOPD NNP cord-007444-c9vu8ako 326 12 with with IN cord-007444-c9vu8ako 326 13 hypercarbic hypercarbic JJ cord-007444-c9vu8ako 326 14 respiratory respiratory JJ cord-007444-c9vu8ako 326 15 failure failure NN cord-007444-c9vu8ako 326 16 recently recently RB cord-007444-c9vu8ako 326 17 were be VBD cord-007444-c9vu8ako 326 18 reviewed review VBN cord-007444-c9vu8ako 327 1 systematially.^^ systematially.^^ NNP cord-007444-c9vu8ako 327 2 The the DT cord-007444-c9vu8ako 327 3 pooled pool VBN cord-007444-c9vu8ako 327 4 odds odd NNS cord-007444-c9vu8ako 327 5 ratio ratio NN cord-007444-c9vu8ako 327 6 for for IN cord-007444-c9vu8ako 327 7 intubation intubation NN cord-007444-c9vu8ako 327 8 following follow VBG cord-007444-c9vu8ako 327 9 NPPV NPPV NNP cord-007444-c9vu8ako 327 10 is be VBZ cord-007444-c9vu8ako 327 11 0.12 0.12 CD cord-007444-c9vu8ako 327 12 ( ( -LRB- cord-007444-c9vu8ako 327 13 95 95 CD cord-007444-c9vu8ako 327 14 % % NN cord-007444-c9vu8ako 327 15 CI ci NN cord-007444-c9vu8ako 327 16 , , , cord-007444-c9vu8ako 327 17 0.05 0.05 CD cord-007444-c9vu8ako 327 18 - - SYM cord-007444-c9vu8ako 327 19 0.29 0.29 CD cord-007444-c9vu8ako 327 20 ) ) -RRB- cord-007444-c9vu8ako 327 21 . . . cord-007444-c9vu8ako 328 1 More more RBR cord-007444-c9vu8ako 328 2 importantly importantly RB cord-007444-c9vu8ako 328 3 , , , cord-007444-c9vu8ako 328 4 however however RB cord-007444-c9vu8ako 328 5 , , , cord-007444-c9vu8ako 328 6 the the DT cord-007444-c9vu8ako 328 7 trials trial NNS cord-007444-c9vu8ako 328 8 that that WDT cord-007444-c9vu8ako 328 9 included include VBD cord-007444-c9vu8ako 328 10 mortality mortality NN cord-007444-c9vu8ako 328 11 as as IN cord-007444-c9vu8ako 328 12 an an DT cord-007444-c9vu8ako 328 13 outcome outcome NN cord-007444-c9vu8ako 328 14 collectively collectively RB cord-007444-c9vu8ako 328 15 demonstrate demonstrate VBP cord-007444-c9vu8ako 328 16 a a DT cord-007444-c9vu8ako 328 17 strong strong JJ cord-007444-c9vu8ako 328 18 survival survival NN cord-007444-c9vu8ako 328 19 benefit benefit NN cord-007444-c9vu8ako 328 20 for for IN cord-007444-c9vu8ako 329 1 NPPV.2 NPPV.2 NNP cord-007444-c9vu8ako 329 2 * * NFP cord-007444-c9vu8ako 329 3 18 18 CD cord-007444-c9vu8ako 329 4 , , , cord-007444-c9vu8ako 329 5 21 21 CD cord-007444-c9vu8ako 329 6 The the DT cord-007444-c9vu8ako 329 7 pooled pool VBN cord-007444-c9vu8ako 329 8 odds odd NNS cord-007444-c9vu8ako 329 9 ratio ratio NN cord-007444-c9vu8ako 329 10 for for IN cord-007444-c9vu8ako 329 11 death death NN cord-007444-c9vu8ako 329 12 is be VBZ cord-007444-c9vu8ako 329 13 0.22 0.22 CD cord-007444-c9vu8ako 330 1 ( ( -LRB- cord-007444-c9vu8ako 330 2 95 95 CD cord-007444-c9vu8ako 330 3 % % NN cord-007444-c9vu8ako 330 4 CI ci NN cord-007444-c9vu8ako 330 5 , , , cord-007444-c9vu8ako 330 6 0.09 0.09 CD cord-007444-c9vu8ako 330 7 - - SYM cord-007444-c9vu8ako 330 8 0.54 0.54 CD cord-007444-c9vu8ako 330 9 ) ) -RRB- cord-007444-c9vu8ako 330 10 . . . cord-007444-c9vu8ako 331 1 Therefore therefore RB cord-007444-c9vu8ako 331 2 , , , cord-007444-c9vu8ako 331 3 at at RB cord-007444-c9vu8ako 331 4 worst bad JJS cord-007444-c9vu8ako 331 5 , , , cord-007444-c9vu8ako 331 6 NPPV NPPV NNP cord-007444-c9vu8ako 331 7 increases increase VBZ cord-007444-c9vu8ako 331 8 the the DT cord-007444-c9vu8ako 331 9 patient patient NN cord-007444-c9vu8ako 331 10 's 's POS cord-007444-c9vu8ako 331 11 chance chance NN cord-007444-c9vu8ako 331 12 of of IN cord-007444-c9vu8ako 331 13 surviving survive VBG cord-007444-c9vu8ako 331 14 by by IN cord-007444-c9vu8ako 331 15 nearly nearly RB cord-007444-c9vu8ako 331 16 50 50 CD cord-007444-c9vu8ako 331 17 % % NN cord-007444-c9vu8ako 331 18 ; ; : cord-007444-c9vu8ako 331 19 at at IN cord-007444-c9vu8ako 331 20 best good JJS cord-007444-c9vu8ako 331 21 , , , cord-007444-c9vu8ako 331 22 the the DT cord-007444-c9vu8ako 331 23 chance chance NN cord-007444-c9vu8ako 331 24 of of IN cord-007444-c9vu8ako 331 25 survival survival NN cord-007444-c9vu8ako 331 26 is be VBZ cord-007444-c9vu8ako 331 27 90 90 CD cord-007444-c9vu8ako 331 28 % % NN cord-007444-c9vu8ako 331 29 better well JJR cord-007444-c9vu8ako 331 30 than than IN cord-007444-c9vu8ako 331 31 that that DT cord-007444-c9vu8ako 331 32 of of IN cord-007444-c9vu8ako 331 33 a a DT cord-007444-c9vu8ako 331 34 similar similar JJ cord-007444-c9vu8ako 331 35 patient patient NN cord-007444-c9vu8ako 331 36 not not RB cord-007444-c9vu8ako 331 37 receiving receive VBG cord-007444-c9vu8ako 331 38 NPPV NPPV NNP cord-007444-c9vu8ako 331 39 . . . cord-007444-c9vu8ako 332 1 Improvements improvement NNS cord-007444-c9vu8ako 332 2 in in IN cord-007444-c9vu8ako 332 3 pH pH NNP cord-007444-c9vu8ako 333 1 and and CC cord-007444-c9vu8ako 333 2 PacoZ PacoZ NNP cord-007444-c9vu8ako 333 3 within within IN cord-007444-c9vu8ako 333 4 1 1 CD cord-007444-c9vu8ako 333 5 hour hour NN cord-007444-c9vu8ako 333 6 of of IN cord-007444-c9vu8ako 333 7 initiating initiate VBG cord-007444-c9vu8ako 333 8 NPPV NPPV NNP cord-007444-c9vu8ako 333 9 and and CC cord-007444-c9vu8ako 333 10 good good JJ cord-007444-c9vu8ako 333 11 level level NN cord-007444-c9vu8ako 333 12 of of IN cord-007444-c9vu8ako 333 13 consciousness consciousness NN cord-007444-c9vu8ako 333 14 at at IN cord-007444-c9vu8ako 333 15 the the DT cord-007444-c9vu8ako 333 16 beginning beginning NN cord-007444-c9vu8ako 333 17 of of IN cord-007444-c9vu8ako 333 18 NPPV NPPV NNP cord-007444-c9vu8ako 333 19 are be VBP cord-007444-c9vu8ako 333 20 associated associate VBN cord-007444-c9vu8ako 333 21 with with IN cord-007444-c9vu8ako 333 22 successful successful JJ cord-007444-c9vu8ako 333 23 responses response NNS cord-007444-c9vu8ako 333 24 to to IN cord-007444-c9vu8ako 333 25 NPPV NPPV NNP cord-007444-c9vu8ako 333 26 in in IN cord-007444-c9vu8ako 333 27 patients patient NNS cord-007444-c9vu8ako 333 28 with with IN cord-007444-c9vu8ako 333 29 AECOPD AECOPD NNP cord-007444-c9vu8ako 333 30 and and CC cord-007444-c9vu8ako 333 31 respiratory respiratory JJ cord-007444-c9vu8ako 333 32 acido acido NNP cord-007444-c9vu8ako 334 1 ~is.~ ~is.~ NNP cord-007444-c9vu8ako 334 2 Malnutrition malnutrition NN cord-007444-c9vu8ako 334 3 is be VBZ cord-007444-c9vu8ako 334 4 common common JJ cord-007444-c9vu8ako 334 5 among among IN cord-007444-c9vu8ako 334 6 patients patient NNS cord-007444-c9vu8ako 334 7 with with IN cord-007444-c9vu8ako 334 8 COPD COPD NNP cord-007444-c9vu8ako 334 9 and and CC cord-007444-c9vu8ako 334 10 increases increase VBZ cord-007444-c9vu8ako 334 11 the the DT cord-007444-c9vu8ako 334 12 morbidity morbidity NN cord-007444-c9vu8ako 334 13 and and CC cord-007444-c9vu8ako 334 14 mortality mortality NN cord-007444-c9vu8ako 334 15 associated associate VBN cord-007444-c9vu8ako 334 16 with with IN cord-007444-c9vu8ako 334 17 the the DT cord-007444-c9vu8ako 334 18 disease disease NN cord-007444-c9vu8ako 334 19 . . . cord-007444-c9vu8ako 335 1 The the DT cord-007444-c9vu8ako 335 2 Veterans Veterans NNPS cord-007444-c9vu8ako 335 3 Administration Administration NNP cord-007444-c9vu8ako 335 4 Cooperative Cooperative NNP cord-007444-c9vu8ako 335 5 Study Study NNP cord-007444-c9vu8ako 335 6 of of IN cord-007444-c9vu8ako 335 7 Pulmonary Pulmonary NNP cord-007444-c9vu8ako 335 8 Function98 Function98 NNP cord-007444-c9vu8ako 335 9 showed show VBD cord-007444-c9vu8ako 335 10 that that IN cord-007444-c9vu8ako 335 11 patients patient NNS cord-007444-c9vu8ako 335 12 with with IN cord-007444-c9vu8ako 335 13 FEVl FEVl NNS cord-007444-c9vu8ako 335 14 less less JJR cord-007444-c9vu8ako 335 15 than than IN cord-007444-c9vu8ako 335 16 or or CC cord-007444-c9vu8ako 335 17 equal equal JJ cord-007444-c9vu8ako 335 18 to to IN cord-007444-c9vu8ako 335 19 0.5 0.5 CD cord-007444-c9vu8ako 335 20 L l NN cord-007444-c9vu8ako 335 21 weighed weigh VBD cord-007444-c9vu8ako 335 22 less less JJR cord-007444-c9vu8ako 335 23 than than IN cord-007444-c9vu8ako 335 24 82 82 CD cord-007444-c9vu8ako 335 25 % % NN cord-007444-c9vu8ako 335 26 of of IN cord-007444-c9vu8ako 335 27 their -PRON- PRP$ cord-007444-c9vu8ako 335 28 ideal ideal JJ cord-007444-c9vu8ako 335 29 body body NN cord-007444-c9vu8ako 335 30 weight weight NN cord-007444-c9vu8ako 335 31 ( ( -LRB- cord-007444-c9vu8ako 335 32 IBW IBW NNP cord-007444-c9vu8ako 335 33 ) ) -RRB- cord-007444-c9vu8ako 335 34 , , , cord-007444-c9vu8ako 335 35 compared compare VBN cord-007444-c9vu8ako 335 36 with with IN cord-007444-c9vu8ako 335 37 near near IN cord-007444-c9vu8ako 335 38 normal normal JJ cord-007444-c9vu8ako 335 39 body body NN cord-007444-c9vu8ako 335 40 weight weight NN cord-007444-c9vu8ako 335 41 in in IN cord-007444-c9vu8ako 335 42 less less RBR cord-007444-c9vu8ako 335 43 severely severely RB cord-007444-c9vu8ako 335 44 impaired impair VBN cord-007444-c9vu8ako 335 45 patients patient NNS cord-007444-c9vu8ako 335 46 . . . cord-007444-c9vu8ako 336 1 In in IN cord-007444-c9vu8ako 336 2 another another DT cord-007444-c9vu8ako 336 3 study,133 study,133 NN cord-007444-c9vu8ako 336 4 43 43 CD cord-007444-c9vu8ako 336 5 % % NN cord-007444-c9vu8ako 336 6 of of IN cord-007444-c9vu8ako 336 7 patients patient NNS cord-007444-c9vu8ako 336 8 with with IN cord-007444-c9vu8ako 336 9 emphysema emphysema NN cord-007444-c9vu8ako 336 10 were be VBD cord-007444-c9vu8ako 336 11 found find VBN cord-007444-c9vu8ako 336 12 to to TO cord-007444-c9vu8ako 336 13 weigh weigh VB cord-007444-c9vu8ako 336 14 less less JJR cord-007444-c9vu8ako 336 15 than than IN cord-007444-c9vu8ako 336 16 90 90 CD cord-007444-c9vu8ako 336 17 % % NN cord-007444-c9vu8ako 336 18 of of IN cord-007444-c9vu8ako 336 19 their -PRON- PRP$ cord-007444-c9vu8ako 336 20 IBW IBW NNP cord-007444-c9vu8ako 336 21 . . . cord-007444-c9vu8ako 337 1 Furthermore furthermore RB cord-007444-c9vu8ako 337 2 , , , cord-007444-c9vu8ako 337 3 reported report VBD cord-007444-c9vu8ako 337 4 that that IN cord-007444-c9vu8ako 337 5 more more JJR cord-007444-c9vu8ako 337 6 than than IN cord-007444-c9vu8ako 337 7 70 70 CD cord-007444-c9vu8ako 337 8 % % NN cord-007444-c9vu8ako 337 9 of of IN cord-007444-c9vu8ako 337 10 hospitalized hospitalize VBN cord-007444-c9vu8ako 337 11 patients patient NNS cord-007444-c9vu8ako 337 12 with with IN cord-007444-c9vu8ako 337 13 COPD COPD NNP cord-007444-c9vu8ako 337 14 had have VBD cord-007444-c9vu8ako 337 15 evidence evidence NN cord-007444-c9vu8ako 337 16 of of IN cord-007444-c9vu8ako 337 17 weight weight NN cord-007444-c9vu8ako 337 18 loss loss NN cord-007444-c9vu8ako 337 19 . . . cord-007444-c9vu8ako 338 1 Pingletongl Pingletongl NNP cord-007444-c9vu8ako 338 2 found find VBD cord-007444-c9vu8ako 338 3 that that IN cord-007444-c9vu8ako 338 4 , , , cord-007444-c9vu8ako 338 5 among among IN cord-007444-c9vu8ako 338 6 ventilated ventilate VBN cord-007444-c9vu8ako 338 7 patients patient NNS cord-007444-c9vu8ako 338 8 , , , cord-007444-c9vu8ako 338 9 mortality mortality NN cord-007444-c9vu8ako 338 10 was be VBD cord-007444-c9vu8ako 338 11 significantly significantly RB cord-007444-c9vu8ako 338 12 higher high JJR cord-007444-c9vu8ako 338 13 in in IN cord-007444-c9vu8ako 338 14 those those DT cord-007444-c9vu8ako 338 15 who who WP cord-007444-c9vu8ako 338 16 were be VBD cord-007444-c9vu8ako 338 17 poorly poorly RB cord-007444-c9vu8ako 338 18 nourished nourish VBN cord-007444-c9vu8ako 338 19 than than IN cord-007444-c9vu8ako 338 20 in in IN cord-007444-c9vu8ako 338 21 those those DT cord-007444-c9vu8ako 338 22 with with IN cord-007444-c9vu8ako 338 23 better well JJR cord-007444-c9vu8ako 338 24 nutritional nutritional JJ cord-007444-c9vu8ako 338 25 status status NN cord-007444-c9vu8ako 338 26 . . . cord-007444-c9vu8ako 339 1 Poorly poorly RB cord-007444-c9vu8ako 339 2 nourished nourish VBN cord-007444-c9vu8ako 339 3 patients patient NNS cord-007444-c9vu8ako 339 4 also also RB cord-007444-c9vu8ako 339 5 had have VBD cord-007444-c9vu8ako 339 6 a a DT cord-007444-c9vu8ako 339 7 significantly significantly RB cord-007444-c9vu8ako 339 8 higher high JJR cord-007444-c9vu8ako 339 9 frequency frequency NN cord-007444-c9vu8ako 339 10 of of IN cord-007444-c9vu8ako 339 11 hypercapnia hypercapnia NN cord-007444-c9vu8ako 339 12 . . . cord-007444-c9vu8ako 340 1 The the DT cord-007444-c9vu8ako 340 2 principal principal JJ cord-007444-c9vu8ako 340 3 effects effect NNS cord-007444-c9vu8ako 340 4 of of IN cord-007444-c9vu8ako 340 5 malnutrition malnutrition NN cord-007444-c9vu8ako 340 6 upon upon IN cord-007444-c9vu8ako 340 7 the the DT cord-007444-c9vu8ako 340 8 respiratory respiratory JJ cord-007444-c9vu8ako 340 9 system system NN cord-007444-c9vu8ako 340 10 are be VBP cord-007444-c9vu8ako 340 11 thought think VBN cord-007444-c9vu8ako 340 12 to to TO cord-007444-c9vu8ako 340 13 be be VB cord-007444-c9vu8ako 340 14 worsened worsen VBN cord-007444-c9vu8ako 340 15 respiratory respiratory JJ cord-007444-c9vu8ako 340 16 muscle muscle NN cord-007444-c9vu8ako 340 17 function function NN cord-007444-c9vu8ako 340 18 , , , cord-007444-c9vu8ako 340 19 impairment impairment NN cord-007444-c9vu8ako 340 20 of of IN cord-007444-c9vu8ako 340 21 ventilatory ventilatory JJ cord-007444-c9vu8ako 340 22 drive drive NN cord-007444-c9vu8ako 340 23 , , , cord-007444-c9vu8ako 340 24 and and CC cord-007444-c9vu8ako 340 25 immune immune JJ cord-007444-c9vu8ako 340 26 dysfunction dysfunction NN cord-007444-c9vu8ako 340 27 . . . cord-007444-c9vu8ako 341 1 Malnutrition malnutrition NN cord-007444-c9vu8ako 341 2 impairs impair VBZ cord-007444-c9vu8ako 341 3 muscle muscle NN cord-007444-c9vu8ako 341 4 function function NN cord-007444-c9vu8ako 341 5 by by IN cord-007444-c9vu8ako 341 6 reducing reduce VBG cord-007444-c9vu8ako 341 7 the the DT cord-007444-c9vu8ako 341 8 availability availability NN cord-007444-c9vu8ako 341 9 of of IN cord-007444-c9vu8ako 341 10 energy energy NN cord-007444-c9vu8ako 341 11 substrates substrate NNS cord-007444-c9vu8ako 341 12 such such JJ cord-007444-c9vu8ako 341 13 as as IN cord-007444-c9vu8ako 341 14 glycogen glycogen NN cord-007444-c9vu8ako 341 15 and and CC cord-007444-c9vu8ako 341 16 phosphate phosphate NN cord-007444-c9vu8ako 341 17 and and CC cord-007444-c9vu8ako 341 18 by by IN cord-007444-c9vu8ako 341 19 altering alter VBG cord-007444-c9vu8ako 341 20 the the DT cord-007444-c9vu8ako 341 21 structure structure NN cord-007444-c9vu8ako 341 22 of of IN cord-007444-c9vu8ako 341 23 muscle muscle NN cord-007444-c9vu8ako 341 24 fibers fiber NNS cord-007444-c9vu8ako 341 25 . . . cord-007444-c9vu8ako 342 1 When when WRB cord-007444-c9vu8ako 342 2 combined combine VBN cord-007444-c9vu8ako 342 3 with with IN cord-007444-c9vu8ako 342 4 intercurrent intercurrent NN cord-007444-c9vu8ako 342 5 airway airway NN cord-007444-c9vu8ako 342 6 infection infection NN cord-007444-c9vu8ako 342 7 and and CC cord-007444-c9vu8ako 342 8 the the DT cord-007444-c9vu8ako 342 9 mechanical mechanical JJ cord-007444-c9vu8ako 342 10 disadvantage disadvantage NN cord-007444-c9vu8ako 342 11 of of IN cord-007444-c9vu8ako 342 12 the the DT cord-007444-c9vu8ako 342 13 diaphragm diaphragm NN cord-007444-c9vu8ako 342 14 in in IN cord-007444-c9vu8ako 342 15 COPD COPD NNP cord-007444-c9vu8ako 342 16 , , , cord-007444-c9vu8ako 342 17 malnutrition malnutrition NN cord-007444-c9vu8ako 342 18 may may MD cord-007444-c9vu8ako 342 19 have have VB cord-007444-c9vu8ako 342 20 a a DT cord-007444-c9vu8ako 342 21 profound profound JJ cord-007444-c9vu8ako 342 22 effect effect NN cord-007444-c9vu8ako 342 23 on on IN cord-007444-c9vu8ako 342 24 respiratory respiratory JJ cord-007444-c9vu8ako 342 25 muscle muscle NN cord-007444-c9vu8ako 342 26 mechanics mechanic NNS cord-007444-c9vu8ako 342 27 . . . cord-007444-c9vu8ako 343 1 Experimental experimental JJ cord-007444-c9vu8ako 343 2 evidence evidence NN cord-007444-c9vu8ako 343 3 for for IN cord-007444-c9vu8ako 343 4 blunted blunted JJ cord-007444-c9vu8ako 343 5 hypoxic hypoxic JJ cord-007444-c9vu8ako 343 6 drive drive NN cord-007444-c9vu8ako 343 7 in in IN cord-007444-c9vu8ako 343 8 response response NN cord-007444-c9vu8ako 343 9 to to IN cord-007444-c9vu8ako 343 10 semistarvation semistarvation NN cord-007444-c9vu8ako 343 11 suggests suggest VBZ cord-007444-c9vu8ako 343 12 another another DT cord-007444-c9vu8ako 343 13 mechanism mechanism NN cord-007444-c9vu8ako 343 14 by by IN cord-007444-c9vu8ako 343 15 which which WDT cord-007444-c9vu8ako 343 16 patients patient NNS cord-007444-c9vu8ako 343 17 with with IN cord-007444-c9vu8ako 343 18 COPD COPD NNP cord-007444-c9vu8ako 343 19 may may MD cord-007444-c9vu8ako 343 20 be be VB cord-007444-c9vu8ako 343 21 predisposed predisposed JJ cord-007444-c9vu8ako 343 22 to to IN cord-007444-c9vu8ako 343 23 respiratory respiratory JJ cord-007444-c9vu8ako 343 24 failure.91 failure.91 NNS cord-007444-c9vu8ako 343 25 , , , cord-007444-c9vu8ako 343 26 133 133 CD cord-007444-c9vu8ako 343 27 No no DT cord-007444-c9vu8ako 343 28 randomized randomized JJ cord-007444-c9vu8ako 343 29 , , , cord-007444-c9vu8ako 343 30 controlled control VBN cord-007444-c9vu8ako 343 31 trial trial NN cord-007444-c9vu8ako 343 32 has have VBZ cord-007444-c9vu8ako 343 33 demonstrated demonstrate VBN cord-007444-c9vu8ako 343 34 reduced reduced JJ cord-007444-c9vu8ako 343 35 morbidity morbidity NN cord-007444-c9vu8ako 343 36 and and CC cord-007444-c9vu8ako 343 37 mortality mortality NN cord-007444-c9vu8ako 343 38 as as IN cord-007444-c9vu8ako 343 39 a a DT cord-007444-c9vu8ako 343 40 result result NN cord-007444-c9vu8ako 343 41 of of IN cord-007444-c9vu8ako 343 42 nutritional nutritional JJ cord-007444-c9vu8ako 343 43 support support NN cord-007444-c9vu8ako 343 44 during during IN cord-007444-c9vu8ako 343 45 acute acute JJ cord-007444-c9vu8ako 343 46 respiratory respiratory JJ cord-007444-c9vu8ako 343 47 failure failure NN cord-007444-c9vu8ako 343 48 . . . cord-007444-c9vu8ako 344 1 Nevertheless nevertheless RB cord-007444-c9vu8ako 344 2 , , , cord-007444-c9vu8ako 344 3 clinicians clinician NNS cord-007444-c9vu8ako 344 4 should should MD cord-007444-c9vu8ako 344 5 be be VB cord-007444-c9vu8ako 344 6 able able JJ cord-007444-c9vu8ako 344 7 to to TO cord-007444-c9vu8ako 344 8 identify identify VB cord-007444-c9vu8ako 344 9 malnourished malnourished JJ cord-007444-c9vu8ako 344 10 patients patient NNS cord-007444-c9vu8ako 344 11 and and CC cord-007444-c9vu8ako 344 12 understand understand VB cord-007444-c9vu8ako 344 13 the the DT cord-007444-c9vu8ako 344 14 goals goal NNS cord-007444-c9vu8ako 344 15 of of IN cord-007444-c9vu8ako 344 16 nutritional nutritional JJ cord-007444-c9vu8ako 344 17 therapy therapy NN cord-007444-c9vu8ako 344 18 . . . cord-007444-c9vu8ako 345 1 Particular particular JJ cord-007444-c9vu8ako 345 2 attention attention NN cord-007444-c9vu8ako 345 3 should should MD cord-007444-c9vu8ako 345 4 be be VB cord-007444-c9vu8ako 345 5 paid pay VBN cord-007444-c9vu8ako 345 6 to to IN cord-007444-c9vu8ako 345 7 patients patient NNS cord-007444-c9vu8ako 345 8 with with IN cord-007444-c9vu8ako 345 9 hypercatabolic hypercatabolic JJ cord-007444-c9vu8ako 345 10 states state NNS cord-007444-c9vu8ako 345 11 that that WDT cord-007444-c9vu8ako 345 12 increase increase VBP cord-007444-c9vu8ako 345 13 the the DT cord-007444-c9vu8ako 345 14 risk risk NN cord-007444-c9vu8ako 345 15 for for IN cord-007444-c9vu8ako 345 16 protein protein NN cord-007444-c9vu8ako 345 17 - - HYPH cord-007444-c9vu8ako 345 18 calorie calorie NN cord-007444-c9vu8ako 345 19 malnutrition malnutrition NN cord-007444-c9vu8ako 345 20 . . . cord-007444-c9vu8ako 346 1 The the DT cord-007444-c9vu8ako 346 2 Subjective Subjective NNP cord-007444-c9vu8ako 346 3 Global Global NNP cord-007444-c9vu8ako 346 4 Assessment Assessment NNP cord-007444-c9vu8ako 346 5 and and CC cord-007444-c9vu8ako 346 6 the the DT cord-007444-c9vu8ako 346 7 Harris Harris NNP cord-007444-c9vu8ako 346 8 - - HYPH cord-007444-c9vu8ako 346 9 Benedict Benedict NNP cord-007444-c9vu8ako 346 10 equation equation NN cord-007444-c9vu8ako 346 11 are be VBP cord-007444-c9vu8ako 346 12 two two CD cord-007444-c9vu8ako 346 13 valid valid JJ cord-007444-c9vu8ako 346 14 clinical clinical JJ cord-007444-c9vu8ako 346 15 instruments instrument NNS cord-007444-c9vu8ako 346 16 for for IN cord-007444-c9vu8ako 346 17 assessing assess VBG cord-007444-c9vu8ako 346 18 malnutrition malnutrition NN cord-007444-c9vu8ako 346 19 and and CC cord-007444-c9vu8ako 346 20 planning plan VBG cord-007444-c9vu8ako 346 21 nutritional nutritional JJ cord-007444-c9vu8ako 346 22 therapy therapy NN cord-007444-c9vu8ako 346 23 . . . cord-007444-c9vu8ako 347 1 They -PRON- PRP cord-007444-c9vu8ako 347 2 are be VBP cord-007444-c9vu8ako 347 3 reviewed review VBN cord-007444-c9vu8ako 347 4 elsewhere elsewhere RB cord-007444-c9vu8ako 347 5 ? ? . cord-007444-c9vu8ako 348 1 " " '' cord-007444-c9vu8ako 349 1 91 91 CD cord-007444-c9vu8ako 350 1 In in IN cord-007444-c9vu8ako 350 2 general general JJ cord-007444-c9vu8ako 350 3 , , , cord-007444-c9vu8ako 350 4 the the DT cord-007444-c9vu8ako 350 5 goals goal NNS cord-007444-c9vu8ako 350 6 of of IN cord-007444-c9vu8ako 350 7 nutritional nutritional JJ cord-007444-c9vu8ako 350 8 supplementation supplementation NN cord-007444-c9vu8ako 350 9 among among IN cord-007444-c9vu8ako 350 10 patients patient NNS cord-007444-c9vu8ako 350 11 with with IN cord-007444-c9vu8ako 350 12 acute acute JJ cord-007444-c9vu8ako 350 13 respiratory respiratory JJ cord-007444-c9vu8ako 350 14 failure failure NN cord-007444-c9vu8ako 350 15 consist consist VBP cord-007444-c9vu8ako 350 16 of of IN cord-007444-c9vu8ako 350 17 maintaining maintain VBG cord-007444-c9vu8ako 350 18 body body NN cord-007444-c9vu8ako 350 19 weight weight NN cord-007444-c9vu8ako 350 20 and and CC cord-007444-c9vu8ako 350 21 preventing prevent VBG cord-007444-c9vu8ako 350 22 protein protein NN cord-007444-c9vu8ako 350 23 breakdown breakdown NN cord-007444-c9vu8ako 350 24 . . . cord-007444-c9vu8ako 351 1 The the DT cord-007444-c9vu8ako 351 2 effects effect NNS cord-007444-c9vu8ako 351 3 of of IN cord-007444-c9vu8ako 351 4 malnutrition malnutrition NN cord-007444-c9vu8ako 351 5 and and CC cord-007444-c9vu8ako 351 6 nutritional nutritional JJ cord-007444-c9vu8ako 351 7 supplementation supplementation NN cord-007444-c9vu8ako 351 8 in in IN cord-007444-c9vu8ako 351 9 patients patient NNS cord-007444-c9vu8ako 351 10 with with IN cord-007444-c9vu8ako 351 11 COPD COPD NNP cord-007444-c9vu8ako 351 12 are be VBP cord-007444-c9vu8ako 351 13 discussed discuss VBN cord-007444-c9vu8ako 351 14 in in IN cord-007444-c9vu8ako 351 15 more more JJR cord-007444-c9vu8ako 351 16 detail detail NN cord-007444-c9vu8ako 351 17 in in IN cord-007444-c9vu8ako 351 18 the the DT cord-007444-c9vu8ako 351 19 article article NN cord-007444-c9vu8ako 351 20 by by IN cord-007444-c9vu8ako 351 21 Schols Schols NNP cord-007444-c9vu8ako 351 22 and and CC cord-007444-c9vu8ako 351 23 Wouters Wouters NNPS cord-007444-c9vu8ako 351 24 in in IN cord-007444-c9vu8ako 351 25 this this DT cord-007444-c9vu8ako 351 26 issue issue NN cord-007444-c9vu8ako 351 27 . . . cord-007444-c9vu8ako 352 1 The the DT cord-007444-c9vu8ako 352 2 value value NN cord-007444-c9vu8ako 352 3 of of IN cord-007444-c9vu8ako 352 4 chest chest NN cord-007444-c9vu8ako 352 5 physiotherapy physiotherapy NN cord-007444-c9vu8ako 352 6 ( ( -LRB- cord-007444-c9vu8ako 352 7 postural postural JJ cord-007444-c9vu8ako 352 8 drainage drainage NN cord-007444-c9vu8ako 352 9 with with IN cord-007444-c9vu8ako 352 10 or or CC cord-007444-c9vu8ako 352 11 without without IN cord-007444-c9vu8ako 352 12 chest chest NN cord-007444-c9vu8ako 352 13 percussion percussion NN cord-007444-c9vu8ako 352 14 ) ) -RRB- cord-007444-c9vu8ako 352 15 in in IN cord-007444-c9vu8ako 352 16 AECOPD AECOPD NNP cord-007444-c9vu8ako 352 17 has have VBZ cord-007444-c9vu8ako 352 18 not not RB cord-007444-c9vu8ako 352 19 been be VBN cord-007444-c9vu8ako 352 20 demonstrated demonstrate VBN cord-007444-c9vu8ako 352 21 . . . cord-007444-c9vu8ako 353 1 Studies study NNS cord-007444-c9vu8ako 353 2 of of IN cord-007444-c9vu8ako 353 3 patients patient NNS cord-007444-c9vu8ako 353 4 with with IN cord-007444-c9vu8ako 353 5 AECOPD AECOPD NNP cord-007444-c9vu8ako 353 6 have have VBP cord-007444-c9vu8ako 353 7 failed fail VBN cord-007444-c9vu8ako 353 8 to to TO cord-007444-c9vu8ako 353 9 demonstrate demonstrate VB cord-007444-c9vu8ako 353 10 a a DT cord-007444-c9vu8ako 353 11 beneficial beneficial JJ cord-007444-c9vu8ako 353 12 effect effect NN cord-007444-c9vu8ako 353 13 of of IN cord-007444-c9vu8ako 353 14 chest chest NN cord-007444-c9vu8ako 353 15 physiotherapy physiotherapy NN cord-007444-c9vu8ako 353 16 upon upon IN cord-007444-c9vu8ako 353 17 sputum sputum NN cord-007444-c9vu8ako 353 18 volume volume NN cord-007444-c9vu8ako 353 19 , , , cord-007444-c9vu8ako 353 20 gas gas NN cord-007444-c9vu8ako 353 21 exchange exchange NN cord-007444-c9vu8ako 353 22 , , , cord-007444-c9vu8ako 353 23 or or CC cord-007444-c9vu8ako 353 24 spirometry.66 spirometry.66 NNP cord-007444-c9vu8ako 353 25 One one CD cord-007444-c9vu8ako 353 26 trialz7 trialz7 NN cord-007444-c9vu8ako 353 27 documented document VBD cord-007444-c9vu8ako 353 28 a a DT cord-007444-c9vu8ako 353 29 transient transient JJ cord-007444-c9vu8ako 353 30 but but CC cord-007444-c9vu8ako 353 31 significant significant JJ cord-007444-c9vu8ako 353 32 decrease decrease NN cord-007444-c9vu8ako 353 33 in in IN cord-007444-c9vu8ako 353 34 FEV FEV NNP cord-007444-c9vu8ako 353 35 , , , cord-007444-c9vu8ako 353 36 as as IN cord-007444-c9vu8ako 353 37 a a DT cord-007444-c9vu8ako 353 38 result result NN cord-007444-c9vu8ako 353 39 of of IN cord-007444-c9vu8ako 353 40 bronchoconstriction bronchoconstriction NN cord-007444-c9vu8ako 353 41 following follow VBG cord-007444-c9vu8ako 353 42 chest chest NN cord-007444-c9vu8ako 353 43 percussion percussion NN cord-007444-c9vu8ako 353 44 and and CC cord-007444-c9vu8ako 353 45 vibration vibration NN cord-007444-c9vu8ako 353 46 . . . cord-007444-c9vu8ako 354 1 Some some DT cord-007444-c9vu8ako 354 2 evidence evidence NN cord-007444-c9vu8ako 354 3 suggests suggest VBZ cord-007444-c9vu8ako 354 4 that that IN cord-007444-c9vu8ako 354 5 patients patient NNS cord-007444-c9vu8ako 354 6 with with IN cord-007444-c9vu8ako 354 7 larger large JJR cord-007444-c9vu8ako 354 8 volumes volume NNS cord-007444-c9vu8ako 354 9 of of IN cord-007444-c9vu8ako 354 10 airway airway NN cord-007444-c9vu8ako 354 11 secretions secretion NNS cord-007444-c9vu8ako 354 12 ( ( -LRB- cord-007444-c9vu8ako 354 13 > > NFP cord-007444-c9vu8ako 354 14 25 25 CD cord-007444-c9vu8ako 354 15 mL ml NN cord-007444-c9vu8ako 354 16 / / SYM cord-007444-c9vu8ako 354 17 d d NN cord-007444-c9vu8ako 354 18 ) ) -RRB- cord-007444-c9vu8ako 354 19 , , , cord-007444-c9vu8ako 354 20 particularly particularly RB cord-007444-c9vu8ako 354 21 those those DT cord-007444-c9vu8ako 354 22 with with IN cord-007444-c9vu8ako 354 23 bronchiectasis bronchiectasis NN cord-007444-c9vu8ako 354 24 , , , cord-007444-c9vu8ako 354 25 may may MD cord-007444-c9vu8ako 354 26 benefit benefit VB cord-007444-c9vu8ako 354 27 . . . cord-007444-c9vu8ako 355 1 In in IN cord-007444-c9vu8ako 355 2 some some DT cord-007444-c9vu8ako 355 3 guidelines guideline NNS cord-007444-c9vu8ako 355 4 , , , cord-007444-c9vu8ako 355 5 therefore therefore RB cord-007444-c9vu8ako 355 6 , , , cord-007444-c9vu8ako 355 7 chest chest NN cord-007444-c9vu8ako 355 8 physiotherapy physiotherapy NN cord-007444-c9vu8ako 355 9 has have VBZ cord-007444-c9vu8ako 355 10 been be VBN cord-007444-c9vu8ako 355 11 advocated advocate VBN cord-007444-c9vu8ako 355 12 in in IN cord-007444-c9vu8ako 355 13 this this DT cord-007444-c9vu8ako 355 14 ~ituation.~ ~ituation.~ NNP cord-007444-c9vu8ako 356 1 In in IN cord-007444-c9vu8ako 356 2 general general JJ cord-007444-c9vu8ako 356 3 , , , cord-007444-c9vu8ako 356 4 however however RB cord-007444-c9vu8ako 356 5 , , , cord-007444-c9vu8ako 356 6 it -PRON- PRP cord-007444-c9vu8ako 356 7 is be VBZ cord-007444-c9vu8ako 356 8 not not RB cord-007444-c9vu8ako 356 9 recommended recommend VBN cord-007444-c9vu8ako 356 10 in in IN cord-007444-c9vu8ako 356 11 the the DT cord-007444-c9vu8ako 356 12 routine routine JJ cord-007444-c9vu8ako 356 13 management management NN cord-007444-c9vu8ako 356 14 of of IN cord-007444-c9vu8ako 356 15 AECOPD.2 AECOPD.2 NNP cord-007444-c9vu8ako 356 16 ° ° NNP cord-007444-c9vu8ako 357 1 Although although IN cord-007444-c9vu8ako 357 2 outcome outcome NN cord-007444-c9vu8ako 357 3 data datum NNS cord-007444-c9vu8ako 357 4 are be VBP cord-007444-c9vu8ako 357 5 important important JJ cord-007444-c9vu8ako 357 6 , , , cord-007444-c9vu8ako 357 7 caution caution NN cord-007444-c9vu8ako 357 8 is be VBZ cord-007444-c9vu8ako 357 9 required require VBN cord-007444-c9vu8ako 357 10 in in IN cord-007444-c9vu8ako 357 11 their -PRON- PRP$ cord-007444-c9vu8ako 357 12 interpretation interpretation NN cord-007444-c9vu8ako 357 13 . . . cord-007444-c9vu8ako 358 1 Because because IN cord-007444-c9vu8ako 358 2 data datum NNS cord-007444-c9vu8ako 358 3 are be VBP cord-007444-c9vu8ako 358 4 generated generate VBN cord-007444-c9vu8ako 358 5 by by IN cord-007444-c9vu8ako 358 6 observing observe VBG cord-007444-c9vu8ako 358 7 large large JJ cord-007444-c9vu8ako 358 8 numbers number NNS cord-007444-c9vu8ako 358 9 of of IN cord-007444-c9vu8ako 358 10 patients patient NNS cord-007444-c9vu8ako 358 11 , , , cord-007444-c9vu8ako 358 12 typically typically RB cord-007444-c9vu8ako 358 13 in in IN cord-007444-c9vu8ako 358 14 tertiary tertiary JJ cord-007444-c9vu8ako 358 15 referral referral NN cord-007444-c9vu8ako 358 16 centers center NNS cord-007444-c9vu8ako 358 17 , , , cord-007444-c9vu8ako 358 18 the the DT cord-007444-c9vu8ako 358 19 pertinence pertinence NN cord-007444-c9vu8ako 358 20 of of IN cord-007444-c9vu8ako 358 21 these these DT cord-007444-c9vu8ako 358 22 data datum NNS cord-007444-c9vu8ako 358 23 to to IN cord-007444-c9vu8ako 358 24 individual individual JJ cord-007444-c9vu8ako 358 25 patients patient NNS cord-007444-c9vu8ako 358 26 may may MD cord-007444-c9vu8ako 358 27 be be VB cord-007444-c9vu8ako 358 28 limited limit VBN cord-007444-c9vu8ako 358 29 , , , cord-007444-c9vu8ako 358 30 especially especially RB cord-007444-c9vu8ako 358 31 outside outside RB cord-007444-c9vu8ako 358 32 of of IN cord-007444-c9vu8ako 358 33 major major JJ cord-007444-c9vu8ako 358 34 centers center NNS cord-007444-c9vu8ako 358 35 where where WRB cord-007444-c9vu8ako 358 36 most most JJS cord-007444-c9vu8ako 358 37 COPD COPD NNP cord-007444-c9vu8ako 358 38 exacerbations exacerbation NNS cord-007444-c9vu8ako 358 39 are be VBP cord-007444-c9vu8ako 358 40 Studies study NNS cord-007444-c9vu8ako 358 41 of of IN cord-007444-c9vu8ako 358 42 prognosis prognosis NN cord-007444-c9vu8ako 358 43 in in IN cord-007444-c9vu8ako 358 44 patients patient NNS cord-007444-c9vu8ako 358 45 with with IN cord-007444-c9vu8ako 358 46 COPD COPD NNP cord-007444-c9vu8ako 358 47 and and CC cord-007444-c9vu8ako 358 48 acute acute JJ cord-007444-c9vu8ako 358 49 respiratory respiratory JJ cord-007444-c9vu8ako 358 50 failure failure NN cord-007444-c9vu8ako 358 51 performed perform VBN cord-007444-c9vu8ako 358 52 during during IN cord-007444-c9vu8ako 358 53 previous previous JJ cord-007444-c9vu8ako 358 54 decades decade NNS cord-007444-c9vu8ako 358 55 are be VBP cord-007444-c9vu8ako 358 56 less less RBR cord-007444-c9vu8ako 358 57 relevant relevant JJ cord-007444-c9vu8ako 358 58 by by IN cord-007444-c9vu8ako 358 59 today today NN cord-007444-c9vu8ako 358 60 's 's POS cord-007444-c9vu8ako 358 61 standards standard NNS cord-007444-c9vu8ako 358 62 . . . cord-007444-c9vu8ako 359 1 Current current JJ cord-007444-c9vu8ako 359 2 outcomes outcome NNS cord-007444-c9vu8ako 359 3 appear appear VBP cord-007444-c9vu8ako 359 4 to to TO cord-007444-c9vu8ako 359 5 be be VB cord-007444-c9vu8ako 359 6 better well JJR cord-007444-c9vu8ako 359 7 than than IN cord-007444-c9vu8ako 359 8 those those DT cord-007444-c9vu8ako 359 9 of of IN cord-007444-c9vu8ako 359 10 the the DT cord-007444-c9vu8ako 359 11 past past NN cord-007444-c9vu8ako 359 12 , , , cord-007444-c9vu8ako 359 13 in in IN cord-007444-c9vu8ako 359 14 part part NN cord-007444-c9vu8ako 359 15 because because IN cord-007444-c9vu8ako 359 16 of of IN cord-007444-c9vu8ako 359 17 the the DT cord-007444-c9vu8ako 359 18 widespread widespread JJ cord-007444-c9vu8ako 359 19 use use NN cord-007444-c9vu8ako 359 20 of of IN cord-007444-c9vu8ako 359 21 controlled control VBN cord-007444-c9vu8ako 359 22 Oz Oz NNP cord-007444-c9vu8ako 359 23 therapy therapy NN cord-007444-c9vu8ako 359 24 , , , cord-007444-c9vu8ako 359 25 corticosteroids corticosteroid NNS cord-007444-c9vu8ako 359 26 and and CC cord-007444-c9vu8ako 359 27 IB IB NNP cord-007444-c9vu8ako 359 28 , , , cord-007444-c9vu8ako 359 29 availability availability NN cord-007444-c9vu8ako 359 30 of of IN cord-007444-c9vu8ako 359 31 better well JJR cord-007444-c9vu8ako 359 32 p,-agonists p,-agonist NNS cord-007444-c9vu8ako 359 33 , , , cord-007444-c9vu8ako 359 34 reduced reduce VBN cord-007444-c9vu8ako 359 35 use use NN cord-007444-c9vu8ako 359 36 of of IN cord-007444-c9vu8ako 359 37 methylxanthines methylxanthine NNS cord-007444-c9vu8ako 359 38 , , , cord-007444-c9vu8ako 359 39 and and CC cord-007444-c9vu8ako 359 40 increased increase VBN cord-007444-c9vu8ako 359 41 use use NN cord-007444-c9vu8ako 359 42 of of IN cord-007444-c9vu8ako 359 43 noninvasive noninvasive JJ cord-007444-c9vu8ako 359 44 ventilatory ventilatory NN cord-007444-c9vu8ako 359 45 support.j3 support.j3 CD cord-007444-c9vu8ako 360 1 Indeed indeed RB cord-007444-c9vu8ako 360 2 , , , cord-007444-c9vu8ako 360 3 there there EX cord-007444-c9vu8ako 360 4 is be VBZ cord-007444-c9vu8ako 360 5 evidence evidence NN cord-007444-c9vu8ako 360 6 to to TO cord-007444-c9vu8ako 360 7 support support VB cord-007444-c9vu8ako 360 8 a a DT cord-007444-c9vu8ako 360 9 trend trend NN cord-007444-c9vu8ako 360 10 toward toward IN cord-007444-c9vu8ako 360 11 improved improve VBN cord-007444-c9vu8ako 360 12 survival survival NN cord-007444-c9vu8ako 360 13 for for IN cord-007444-c9vu8ako 360 14 hypercapnic hypercapnic NNP cord-007444-c9vu8ako 360 15 respiratory respiratory JJ cord-007444-c9vu8ako 360 16 failure failure NN cord-007444-c9vu8ako 360 17 over over IN cord-007444-c9vu8ako 360 18 the the DT cord-007444-c9vu8ako 360 19 past past JJ cord-007444-c9vu8ako 360 20 20 20 CD cord-007444-c9vu8ako 360 21 years year NNS cord-007444-c9vu8ako 360 22 . . . cord-007444-c9vu8ako 361 1 The the DT cord-007444-c9vu8ako 361 2 mortality mortality NN cord-007444-c9vu8ako 361 3 rates rate NNS cord-007444-c9vu8ako 361 4 in in IN cord-007444-c9vu8ako 361 5 studies study NNS cord-007444-c9vu8ako 361 6 of of IN cord-007444-c9vu8ako 361 7 survival survival NN cord-007444-c9vu8ako 361 8 of of IN cord-007444-c9vu8ako 361 9 acute acute JJ cord-007444-c9vu8ako 361 10 respiratory respiratory JJ cord-007444-c9vu8ako 361 11 failure failure NN cord-007444-c9vu8ako 361 12 in in IN cord-007444-c9vu8ako 361 13 COPD COPD NNP cord-007444-c9vu8ako 361 14 conducted conduct VBN cord-007444-c9vu8ako 361 15 from from IN cord-007444-c9vu8ako 361 16 1968 1968 CD cord-007444-c9vu8ako 361 17 to to IN cord-007444-c9vu8ako 361 18 1973 1973 CD cord-007444-c9vu8ako 361 19 ranged range VBD cord-007444-c9vu8ako 361 20 from from IN cord-007444-c9vu8ako 361 21 22 22 CD cord-007444-c9vu8ako 361 22 % % NN cord-007444-c9vu8ako 361 23 to to IN cord-007444-c9vu8ako 361 24 34 34 CD cord-007444-c9vu8ako 361 25 % % NN cord-007444-c9vu8ako 361 26 , , , cord-007444-c9vu8ako 361 27 with with IN cord-007444-c9vu8ako 361 28 an an DT cord-007444-c9vu8ako 361 29 overall overall JJ cord-007444-c9vu8ako 361 30 mortality mortality NN cord-007444-c9vu8ako 361 31 of of IN cord-007444-c9vu8ako 361 32 26 26 CD cord-007444-c9vu8ako 361 33 % % NN cord-007444-c9vu8ako 361 34 . . . cord-007444-c9vu8ako 362 1 For for IN cord-007444-c9vu8ako 362 2 similar similar JJ cord-007444-c9vu8ako 362 3 studies study NNS cord-007444-c9vu8ako 362 4 between between IN cord-007444-c9vu8ako 362 5 1978 1978 CD cord-007444-c9vu8ako 362 6 and and CC cord-007444-c9vu8ako 362 7 1992 1992 CD cord-007444-c9vu8ako 362 8 , , , cord-007444-c9vu8ako 362 9 the the DT cord-007444-c9vu8ako 362 10 range range NN cord-007444-c9vu8ako 362 11 is be VBZ cord-007444-c9vu8ako 362 12 6 6 CD cord-007444-c9vu8ako 362 13 % % NN cord-007444-c9vu8ako 362 14 to to TO cord-007444-c9vu8ako 362 15 12 12 CD cord-007444-c9vu8ako 362 16 % % NN cord-007444-c9vu8ako 362 17 , , , cord-007444-c9vu8ako 362 18 with with IN cord-007444-c9vu8ako 362 19 an an DT cord-007444-c9vu8ako 362 20 overall overall JJ cord-007444-c9vu8ako 362 21 mortality mortality NN cord-007444-c9vu8ako 362 22 The the DT cord-007444-c9vu8ako 362 23 most most RBS cord-007444-c9vu8ako 362 24 recent recent JJ cord-007444-c9vu8ako 362 25 and and CC cord-007444-c9vu8ako 362 26 comprehensive comprehensive JJ cord-007444-c9vu8ako 362 27 evaluation evaluation NN cord-007444-c9vu8ako 362 28 of of IN cord-007444-c9vu8ako 362 29 outcomes outcome NNS cord-007444-c9vu8ako 362 30 following follow VBG cord-007444-c9vu8ako 362 31 AECOPD AECOPD NNP cord-007444-c9vu8ako 362 32 was be VBD cord-007444-c9vu8ako 362 33 published publish VBN cord-007444-c9vu8ako 362 34 by by IN cord-007444-c9vu8ako 362 35 Connors Connors NNP cord-007444-c9vu8ako 362 36 et et NNP cord-007444-c9vu8ako 362 37 a1 a1 NNP cord-007444-c9vu8ako 362 38 as as IN cord-007444-c9vu8ako 362 39 a a DT cord-007444-c9vu8ako 362 40 component component NN cord-007444-c9vu8ako 362 41 of of IN cord-007444-c9vu8ako 362 42 the the DT cord-007444-c9vu8ako 362 43 landmark landmark JJ cord-007444-c9vu8ako 362 44 Study Study NNP cord-007444-c9vu8ako 362 45 to to TO cord-007444-c9vu8ako 362 46 Understand understand VB cord-007444-c9vu8ako 362 47 Prognoses prognosis NNS cord-007444-c9vu8ako 362 48 for for IN cord-007444-c9vu8ako 362 49 Outcomes outcome NNS cord-007444-c9vu8ako 362 50 and and CC cord-007444-c9vu8ako 362 51 Risks risk NNS cord-007444-c9vu8ako 362 52 of of IN cord-007444-c9vu8ako 362 53 Treatment treatment NN cord-007444-c9vu8ako 362 54 ( ( -LRB- cord-007444-c9vu8ako 362 55 SUPPORT SUPPORT NNP cord-007444-c9vu8ako 362 56 ) ) -RRB- cord-007444-c9vu8ako 363 1 They -PRON- PRP cord-007444-c9vu8ako 363 2 prospectively prospectively RB cord-007444-c9vu8ako 363 3 studied study VBD cord-007444-c9vu8ako 363 4 more more JJR cord-007444-c9vu8ako 363 5 than than IN cord-007444-c9vu8ako 363 6 1000 1000 CD cord-007444-c9vu8ako 363 7 patients patient NNS cord-007444-c9vu8ako 363 8 admitted admit VBN cord-007444-c9vu8ako 363 9 to to IN cord-007444-c9vu8ako 363 10 five five CD cord-007444-c9vu8ako 363 11 US US NNP cord-007444-c9vu8ako 363 12 tertiary tertiary JJ cord-007444-c9vu8ako 363 13 care care NN cord-007444-c9vu8ako 363 14 hospitals hospital NNS cord-007444-c9vu8ako 363 15 with with IN cord-007444-c9vu8ako 363 16 severe severe JJ cord-007444-c9vu8ako 363 17 hypercarbic hypercarbic JJ cord-007444-c9vu8ako 363 18 COPD COPD NNP cord-007444-c9vu8ako 363 19 exacerbations exacerbation NNS cord-007444-c9vu8ako 363 20 ( ( -LRB- cord-007444-c9vu8ako 363 21 initial initial JJ cord-007444-c9vu8ako 363 22 Paco,~50 paco,~50 NN cord-007444-c9vu8ako 363 23 mm mm CD cord-007444-c9vu8ako 363 24 Hg Hg NNP cord-007444-c9vu8ako 363 25 ) ) -RRB- cord-007444-c9vu8ako 363 26 . . . cord-007444-c9vu8ako 364 1 Baseline Baseline NNP cord-007444-c9vu8ako 364 2 FEV FEV NNP cord-007444-c9vu8ako 364 3 , , , cord-007444-c9vu8ako 364 4 was be VBD cord-007444-c9vu8ako 364 5 not not RB cord-007444-c9vu8ako 364 6 available available JJ cord-007444-c9vu8ako 364 7 for for IN cord-007444-c9vu8ako 364 8 most most JJS cord-007444-c9vu8ako 364 9 patients patient NNS cord-007444-c9vu8ako 364 10 . . . cord-007444-c9vu8ako 365 1 Half half PDT cord-007444-c9vu8ako 365 2 the the DT cord-007444-c9vu8ako 365 3 patients patient NNS cord-007444-c9vu8ako 365 4 required require VBD cord-007444-c9vu8ako 365 5 intensive intensive JJ cord-007444-c9vu8ako 365 6 care care NN cord-007444-c9vu8ako 365 7 unit unit NN cord-007444-c9vu8ako 365 8 admission admission NN cord-007444-c9vu8ako 365 9 and and CC cord-007444-c9vu8ako 365 10 35 35 CD cord-007444-c9vu8ako 365 11 % % NN cord-007444-c9vu8ako 365 12 required require VBN cord-007444-c9vu8ako 365 13 mechanical mechanical JJ cord-007444-c9vu8ako 365 14 ventilation ventilation NN cord-007444-c9vu8ako 365 15 . . . cord-007444-c9vu8ako 366 1 Hospital hospital NN cord-007444-c9vu8ako 366 2 mortality mortality NN cord-007444-c9vu8ako 366 3 was be VBD cord-007444-c9vu8ako 366 4 11 11 CD cord-007444-c9vu8ako 366 5 % % NN cord-007444-c9vu8ako 366 6 . . . cord-007444-c9vu8ako 367 1 More more RBR cord-007444-c9vu8ako 367 2 striking striking JJ cord-007444-c9vu8ako 367 3 , , , cord-007444-c9vu8ako 367 4 however however RB cord-007444-c9vu8ako 367 5 , , , cord-007444-c9vu8ako 367 6 was be VBD cord-007444-c9vu8ako 367 7 the the DT cord-007444-c9vu8ako 367 8 finding finding NN cord-007444-c9vu8ako 367 9 that that IN cord-007444-c9vu8ako 367 10 following follow VBG cord-007444-c9vu8ako 367 11 discharge discharge NN cord-007444-c9vu8ako 367 12 , , , cord-007444-c9vu8ako 367 13 one one CD cord-007444-c9vu8ako 367 14 third third NN cord-007444-c9vu8ako 367 15 of of IN cord-007444-c9vu8ako 367 16 the the DT cord-007444-c9vu8ako 367 17 patients patient NNS cord-007444-c9vu8ako 367 18 died die VBD cord-007444-c9vu8ako 367 19 in in IN cord-007444-c9vu8ako 367 20 within within IN cord-007444-c9vu8ako 367 21 6 6 CD cord-007444-c9vu8ako 367 22 months month NNS cord-007444-c9vu8ako 367 23 and and CC cord-007444-c9vu8ako 367 24 one one CD cord-007444-c9vu8ako 367 25 half half NN cord-007444-c9vu8ako 367 26 within within IN cord-007444-c9vu8ako 367 27 2 2 CD cord-007444-c9vu8ako 367 28 years year NNS cord-007444-c9vu8ako 367 29 . . . cord-007444-c9vu8ako 368 1 Not not RB cord-007444-c9vu8ako 368 2 surprisingly surprisingly RB cord-007444-c9vu8ako 368 3 , , , cord-007444-c9vu8ako 368 4 patients patient NNS cord-007444-c9vu8ako 368 5 who who WP cord-007444-c9vu8ako 368 6 survived survive VBD cord-007444-c9vu8ako 368 7 hospitalization hospitalization NN cord-007444-c9vu8ako 368 8 had have VBD cord-007444-c9vu8ako 368 9 a a DT cord-007444-c9vu8ako 368 10 substantial substantial JJ cord-007444-c9vu8ako 368 11 risk risk NN cord-007444-c9vu8ako 368 12 of of IN cord-007444-c9vu8ako 368 13 discharge discharge NN cord-007444-c9vu8ako 368 14 to to IN cord-007444-c9vu8ako 368 15 a a DT cord-007444-c9vu8ako 368 16 facility facility NN cord-007444-c9vu8ako 368 17 other other JJ cord-007444-c9vu8ako 368 18 than than IN cord-007444-c9vu8ako 368 19 their -PRON- PRP$ cord-007444-c9vu8ako 368 20 home home NN cord-007444-c9vu8ako 368 21 ( ( -LRB- cord-007444-c9vu8ako 368 22 20 20 CD cord-007444-c9vu8ako 368 23 % % NN cord-007444-c9vu8ako 368 24 ) ) -RRB- cord-007444-c9vu8ako 368 25 and and CC cord-007444-c9vu8ako 368 26 of of IN cord-007444-c9vu8ako 368 27 readmission readmission NN cord-007444-c9vu8ako 368 28 to to IN cord-007444-c9vu8ako 368 29 acute acute JJ cord-007444-c9vu8ako 368 30 care care NN cord-007444-c9vu8ako 368 31 over over IN cord-007444-c9vu8ako 368 32 the the DT cord-007444-c9vu8ako 368 33 ensuing ensue VBG cord-007444-c9vu8ako 368 34 6 6 CD cord-007444-c9vu8ako 368 35 months month NNS cord-007444-c9vu8ako 368 36 ( ( -LRB- cord-007444-c9vu8ako 368 37 50 50 CD cord-007444-c9vu8ako 368 38 % % NN cord-007444-c9vu8ako 368 39 ) ) -RRB- cord-007444-c9vu8ako 368 40 . . . cord-007444-c9vu8ako 369 1 Higher high JJR cord-007444-c9vu8ako 369 2 acute acute JJ cord-007444-c9vu8ako 369 3 physiology physiology NN cord-007444-c9vu8ako 369 4 score score NN cord-007444-c9vu8ako 369 5 ( ( -LRB- cord-007444-c9vu8ako 369 6 Acute Acute NNP cord-007444-c9vu8ako 369 7 Physiology Physiology NNP cord-007444-c9vu8ako 369 8 and and CC cord-007444-c9vu8ako 369 9 Chronic Chronic NNP cord-007444-c9vu8ako 369 10 Health Health NNP cord-007444-c9vu8ako 369 11 Evaluation Evaluation NNP cord-007444-c9vu8ako 369 12 ; ; : cord-007444-c9vu8ako 369 13 APACHE APACHE NNP cord-007444-c9vu8ako 369 14 111 111 CD cord-007444-c9vu8ako 369 15 ) ) -RRB- cord-007444-c9vu8ako 369 16 , , , cord-007444-c9vu8ako 369 17 older old JJR cord-007444-c9vu8ako 369 18 age age NN cord-007444-c9vu8ako 369 19 , , , cord-007444-c9vu8ako 369 20 and and CC cord-007444-c9vu8ako 369 21 poor poor JJ cord-007444-c9vu8ako 369 22 functional functional JJ cord-007444-c9vu8ako 369 23 status status NN cord-007444-c9vu8ako 369 24 prior prior RB cord-007444-c9vu8ako 369 25 to to IN cord-007444-c9vu8ako 369 26 admission admission NN cord-007444-c9vu8ako 369 27 independently independently RB cord-007444-c9vu8ako 369 28 increased increase VBN cord-007444-c9vu8ako 369 29 risk risk NN cord-007444-c9vu8ako 369 30 of of IN cord-007444-c9vu8ako 369 31 death death NN cord-007444-c9vu8ako 369 32 . . . cord-007444-c9vu8ako 370 1 Improved improve VBN cord-007444-c9vu8ako 370 2 survival survival NN cord-007444-c9vu8ako 370 3 was be VBD cord-007444-c9vu8ako 370 4 of of IN cord-007444-c9vu8ako 370 5 10%.132 10%.132 CD cord-007444-c9vu8ako 370 6 predicted predict VBN cord-007444-c9vu8ako 370 7 by by IN cord-007444-c9vu8ako 370 8 greater great JJR cord-007444-c9vu8ako 370 9 BMI BMI NNP cord-007444-c9vu8ako 370 10 and and CC cord-007444-c9vu8ako 370 11 albumin albumin NN cord-007444-c9vu8ako 370 12 level level NN cord-007444-c9vu8ako 370 13 , , , cord-007444-c9vu8ako 370 14 higher high JJR cord-007444-c9vu8ako 370 15 Paoz Paoz NNP cord-007444-c9vu8ako 370 16 / / SYM cord-007444-c9vu8ako 370 17 Fio Fio NNP cord-007444-c9vu8ako 370 18 , , , cord-007444-c9vu8ako 370 19 and and CC cord-007444-c9vu8ako 370 20 , , , cord-007444-c9vu8ako 370 21 surprisingly surprisingly RB cord-007444-c9vu8ako 370 22 , , , cord-007444-c9vu8ako 370 23 the the DT cord-007444-c9vu8ako 370 24 presence presence NN cord-007444-c9vu8ako 370 25 of of IN cord-007444-c9vu8ako 370 26 cor cor NNP cord-007444-c9vu8ako 370 27 pulmonale pulmonale NNP cord-007444-c9vu8ako 370 28 and and CC cord-007444-c9vu8ako 370 29 congestive congestive JJ cord-007444-c9vu8ako 370 30 heart heart NN cord-007444-c9vu8ako 370 31 failure failure NN cord-007444-c9vu8ako 370 32 as as IN cord-007444-c9vu8ako 370 33 the the DT cord-007444-c9vu8ako 370 34 cause cause NN cord-007444-c9vu8ako 370 35 of of IN cord-007444-c9vu8ako 370 36 the the DT cord-007444-c9vu8ako 370 37 exacerbation exacerbation NN cord-007444-c9vu8ako 370 38 . . . cord-007444-c9vu8ako 371 1 The the DT cord-007444-c9vu8ako 371 2 latter latter JJ cord-007444-c9vu8ako 371 3 findings finding NNS cord-007444-c9vu8ako 371 4 may may MD cord-007444-c9vu8ako 371 5 be be VB cord-007444-c9vu8ako 371 6 explained explain VBN cord-007444-c9vu8ako 371 7 by by IN cord-007444-c9vu8ako 371 8 the the DT cord-007444-c9vu8ako 371 9 good good JJ cord-007444-c9vu8ako 371 10 response response NN cord-007444-c9vu8ako 371 11 of of IN cord-007444-c9vu8ako 371 12 these these DT cord-007444-c9vu8ako 371 13 two two CD cord-007444-c9vu8ako 371 14 disorders disorder NNS cord-007444-c9vu8ako 371 15 to to IN cord-007444-c9vu8ako 371 16 acute acute JJ cord-007444-c9vu8ako 371 17 therapy therapy NN cord-007444-c9vu8ako 371 18 . . . cord-007444-c9vu8ako 372 1 also also RB cord-007444-c9vu8ako 372 2 supports support VBZ cord-007444-c9vu8ako 372 3 the the DT cord-007444-c9vu8ako 372 4 finding finding NN cord-007444-c9vu8ako 372 5 that that IN cord-007444-c9vu8ako 372 6 host host NN cord-007444-c9vu8ako 372 7 factors factor NNS cord-007444-c9vu8ako 372 8 are be VBP cord-007444-c9vu8ako 372 9 principal principal JJ cord-007444-c9vu8ako 372 10 determinants determinant NNS cord-007444-c9vu8ako 372 11 of of IN cord-007444-c9vu8ako 372 12 outcomes outcome NNS cord-007444-c9vu8ako 372 13 of of IN cord-007444-c9vu8ako 372 14 AECOPD AECOPD NNP cord-007444-c9vu8ako 372 15 . . . cord-007444-c9vu8ako 373 1 In in IN cord-007444-c9vu8ako 373 2 their -PRON- PRP$ cord-007444-c9vu8ako 373 3 retrospective retrospective JJ cord-007444-c9vu8ako 373 4 analysis analysis NN cord-007444-c9vu8ako 373 5 of of IN cord-007444-c9vu8ako 373 6 232 232 CD cord-007444-c9vu8ako 373 7 exacerbations exacerbation NNS cord-007444-c9vu8ako 373 8 in in IN cord-007444-c9vu8ako 373 9 107 107 CD cord-007444-c9vu8ako 373 10 patients patient NNS cord-007444-c9vu8ako 373 11 with with IN cord-007444-c9vu8ako 373 12 COPD COPD NNP cord-007444-c9vu8ako 373 13 , , , cord-007444-c9vu8ako 373 14 severity severity NN cord-007444-c9vu8ako 373 15 of of IN cord-007444-c9vu8ako 373 16 airflow airflow NN cord-007444-c9vu8ako 373 17 obstruction obstruction NN cord-007444-c9vu8ako 373 18 , , , cord-007444-c9vu8ako 373 19 use use NN cord-007444-c9vu8ako 373 20 of of IN cord-007444-c9vu8ako 373 21 home home NN cord-007444-c9vu8ako 373 22 0 0 CD cord-007444-c9vu8ako 373 23 , , , cord-007444-c9vu8ako 373 24 frequency frequency NN cord-007444-c9vu8ako 373 25 of of IN cord-007444-c9vu8ako 373 26 exacerbation exacerbation NN cord-007444-c9vu8ako 373 27 , , , cord-007444-c9vu8ako 373 28 history history NN cord-007444-c9vu8ako 373 29 of of IN cord-007444-c9vu8ako 373 30 previous previous JJ cord-007444-c9vu8ako 373 31 pneumonia pneumonia NN cord-007444-c9vu8ako 373 32 or or CC cord-007444-c9vu8ako 373 33 sinusitis sinusitis NN cord-007444-c9vu8ako 373 34 , , , cord-007444-c9vu8ako 373 35 and and CC cord-007444-c9vu8ako 373 36 use use NN cord-007444-c9vu8ako 373 37 of of IN cord-007444-c9vu8ako 373 38 maintenance maintenance NN cord-007444-c9vu8ako 373 39 corticosteroids corticosteroid NNS cord-007444-c9vu8ako 373 40 each each DT cord-007444-c9vu8ako 373 41 were be VBD cord-007444-c9vu8ako 373 42 independently independently RB cord-007444-c9vu8ako 373 43 associated associate VBN cord-007444-c9vu8ako 373 44 with with IN cord-007444-c9vu8ako 373 45 treatment treatment NN cord-007444-c9vu8ako 373 46 failure failure NN cord-007444-c9vu8ako 373 47 . . . cord-007444-c9vu8ako 374 1 Surprisingly surprisingly RB cord-007444-c9vu8ako 374 2 , , , cord-007444-c9vu8ako 374 3 age age NN cord-007444-c9vu8ako 374 4 , , , cord-007444-c9vu8ako 374 5 choice choice NN cord-007444-c9vu8ako 374 6 of of IN cord-007444-c9vu8ako 374 7 antibiotics antibiotic NNS cord-007444-c9vu8ako 374 8 , , , cord-007444-c9vu8ako 374 9 and and CC cord-007444-c9vu8ako 374 10 presence presence NN cord-007444-c9vu8ako 374 11 of of IN cord-007444-c9vu8ako 374 12 comorbid comorbid NN cord-007444-c9vu8ako 374 13 conditions condition NNS cord-007444-c9vu8ako 374 14 did do VBD cord-007444-c9vu8ako 374 15 not not RB cord-007444-c9vu8ako 374 16 affect affect VB cord-007444-c9vu8ako 374 17 the the DT cord-007444-c9vu8ako 374 18 treatment treatment NN cord-007444-c9vu8ako 374 19 outcome outcome NN cord-007444-c9vu8ako 374 20 in in IN cord-007444-c9vu8ako 374 21 that that DT cord-007444-c9vu8ako 374 22 study study NN cord-007444-c9vu8ako 374 23 . . . cord-007444-c9vu8ako 375 1 Several several JJ cord-007444-c9vu8ako 375 2 investigators6z investigators6z NNP cord-007444-c9vu8ako 375 3 78 78 CD cord-007444-c9vu8ako 375 4 , , , cord-007444-c9vu8ako 375 5 l l NNP cord-007444-c9vu8ako 375 6 oo oo UH cord-007444-c9vu8ako 375 7 , , , cord-007444-c9vu8ako 375 8 Iw iw PRP cord-007444-c9vu8ako 375 9 have have VBP cord-007444-c9vu8ako 375 10 evaluated evaluate VBN cord-007444-c9vu8ako 375 11 the the DT cord-007444-c9vu8ako 375 12 prognosis prognosis NN cord-007444-c9vu8ako 375 13 of of IN cord-007444-c9vu8ako 375 14 patients patient NNS cord-007444-c9vu8ako 375 15 with with IN cord-007444-c9vu8ako 375 16 COPD COPD NNP cord-007444-c9vu8ako 375 17 who who WP cord-007444-c9vu8ako 375 18 require require VBP cord-007444-c9vu8ako 375 19 ICU ICU NNP cord-007444-c9vu8ako 375 20 admission admission NN cord-007444-c9vu8ako 375 21 for for IN cord-007444-c9vu8ako 375 22 acute acute JJ cord-007444-c9vu8ako 375 23 exacerbations exacerbation NNS cord-007444-c9vu8ako 375 24 . . . cord-007444-c9vu8ako 376 1 The the DT cord-007444-c9vu8ako 376 2 results result NNS cord-007444-c9vu8ako 376 3 have have VBP cord-007444-c9vu8ako 376 4 been be VBN cord-007444-c9vu8ako 376 5 somewhat somewhat RB cord-007444-c9vu8ako 376 6 contradictory contradictory JJ cord-007444-c9vu8ako 376 7 . . . cord-007444-c9vu8ako 377 1 Kaelin Kaelin NNP cord-007444-c9vu8ako 377 2 et et NNP cord-007444-c9vu8ako 378 1 a1,6z a1,6z NNP cord-007444-c9vu8ako 378 2 for for IN cord-007444-c9vu8ako 378 3 example example NN cord-007444-c9vu8ako 378 4 , , , cord-007444-c9vu8ako 378 5 using use VBG cord-007444-c9vu8ako 378 6 several several JJ cord-007444-c9vu8ako 378 7 easily easily RB cord-007444-c9vu8ako 378 8 obtainable obtainable JJ cord-007444-c9vu8ako 378 9 indices index NNS cord-007444-c9vu8ako 378 10 , , , cord-007444-c9vu8ako 378 11 were be VBD cord-007444-c9vu8ako 378 12 unable unable JJ cord-007444-c9vu8ako 378 13 to to TO cord-007444-c9vu8ako 378 14 discriminate discriminate VB cord-007444-c9vu8ako 378 15 between between IN cord-007444-c9vu8ako 378 16 patients patient NNS cord-007444-c9vu8ako 378 17 surviving survive VBG cord-007444-c9vu8ako 378 18 more more RBR cord-007444-c9vu8ako 378 19 or or CC cord-007444-c9vu8ako 378 20 less less JJR cord-007444-c9vu8ako 378 21 than than IN cord-007444-c9vu8ako 378 22 6 6 CD cord-007444-c9vu8ako 378 23 months month NNS cord-007444-c9vu8ako 378 24 following follow VBG cord-007444-c9vu8ako 378 25 intubation intubation NN cord-007444-c9vu8ako 378 26 . . . cord-007444-c9vu8ako 379 1 In in IN cord-007444-c9vu8ako 379 2 their -PRON- PRP$ cord-007444-c9vu8ako 379 3 analysis analysis NN cord-007444-c9vu8ako 379 4 of of IN cord-007444-c9vu8ako 379 5 39 39 CD cord-007444-c9vu8ako 379 6 consecutive consecutive JJ cord-007444-c9vu8ako 379 7 acute acute JJ cord-007444-c9vu8ako 379 8 COPD COPD NNP cord-007444-c9vu8ako 379 9 exacerbations exacerbation NNS cord-007444-c9vu8ako 379 10 , , , cord-007444-c9vu8ako 379 11 neither neither CC cord-007444-c9vu8ako 379 12 age age NN cord-007444-c9vu8ako 379 13 nor nor CC cord-007444-c9vu8ako 379 14 spirometric spirometric NN cord-007444-c9vu8ako 379 15 , , , cord-007444-c9vu8ako 379 16 blood blood NN cord-007444-c9vu8ako 379 17 gas gas NN cord-007444-c9vu8ako 379 18 , , , cord-007444-c9vu8ako 379 19 or or CC cord-007444-c9vu8ako 379 20 nutritional nutritional JJ cord-007444-c9vu8ako 379 21 indices index NNS cord-007444-c9vu8ako 379 22 predicted predict VBD cord-007444-c9vu8ako 379 23 survival survival NN cord-007444-c9vu8ako 379 24 . . . cord-007444-c9vu8ako 380 1 In in IN cord-007444-c9vu8ako 380 2 contrast contrast NN cord-007444-c9vu8ako 380 3 , , , cord-007444-c9vu8ako 380 4 Menzies Menzies NNP cord-007444-c9vu8ako 380 5 et et NNP cord-007444-c9vu8ako 380 6 a17 a17 NNP cord-007444-c9vu8ako 380 7 * * NFP cord-007444-c9vu8ako 380 8 reported report VBD cord-007444-c9vu8ako 380 9 that that IN cord-007444-c9vu8ako 380 10 , , , cord-007444-c9vu8ako 380 11 among among IN cord-007444-c9vu8ako 380 12 their -PRON- PRP$ cord-007444-c9vu8ako 380 13 95 95 CD cord-007444-c9vu8ako 380 14 patients patient NNS cord-007444-c9vu8ako 380 15 , , , cord-007444-c9vu8ako 380 16 higher high JJR cord-007444-c9vu8ako 380 17 baseline baseline JJ cord-007444-c9vu8ako 380 18 FEV FEV NNP cord-007444-c9vu8ako 380 19 , , , cord-007444-c9vu8ako 380 20 and and CC cord-007444-c9vu8ako 380 21 serum serum NN cord-007444-c9vu8ako 380 22 albumin albumin NN cord-007444-c9vu8ako 380 23 were be VBD cord-007444-c9vu8ako 380 24 significantly significantly RB cord-007444-c9vu8ako 380 25 associated associate VBN cord-007444-c9vu8ako 380 26 with with IN cord-007444-c9vu8ako 380 27 improved improve VBN cord-007444-c9vu8ako 380 28 1-year 1-year CD cord-007444-c9vu8ako 380 29 survival survival NN cord-007444-c9vu8ako 380 30 following follow VBG cord-007444-c9vu8ako 380 31 mechanical mechanical JJ cord-007444-c9vu8ako 380 32 ventilation ventilation NN cord-007444-c9vu8ako 380 33 . . . cord-007444-c9vu8ako 381 1 These these DT cord-007444-c9vu8ako 381 2 contradictory contradictory JJ cord-007444-c9vu8ako 381 3 findings finding NNS cord-007444-c9vu8ako 381 4 are be VBP cord-007444-c9vu8ako 381 5 especially especially RB cord-007444-c9vu8ako 381 6 curious curious JJ cord-007444-c9vu8ako 381 7 given give VBN cord-007444-c9vu8ako 381 8 that that IN cord-007444-c9vu8ako 381 9 both both DT cord-007444-c9vu8ako 381 10 studies study NNS cord-007444-c9vu8ako 381 11 had have VBD cord-007444-c9vu8ako 381 12 similar similar JJ cord-007444-c9vu8ako 381 13 inclusion inclusion NN cord-007444-c9vu8ako 381 14 and and CC cord-007444-c9vu8ako 381 15 exclusion exclusion NN cord-007444-c9vu8ako 381 16 criteria criterion NNS cord-007444-c9vu8ako 381 17 and and CC cord-007444-c9vu8ako 381 18 periods period NNS cord-007444-c9vu8ako 381 19 of of IN cord-007444-c9vu8ako 381 20 observation observation NN cord-007444-c9vu8ako 381 21 . . . cord-007444-c9vu8ako 382 1 Moreover moreover RB cord-007444-c9vu8ako 382 2 , , , cord-007444-c9vu8ako 382 3 their -PRON- PRP$ cord-007444-c9vu8ako 382 4 populations population NNS cord-007444-c9vu8ako 382 5 both both DT cord-007444-c9vu8ako 382 6 had have VBD cord-007444-c9vu8ako 382 7 a a DT cord-007444-c9vu8ako 382 8 mean mean JJ cord-007444-c9vu8ako 382 9 percent percent NN cord-007444-c9vu8ako 382 10 - - HYPH cord-007444-c9vu8ako 382 11 predicted predict VBN cord-007444-c9vu8ako 382 12 FEV FEV NNP cord-007444-c9vu8ako 382 13 , , , cord-007444-c9vu8ako 382 14 of of IN cord-007444-c9vu8ako 382 15 35 35 CD cord-007444-c9vu8ako 382 16 % % NN cord-007444-c9vu8ako 382 17 and and CC cord-007444-c9vu8ako 382 18 nearly nearly RB cord-007444-c9vu8ako 382 19 identical identical JJ cord-007444-c9vu8ako 382 20 baseline baseline JJ cord-007444-c9vu8ako 382 21 values value NNS cord-007444-c9vu8ako 382 22 for for IN cord-007444-c9vu8ako 382 23 serum serum NN cord-007444-c9vu8ako 382 24 albumin albumin NN cord-007444-c9vu8ako 382 25 . . . cord-007444-c9vu8ako 383 1 More more RBR cord-007444-c9vu8ako 383 2 recently recently RB cord-007444-c9vu8ako 383 3 , , , cord-007444-c9vu8ako 383 4 Rieves Rieves NNP cord-007444-c9vu8ako 383 5 et et NNP cord-007444-c9vu8ako 383 6 alloo alloo NNP cord-007444-c9vu8ako 383 7 tried try VBD cord-007444-c9vu8ako 383 8 to to TO cord-007444-c9vu8ako 383 9 identify identify VB cord-007444-c9vu8ako 383 10 clinically clinically RB cord-007444-c9vu8ako 383 11 useful useful JJ cord-007444-c9vu8ako 383 12 variables variable NNS cord-007444-c9vu8ako 383 13 that that WDT cord-007444-c9vu8ako 383 14 predict predict VBP cord-007444-c9vu8ako 383 15 successful successful JJ cord-007444-c9vu8ako 383 16 weaning weaning NN cord-007444-c9vu8ako 383 17 from from IN cord-007444-c9vu8ako 383 18 mechanical mechanical JJ cord-007444-c9vu8ako 383 19 ventilation ventilation NN cord-007444-c9vu8ako 383 20 and and CC cord-007444-c9vu8ako 383 21 shortterm shortterm JJ cord-007444-c9vu8ako 383 22 survival survival NN cord-007444-c9vu8ako 383 23 in in IN cord-007444-c9vu8ako 383 24 patients patient NNS cord-007444-c9vu8ako 383 25 with with IN cord-007444-c9vu8ako 383 26 COPD COPD NNP cord-007444-c9vu8ako 383 27 with with IN cord-007444-c9vu8ako 383 28 acute acute JJ cord-007444-c9vu8ako 383 29 respiratory respiratory JJ cord-007444-c9vu8ako 383 30 failure failure NN cord-007444-c9vu8ako 383 31 . . . cord-007444-c9vu8ako 384 1 They -PRON- PRP cord-007444-c9vu8ako 384 2 observed observe VBD cord-007444-c9vu8ako 384 3 episodes episode NNS cord-007444-c9vu8ako 384 4 of of IN cord-007444-c9vu8ako 384 5 acute acute JJ cord-007444-c9vu8ako 384 6 respiratory respiratory JJ cord-007444-c9vu8ako 384 7 failure failure NN cord-007444-c9vu8ako 384 8 in in IN cord-007444-c9vu8ako 384 9 19 19 CD cord-007444-c9vu8ako 384 10 and and CC cord-007444-c9vu8ako 384 11 33 33 CD cord-007444-c9vu8ako 384 12 patients patient NNS cord-007444-c9vu8ako 384 13 with with IN cord-007444-c9vu8ako 384 14 baseline baseline JJ cord-007444-c9vu8ako 384 15 FEV FEV NNP cord-007444-c9vu8ako 384 16 , , , cord-007444-c9vu8ako 384 17 of of IN cord-007444-c9vu8ako 384 18 greater great JJR cord-007444-c9vu8ako 384 19 and and CC cord-007444-c9vu8ako 384 20 less less JJR cord-007444-c9vu8ako 384 21 than than IN cord-007444-c9vu8ako 384 22 1 1 CD cord-007444-c9vu8ako 384 23 L l NN cord-007444-c9vu8ako 384 24 respectively respectively RB cord-007444-c9vu8ako 384 25 . . . cord-007444-c9vu8ako 385 1 Only only RB cord-007444-c9vu8ako 385 2 56 56 CD cord-007444-c9vu8ako 385 3 % % NN cord-007444-c9vu8ako 385 4 of of IN cord-007444-c9vu8ako 385 5 the the DT cord-007444-c9vu8ako 385 6 cohort cohort NN cord-007444-c9vu8ako 385 7 with with IN cord-007444-c9vu8ako 385 8 severe severe JJ cord-007444-c9vu8ako 385 9 COPD COPD NNP cord-007444-c9vu8ako 385 10 survived survive VBD cord-007444-c9vu8ako 385 11 weaning wean VBG cord-007444-c9vu8ako 385 12 and and CC cord-007444-c9vu8ako 385 13 spontaneous spontaneous JJ cord-007444-c9vu8ako 385 14 breathing breathing NN cord-007444-c9vu8ako 385 15 for for IN cord-007444-c9vu8ako 385 16 72 72 CD cord-007444-c9vu8ako 385 17 hours hour NNS cord-007444-c9vu8ako 385 18 . . . cord-007444-c9vu8ako 386 1 Furthermore furthermore RB cord-007444-c9vu8ako 386 2 , , , cord-007444-c9vu8ako 386 3 in in IN cord-007444-c9vu8ako 386 4 the the DT cord-007444-c9vu8ako 386 5 same same JJ cord-007444-c9vu8ako 386 6 group group NN cord-007444-c9vu8ako 386 7 , , , cord-007444-c9vu8ako 386 8 1-year 1-year CD cord-007444-c9vu8ako 386 9 survival survival NN cord-007444-c9vu8ako 386 10 was be VBD cord-007444-c9vu8ako 386 11 only only RB cord-007444-c9vu8ako 386 12 27 27 CD cord-007444-c9vu8ako 386 13 % % NN cord-007444-c9vu8ako 386 14 . . . cord-007444-c9vu8ako 387 1 Absence absence NN cord-007444-c9vu8ako 387 2 of of IN cord-007444-c9vu8ako 387 3 infiltrates infiltrate NNS cord-007444-c9vu8ako 387 4 on on IN cord-007444-c9vu8ako 387 5 chest chest NN cord-007444-c9vu8ako 387 6 radiograph radiograph NN cord-007444-c9vu8ako 387 7 was be VBD cord-007444-c9vu8ako 387 8 the the DT cord-007444-c9vu8ako 387 9 most most RBS cord-007444-c9vu8ako 387 10 influential influential JJ cord-007444-c9vu8ako 387 11 predictor predictor NN cord-007444-c9vu8ako 387 12 of of IN cord-007444-c9vu8ako 387 13 survival survival NN cord-007444-c9vu8ako 387 14 in in IN cord-007444-c9vu8ako 387 15 patients patient NNS cord-007444-c9vu8ako 387 16 with with IN cord-007444-c9vu8ako 387 17 severe severe JJ cord-007444-c9vu8ako 387 18 COPD COPD NNP cord-007444-c9vu8ako 387 19 . . . cord-007444-c9vu8ako 388 1 Pneumonia pneumonia NN cord-007444-c9vu8ako 388 2 accounted account VBD cord-007444-c9vu8ako 388 3 for for IN cord-007444-c9vu8ako 388 4 most most JJS cord-007444-c9vu8ako 388 5 of of IN cord-007444-c9vu8ako 388 6 the the DT cord-007444-c9vu8ako 388 7 infiltrates infiltrate NNS cord-007444-c9vu8ako 388 8 that that WDT cord-007444-c9vu8ako 388 9 were be VBD cord-007444-c9vu8ako 388 10 seen see VBN cord-007444-c9vu8ako 388 11 in in IN cord-007444-c9vu8ako 388 12 this this DT cord-007444-c9vu8ako 388 13 group group NN cord-007444-c9vu8ako 388 14 . . . cord-007444-c9vu8ako 389 1 Baseline Baseline NNP cord-007444-c9vu8ako 389 2 FEV FEV NNP cord-007444-c9vu8ako 389 3 , , , cord-007444-c9vu8ako 389 4 obtained obtain VBN cord-007444-c9vu8ako 389 5 during during IN cord-007444-c9vu8ako 389 6 a a DT cord-007444-c9vu8ako 389 7 period period NN cord-007444-c9vu8ako 389 8 of of IN cord-007444-c9vu8ako 389 9 clinical clinical JJ cord-007444-c9vu8ako 389 10 stability stability NN cord-007444-c9vu8ako 389 11 prior prior RB cord-007444-c9vu8ako 389 12 to to IN cord-007444-c9vu8ako 389 13 the the DT cord-007444-c9vu8ako 389 14 episode episode NN cord-007444-c9vu8ako 389 15 of of IN cord-007444-c9vu8ako 389 16 acute acute JJ cord-007444-c9vu8ako 389 17 respiratory respiratory JJ cord-007444-c9vu8ako 389 18 failure failure NN cord-007444-c9vu8ako 389 19 was be VBD cord-007444-c9vu8ako 389 20 available available JJ cord-007444-c9vu8ako 389 21 for for IN cord-007444-c9vu8ako 389 22 all all DT cord-007444-c9vu8ako 389 23 patients patient NNS cord-007444-c9vu8ako 389 24 . . . cord-007444-c9vu8ako 390 1 The the DT cord-007444-c9vu8ako 390 2 extent extent NN cord-007444-c9vu8ako 390 3 of of IN cord-007444-c9vu8ako 390 4 baseline baseline JJ cord-007444-c9vu8ako 390 5 obstruction obstruction NN cord-007444-c9vu8ako 390 6 alone alone RB cord-007444-c9vu8ako 390 7 was be VBD cord-007444-c9vu8ako 390 8 not not RB cord-007444-c9vu8ako 390 9 statistically statistically RB cord-007444-c9vu8ako 390 10 correlated correlate VBN cord-007444-c9vu8ako 390 11 with with IN cord-007444-c9vu8ako 390 12 short short JJ cord-007444-c9vu8ako 390 13 - - HYPH cord-007444-c9vu8ako 390 14 term term NN cord-007444-c9vu8ako 390 15 survival survival NN cord-007444-c9vu8ako 390 16 in in IN cord-007444-c9vu8ako 390 17 either either DT cord-007444-c9vu8ako 390 18 group group NN cord-007444-c9vu8ako 390 19 , , , cord-007444-c9vu8ako 390 20 but but CC cord-007444-c9vu8ako 390 21 the the DT cord-007444-c9vu8ako 390 22 combination combination NN cord-007444-c9vu8ako 390 23 of of IN cord-007444-c9vu8ako 390 24 severe severe JJ cord-007444-c9vu8ako 390 25 baseline baseline JJ cord-007444-c9vu8ako 390 26 obstruction obstruction NN cord-007444-c9vu8ako 390 27 and and CC cord-007444-c9vu8ako 390 28 pulmonary pulmonary NN cord-007444-c9vu8ako 390 29 infiltrates infiltrate VBZ cord-007444-c9vu8ako 390 30 markedly markedly RB cord-007444-c9vu8ako 390 31 increased increase VBD cord-007444-c9vu8ako 390 32 the the DT cord-007444-c9vu8ako 390 33 risk risk NN cord-007444-c9vu8ako 390 34 for for IN cord-007444-c9vu8ako 390 35 death death NN cord-007444-c9vu8ako 390 36 . . . cord-007444-c9vu8ako 391 1 Outcomes outcome NNS cord-007444-c9vu8ako 391 2 following follow VBG cord-007444-c9vu8ako 391 3 AECOPD AECOPD NNP cord-007444-c9vu8ako 391 4 associated associate VBN cord-007444-c9vu8ako 391 5 with with IN cord-007444-c9vu8ako 391 6 ICU ICU NNP cord-007444-c9vu8ako 391 7 admission admission NN cord-007444-c9vu8ako 391 8 and and CC cord-007444-c9vu8ako 391 9 respiratory respiratory JJ cord-007444-c9vu8ako 391 10 failure failure NN cord-007444-c9vu8ako 391 11 are be VBP cord-007444-c9vu8ako 391 12 A a DT cord-007444-c9vu8ako 391 13 study study NN cord-007444-c9vu8ako 391 14 by by IN cord-007444-c9vu8ako 391 15 Dewan Dewan NNP cord-007444-c9vu8ako 391 16 and and CC cord-007444-c9vu8ako 391 17 discussed discuss VBN cord-007444-c9vu8ako 391 18 further further RB cord-007444-c9vu8ako 391 19 in in IN cord-007444-c9vu8ako 391 20 the the DT cord-007444-c9vu8ako 391 21 article article NN cord-007444-c9vu8ako 391 22 by by IN cord-007444-c9vu8ako 391 23 Sethi Sethi NNP cord-007444-c9vu8ako 391 24 and and CC cord-007444-c9vu8ako 391 25 Siege1 Siege1 NNP cord-007444-c9vu8ako 391 26 in in IN cord-007444-c9vu8ako 391 27 this this DT cord-007444-c9vu8ako 391 28 issue issue NN cord-007444-c9vu8ako 391 29 . . . cord-007444-c9vu8ako 392 1 Seneff Seneff NNP cord-007444-c9vu8ako 392 2 et et IN cord-007444-c9vu8ako 392 3 allo7 allo7 NN cord-007444-c9vu8ako 392 4 recently recently RB cord-007444-c9vu8ako 392 5 refined refine VBD cord-007444-c9vu8ako 392 6 the the DT cord-007444-c9vu8ako 392 7 discussion discussion NN cord-007444-c9vu8ako 392 8 over over IN cord-007444-c9vu8ako 392 9 the the DT cord-007444-c9vu8ako 392 10 relative relative JJ cord-007444-c9vu8ako 392 11 prognostic prognostic JJ cord-007444-c9vu8ako 392 12 value value NN cord-007444-c9vu8ako 392 13 of of IN cord-007444-c9vu8ako 392 14 different different JJ cord-007444-c9vu8ako 392 15 clinical clinical JJ cord-007444-c9vu8ako 392 16 variables variable NNS cord-007444-c9vu8ako 392 17 following follow VBG cord-007444-c9vu8ako 392 18 COPD COPD NNP cord-007444-c9vu8ako 392 19 exacerbation exacerbation NN cord-007444-c9vu8ako 392 20 . . . cord-007444-c9vu8ako 393 1 They -PRON- PRP cord-007444-c9vu8ako 393 2 analyzed analyze VBD cord-007444-c9vu8ako 393 3 362 362 CD cord-007444-c9vu8ako 393 4 admissions admission NNS cord-007444-c9vu8ako 393 5 for for IN cord-007444-c9vu8ako 393 6 acute acute JJ cord-007444-c9vu8ako 393 7 COPD COPD NNP cord-007444-c9vu8ako 393 8 exacerbation exacerbation NN cord-007444-c9vu8ako 393 9 from from IN cord-007444-c9vu8ako 393 10 the the DT cord-007444-c9vu8ako 393 11 APACHE APACHE NNP cord-007444-c9vu8ako 393 12 I11 I11 NNP cord-007444-c9vu8ako 393 13 database database NN cord-007444-c9vu8ako 393 14 . . . cord-007444-c9vu8ako 394 1 Hospital hospital NN cord-007444-c9vu8ako 394 2 mortality mortality NN cord-007444-c9vu8ako 394 3 was be VBD cord-007444-c9vu8ako 394 4 24 24 CD cord-007444-c9vu8ako 394 5 % % NN cord-007444-c9vu8ako 394 6 . . . cord-007444-c9vu8ako 395 1 For for IN cord-007444-c9vu8ako 395 2 patients patient NNS cord-007444-c9vu8ako 395 3 aged age VBN cord-007444-c9vu8ako 395 4 65 65 CD cord-007444-c9vu8ako 395 5 and and CC cord-007444-c9vu8ako 395 6 older old JJR cord-007444-c9vu8ako 395 7 , , , cord-007444-c9vu8ako 395 8 hospital hospital NN cord-007444-c9vu8ako 395 9 and and CC cord-007444-c9vu8ako 395 10 1-year 1-year CD cord-007444-c9vu8ako 395 11 mortality mortality NN cord-007444-c9vu8ako 395 12 rates rate NNS cord-007444-c9vu8ako 395 13 were be VBD cord-007444-c9vu8ako 395 14 30 30 CD cord-007444-c9vu8ako 395 15 % % NN cord-007444-c9vu8ako 395 16 and and CC cord-007444-c9vu8ako 395 17 59 59 CD cord-007444-c9vu8ako 395 18 % % NN cord-007444-c9vu8ako 395 19 respectively respectively RB cord-007444-c9vu8ako 395 20 . . . cord-007444-c9vu8ako 396 1 Their -PRON- PRP$ cord-007444-c9vu8ako 396 2 report report NN cord-007444-c9vu8ako 396 3 emphasizes emphasize VBZ cord-007444-c9vu8ako 396 4 that that IN cord-007444-c9vu8ako 396 5 individual individual JJ cord-007444-c9vu8ako 396 6 clinical clinical JJ cord-007444-c9vu8ako 396 7 variables variable NNS cord-007444-c9vu8ako 396 8 have have VBP cord-007444-c9vu8ako 396 9 different different JJ cord-007444-c9vu8ako 396 10 value value NN cord-007444-c9vu8ako 396 11 for for IN cord-007444-c9vu8ako 396 12 predicting predict VBG cord-007444-c9vu8ako 396 13 short short JJ cord-007444-c9vu8ako 396 14 - - HYPH cord-007444-c9vu8ako 396 15 and and CC cord-007444-c9vu8ako 396 16 long long JJ cord-007444-c9vu8ako 396 17 - - HYPH cord-007444-c9vu8ako 396 18 term term NN cord-007444-c9vu8ako 396 19 survival survival NN cord-007444-c9vu8ako 396 20 . . . cord-007444-c9vu8ako 397 1 Patient patient JJ cord-007444-c9vu8ako 397 2 age age NN cord-007444-c9vu8ako 397 3 , , , cord-007444-c9vu8ako 397 4 for for IN cord-007444-c9vu8ako 397 5 example example NN cord-007444-c9vu8ako 397 6 , , , cord-007444-c9vu8ako 397 7 was be VBD cord-007444-c9vu8ako 397 8 a a DT cord-007444-c9vu8ako 397 9 statistically statistically RB cord-007444-c9vu8ako 397 10 significant significant JJ cord-007444-c9vu8ako 397 11 determinant determinant NN cord-007444-c9vu8ako 397 12 of of IN cord-007444-c9vu8ako 397 13 6-month 6-month CD cord-007444-c9vu8ako 397 14 survival survival NN cord-007444-c9vu8ako 397 15 but but CC cord-007444-c9vu8ako 397 16 not not RB cord-007444-c9vu8ako 397 17 influential influential JJ cord-007444-c9vu8ako 397 18 for for IN cord-007444-c9vu8ako 397 19 hospital hospital NN cord-007444-c9vu8ako 397 20 mortality mortality NN cord-007444-c9vu8ako 397 21 after after IN cord-007444-c9vu8ako 397 22 accounting account VBG cord-007444-c9vu8ako 397 23 for for IN cord-007444-c9vu8ako 397 24 nonrespiratory nonrespiratory NNP cord-007444-c9vu8ako 397 25 organ organ NNP cord-007444-c9vu8ako 397 26 dysfunction dysfunction NN cord-007444-c9vu8ako 397 27 . . . cord-007444-c9vu8ako 398 1 Similarly similarly RB cord-007444-c9vu8ako 398 2 , , , cord-007444-c9vu8ako 398 3 the the DT cord-007444-c9vu8ako 398 4 presence presence NN cord-007444-c9vu8ako 398 5 of of IN cord-007444-c9vu8ako 398 6 hypercarbia hypercarbia NNP cord-007444-c9vu8ako 398 7 was be VBD cord-007444-c9vu8ako 398 8 of of IN cord-007444-c9vu8ako 398 9 no no DT cord-007444-c9vu8ako 398 10 value value NN cord-007444-c9vu8ako 398 11 in in IN cord-007444-c9vu8ako 398 12 predicting predict VBG cord-007444-c9vu8ako 398 13 hospital hospital NN cord-007444-c9vu8ako 398 14 mortality mortality NN cord-007444-c9vu8ako 398 15 but but CC cord-007444-c9vu8ako 398 16 became become VBD cord-007444-c9vu8ako 398 17 important important JJ cord-007444-c9vu8ako 398 18 over over IN cord-007444-c9vu8ako 398 19 the the DT cord-007444-c9vu8ako 398 20 long long JJ cord-007444-c9vu8ako 398 21 term term NN cord-007444-c9vu8ako 398 22 ; ; : cord-007444-c9vu8ako 398 23 1-year 1-year CD cord-007444-c9vu8ako 398 24 mortality mortality NN cord-007444-c9vu8ako 398 25 rates rate NNS cord-007444-c9vu8ako 398 26 for for IN cord-007444-c9vu8ako 398 27 patients patient NNS cord-007444-c9vu8ako 398 28 with with IN cord-007444-c9vu8ako 398 29 admission admission NN cord-007444-c9vu8ako 398 30 Paco2 paco2 JJ cord-007444-c9vu8ako 398 31 of of IN cord-007444-c9vu8ako 398 32 less less JJR cord-007444-c9vu8ako 398 33 than than IN cord-007444-c9vu8ako 398 34 50 50 CD cord-007444-c9vu8ako 398 35 mm mm NN cord-007444-c9vu8ako 398 36 Hg hg NN cord-007444-c9vu8ako 398 37 versus versus IN cord-007444-c9vu8ako 398 38 greater great JJR cord-007444-c9vu8ako 398 39 than than IN cord-007444-c9vu8ako 398 40 50 50 CD cord-007444-c9vu8ako 398 41 mm mm NNS cord-007444-c9vu8ako 399 1 Hg Hg NNS cord-007444-c9vu8ako 399 2 were be VBD cord-007444-c9vu8ako 399 3 54 54 CD cord-007444-c9vu8ako 399 4 % % NN cord-007444-c9vu8ako 399 5 and and CC cord-007444-c9vu8ako 399 6 70 70 CD cord-007444-c9vu8ako 399 7 % % NN cord-007444-c9vu8ako 399 8 respectively respectively RB cord-007444-c9vu8ako 399 9 . . . cord-007444-c9vu8ako 400 1 The the DT cord-007444-c9vu8ako 400 2 most most RBS cord-007444-c9vu8ako 400 3 significant significant JJ cord-007444-c9vu8ako 400 4 predictors predictor NNS cord-007444-c9vu8ako 400 5 of of IN cord-007444-c9vu8ako 400 6 short short JJ cord-007444-c9vu8ako 400 7 and and CC cord-007444-c9vu8ako 400 8 long long JJ cord-007444-c9vu8ako 400 9 - - HYPH cord-007444-c9vu8ako 400 10 term term NN cord-007444-c9vu8ako 400 11 mortality mortality NN cord-007444-c9vu8ako 400 12 are be VBP cord-007444-c9vu8ako 400 13 development development NN cord-007444-c9vu8ako 400 14 and and CC cord-007444-c9vu8ako 400 15 severity severity NN cord-007444-c9vu8ako 400 16 of of IN cord-007444-c9vu8ako 400 17 multiple multiple JJ cord-007444-c9vu8ako 400 18 organ organ NN cord-007444-c9vu8ako 400 19 dysfunction dysfunction NN cord-007444-c9vu8ako 400 20 syndrome syndrome NN cord-007444-c9vu8ako 400 21 . . . cord-007444-c9vu8ako 401 1 Respiratory respiratory JJ cord-007444-c9vu8ako 401 2 dysfunction dysfunction NN cord-007444-c9vu8ako 401 3 is be VBZ cord-007444-c9vu8ako 401 4 more more RBR cord-007444-c9vu8ako 401 5 important important JJ cord-007444-c9vu8ako 401 6 over over IN cord-007444-c9vu8ako 401 7 the the DT cord-007444-c9vu8ako 401 8 longer long JJR cord-007444-c9vu8ako 401 9 term term NN cord-007444-c9vu8ako 401 10 . . . cord-007444-c9vu8ako 402 1 As as IN cord-007444-c9vu8ako 402 2 the the DT cord-007444-c9vu8ako 402 3 authors author NNS cord-007444-c9vu8ako 402 4 state state NN cord-007444-c9vu8ako 402 5 : : : cord-007444-c9vu8ako 402 6 " " `` cord-007444-c9vu8ako 402 7 In in IN cord-007444-c9vu8ako 402 8 most most JJS cord-007444-c9vu8ako 402 9 cases case NNS cord-007444-c9vu8ako 402 10 , , , cord-007444-c9vu8ako 402 11 the the DT cord-007444-c9vu8ako 402 12 acute acute JJ cord-007444-c9vu8ako 402 13 , , , cord-007444-c9vu8ako 402 14 life life NN cord-007444-c9vu8ako 402 15 - - HYPH cord-007444-c9vu8ako 402 16 threatening threaten VBG cord-007444-c9vu8ako 402 17 components component NNS cord-007444-c9vu8ako 402 18 of of IN cord-007444-c9vu8ako 402 19 the the DT cord-007444-c9vu8ako 402 20 exacerbations exacerbation NNS cord-007444-c9vu8ako 402 21 can can MD cord-007444-c9vu8ako 402 22 be be VB cord-007444-c9vu8ako 402 23 reversed reverse VBN cord-007444-c9vu8ako 402 24 and and CC cord-007444-c9vu8ako 402 25 short short JJ cord-007444-c9vu8ako 402 26 - - HYPH cord-007444-c9vu8ako 402 27 term term NN cord-007444-c9vu8ako 402 28 death death NN cord-007444-c9vu8ako 402 29 avoided avoid VBN cord-007444-c9vu8ako 402 30 by by IN cord-007444-c9vu8ako 402 31 mechanical mechanical JJ cord-007444-c9vu8ako 402 32 ventilation ventilation NN cord-007444-c9vu8ako 402 33 and and CC cord-007444-c9vu8ako 402 34 other other JJ cord-007444-c9vu8ako 402 35 appropriate appropriate JJ cord-007444-c9vu8ako 402 36 treatments treatment NNS cord-007444-c9vu8ako 402 37 . . . cord-007444-c9vu8ako 403 1 However however RB cord-007444-c9vu8ako 403 2 , , , cord-007444-c9vu8ako 403 3 because because IN cord-007444-c9vu8ako 403 4 abnormalities abnormality NNS cord-007444-c9vu8ako 403 5 in in IN cord-007444-c9vu8ako 403 6 respiratory respiratory JJ cord-007444-c9vu8ako 403 7 physiology physiology NN cord-007444-c9vu8ako 403 8 reflect reflect VBP cord-007444-c9vu8ako 403 9 underlying underlie VBG cord-007444-c9vu8ako 403 10 severity severity NN cord-007444-c9vu8ako 403 11 of of IN cord-007444-c9vu8ako 403 12 lung lung NN cord-007444-c9vu8ako 403 13 disease disease NN cord-007444-c9vu8ako 403 14 , , , cord-007444-c9vu8ako 403 15 patients patient NNS cord-007444-c9vu8ako 403 16 with with IN cord-007444-c9vu8ako 403 17 greater great JJR cord-007444-c9vu8ako 403 18 abnormality abnormality NN cord-007444-c9vu8ako 403 19 who who WP cord-007444-c9vu8ako 403 20 survive survive VBP cord-007444-c9vu8ako 403 21 hospitalization hospitalization NN cord-007444-c9vu8ako 403 22 are be VBP cord-007444-c9vu8ako 403 23 at at IN cord-007444-c9vu8ako 403 24 greater great JJR cord-007444-c9vu8ako 403 25 risk risk NN cord-007444-c9vu8ako 403 26 of of IN cord-007444-c9vu8ako 403 27 subsequent subsequent JJ cord-007444-c9vu8ako 403 28 death death NN cord-007444-c9vu8ako 403 29 . . . cord-007444-c9vu8ako 404 1 " " `` cord-007444-c9vu8ako 404 2 Io7 Io7 NNP cord-007444-c9vu8ako 405 1 Chronic chronic JJ cord-007444-c9vu8ako 405 2 obstructive obstructive JJ cord-007444-c9vu8ako 405 3 pulmonary pulmonary JJ cord-007444-c9vu8ako 405 4 disease disease NN cord-007444-c9vu8ako 405 5 is be VBZ cord-007444-c9vu8ako 405 6 the the DT cord-007444-c9vu8ako 405 7 only only RB cord-007444-c9vu8ako 405 8 leading leading JJ cord-007444-c9vu8ako 405 9 cause cause NN cord-007444-c9vu8ako 405 10 of of IN cord-007444-c9vu8ako 405 11 death death NN cord-007444-c9vu8ako 405 12 with with IN cord-007444-c9vu8ako 405 13 a a DT cord-007444-c9vu8ako 405 14 rising rise VBG cord-007444-c9vu8ako 405 15 prevalence prevalence NN cord-007444-c9vu8ako 405 16 . . . cord-007444-c9vu8ako 406 1 The the DT cord-007444-c9vu8ako 406 2 medical medical JJ cord-007444-c9vu8ako 406 3 and and CC cord-007444-c9vu8ako 406 4 economic economic JJ cord-007444-c9vu8ako 406 5 costs cost NNS cord-007444-c9vu8ako 406 6 arising arise VBG cord-007444-c9vu8ako 406 7 from from IN cord-007444-c9vu8ako 406 8 acute acute JJ cord-007444-c9vu8ako 406 9 exacerbations exacerbation NNS cord-007444-c9vu8ako 406 10 of of IN cord-007444-c9vu8ako 406 11 COPD COPD NNP cord-007444-c9vu8ako 406 12 are be VBP cord-007444-c9vu8ako 406 13 therefore therefore RB cord-007444-c9vu8ako 406 14 expected expect VBN cord-007444-c9vu8ako 406 15 to to TO cord-007444-c9vu8ako 406 16 increase increase VB cord-007444-c9vu8ako 406 17 over over IN cord-007444-c9vu8ako 406 18 the the DT cord-007444-c9vu8ako 406 19 coming come VBG cord-007444-c9vu8ako 406 20 years year NNS cord-007444-c9vu8ako 406 21 . . . cord-007444-c9vu8ako 407 1 Although although IN cord-007444-c9vu8ako 407 2 exacerbations exacerbation NNS cord-007444-c9vu8ako 407 3 may may MD cord-007444-c9vu8ako 407 4 be be VB cord-007444-c9vu8ako 407 5 initiated initiate VBN cord-007444-c9vu8ako 407 6 by by IN cord-007444-c9vu8ako 407 7 multiple multiple JJ cord-007444-c9vu8ako 407 8 factors factor NNS cord-007444-c9vu8ako 407 9 , , , cord-007444-c9vu8ako 407 10 the the DT cord-007444-c9vu8ako 407 11 most most RBS cord-007444-c9vu8ako 407 12 common common JJ cord-007444-c9vu8ako 407 13 identifiable identifiable JJ cord-007444-c9vu8ako 407 14 associations association NNS cord-007444-c9vu8ako 407 15 are be VBP cord-007444-c9vu8ako 407 16 with with IN cord-007444-c9vu8ako 407 17 bacterial bacterial JJ cord-007444-c9vu8ako 407 18 and and CC cord-007444-c9vu8ako 407 19 viral viral JJ cord-007444-c9vu8ako 407 20 infections infection NNS cord-007444-c9vu8ako 407 21 . . . cord-007444-c9vu8ako 408 1 These these DT cord-007444-c9vu8ako 408 2 are be VBP cord-007444-c9vu8ako 408 3 associated associate VBN cord-007444-c9vu8ako 408 4 with with IN cord-007444-c9vu8ako 408 5 approximately approximately RB cord-007444-c9vu8ako 408 6 50 50 CD cord-007444-c9vu8ako 408 7 % % NN cord-007444-c9vu8ako 408 8 to to TO cord-007444-c9vu8ako 408 9 70 70 CD cord-007444-c9vu8ako 408 10 % % NN cord-007444-c9vu8ako 408 11 and and CC cord-007444-c9vu8ako 408 12 20 20 CD cord-007444-c9vu8ako 408 13 % % NN cord-007444-c9vu8ako 408 14 to to TO cord-007444-c9vu8ako 408 15 30 30 CD cord-007444-c9vu8ako 408 16 % % NN cord-007444-c9vu8ako 408 17 of of IN cord-007444-c9vu8ako 408 18 COPD COPD NNP cord-007444-c9vu8ako 408 19 exacerbations exacerbation NNS cord-007444-c9vu8ako 408 20 , , , cord-007444-c9vu8ako 408 21 respectively respectively RB cord-007444-c9vu8ako 408 22 . . . cord-007444-c9vu8ako 409 1 In in IN cord-007444-c9vu8ako 409 2 addition addition NN cord-007444-c9vu8ako 409 3 to to IN cord-007444-c9vu8ako 409 4 smoking smoking NN cord-007444-c9vu8ako 409 5 cessation cessation NN cord-007444-c9vu8ako 409 6 , , , cord-007444-c9vu8ako 409 7 annual annual JJ cord-007444-c9vu8ako 409 8 influenza influenza NN cord-007444-c9vu8ako 409 9 vaccination vaccination NN cord-007444-c9vu8ako 409 10 is be VBZ cord-007444-c9vu8ako 409 11 the the DT cord-007444-c9vu8ako 409 12 most most RBS cord-007444-c9vu8ako 409 13 important important JJ cord-007444-c9vu8ako 409 14 method method NN cord-007444-c9vu8ako 409 15 for for IN cord-007444-c9vu8ako 409 16 preventing prevent VBG cord-007444-c9vu8ako 409 17 exacerbations exacerbation NNS cord-007444-c9vu8ako 409 18 . . . cord-007444-c9vu8ako 410 1 Controlled Controlled NNP cord-007444-c9vu8ako 410 2 O2 O2 NNP cord-007444-c9vu8ako 410 3 is be VBZ cord-007444-c9vu8ako 410 4 the the DT cord-007444-c9vu8ako 410 5 most most RBS cord-007444-c9vu8ako 410 6 important important JJ cord-007444-c9vu8ako 410 7 intervention intervention NN cord-007444-c9vu8ako 410 8 for for IN cord-007444-c9vu8ako 410 9 patients patient NNS cord-007444-c9vu8ako 410 10 with with IN cord-007444-c9vu8ako 410 11 acute acute JJ cord-007444-c9vu8ako 410 12 hypoxic hypoxic JJ cord-007444-c9vu8ako 410 13 respiratory respiratory JJ cord-007444-c9vu8ako 410 14 failue failue NNS cord-007444-c9vu8ako 410 15 . . . cord-007444-c9vu8ako 411 1 Evidence evidence NN cord-007444-c9vu8ako 411 2 from from IN cord-007444-c9vu8ako 411 3 randomized randomized JJ cord-007444-c9vu8ako 411 4 , , , cord-007444-c9vu8ako 411 5 controlled control VBN cord-007444-c9vu8ako 411 6 trials trial NNS cord-007444-c9vu8ako 411 7 justifies justify VBZ cord-007444-c9vu8ako 411 8 the the DT cord-007444-c9vu8ako 411 9 use use NN cord-007444-c9vu8ako 411 10 of of IN cord-007444-c9vu8ako 411 11 corticosteroids corticosteroid NNS cord-007444-c9vu8ako 411 12 , , , cord-007444-c9vu8ako 411 13 bronchodilators bronchodilator NNS cord-007444-c9vu8ako 411 14 ( ( -LRB- cord-007444-c9vu8ako 411 15 but but CC cord-007444-c9vu8ako 411 16 not not RB cord-007444-c9vu8ako 411 17 theophylline theophylline JJ cord-007444-c9vu8ako 411 18 ) ) -RRB- cord-007444-c9vu8ako 411 19 , , , cord-007444-c9vu8ako 411 20 noninvasive noninvasive JJ cord-007444-c9vu8ako 411 21 positive positive JJ cord-007444-c9vu8ako 411 22 - - HYPH cord-007444-c9vu8ako 411 23 pressure pressure NN cord-007444-c9vu8ako 411 24 ventilation ventilation NN cord-007444-c9vu8ako 411 25 ( ( -LRB- cord-007444-c9vu8ako 411 26 in in IN cord-007444-c9vu8ako 411 27 selected select VBN cord-007444-c9vu8ako 411 28 patients patient NNS cord-007444-c9vu8ako 411 29 ) ) -RRB- cord-007444-c9vu8ako 411 30 , , , cord-007444-c9vu8ako 411 31 and and CC cord-007444-c9vu8ako 411 32 antibiotics antibiotic NNS cord-007444-c9vu8ako 411 33 , , , cord-007444-c9vu8ako 411 34 particularly particularly RB cord-007444-c9vu8ako 411 35 for for IN cord-007444-c9vu8ako 411 36 severe severe JJ cord-007444-c9vu8ako 411 37 exacerbations exacerbation NNS cord-007444-c9vu8ako 411 38 . . . cord-007444-c9vu8ako 412 1 Antibiotics antibiotic NNS cord-007444-c9vu8ako 412 2 should should MD cord-007444-c9vu8ako 412 3 be be VB cord-007444-c9vu8ako 412 4 chosen choose VBN cord-007444-c9vu8ako 412 5 according accord VBG cord-007444-c9vu8ako 412 6 to to IN cord-007444-c9vu8ako 412 7 the the DT cord-007444-c9vu8ako 412 8 patient patient NN cord-007444-c9vu8ako 412 9 's 's POS cord-007444-c9vu8ako 412 10 risk risk NN cord-007444-c9vu8ako 412 11 for for IN cord-007444-c9vu8ako 412 12 treatment treatment NN cord-007444-c9vu8ako 412 13 failure failure NN cord-007444-c9vu8ako 412 14 and and CC cord-007444-c9vu8ako 412 15 the the DT cord-007444-c9vu8ako 412 16 potential potential NN cord-007444-c9vu8ako 412 17 for for IN cord-007444-c9vu8ako 412 18 antibiotic antibiotic JJ cord-007444-c9vu8ako 412 19 resistance resistance NN cord-007444-c9vu8ako 412 20 . . . cord-007444-c9vu8ako 413 1 In in IN cord-007444-c9vu8ako 413 2 the the DT cord-007444-c9vu8ako 413 3 acute acute JJ cord-007444-c9vu8ako 413 4 setting setting NN cord-007444-c9vu8ako 413 5 , , , cord-007444-c9vu8ako 413 6 combined combine VBN cord-007444-c9vu8ako 413 7 treatment treatment NN cord-007444-c9vu8ako 413 8 with with IN cord-007444-c9vu8ako 413 9 P p NN cord-007444-c9vu8ako 413 10 - - HYPH cord-007444-c9vu8ako 413 11 agonist agonist NN cord-007444-c9vu8ako 413 12 and and CC cord-007444-c9vu8ako 413 13 anticholinergic anticholinergic JJ cord-007444-c9vu8ako 413 14 bronchodilators bronchodilator NNS cord-007444-c9vu8ako 413 15 is be VBZ cord-007444-c9vu8ako 413 16 reasonable reasonable JJ cord-007444-c9vu8ako 413 17 but but CC cord-007444-c9vu8ako 413 18 not not RB cord-007444-c9vu8ako 413 19 supported support VBN cord-007444-c9vu8ako 413 20 by by IN cord-007444-c9vu8ako 413 21 randomized randomized JJ cord-007444-c9vu8ako 413 22 controlled control VBN cord-007444-c9vu8ako 413 23 studies study NNS cord-007444-c9vu8ako 413 24 . . . cord-007444-c9vu8ako 414 1 Physicians physician NNS cord-007444-c9vu8ako 414 2 should should MD cord-007444-c9vu8ako 414 3 identify identify VB cord-007444-c9vu8ako 414 4 and and CC cord-007444-c9vu8ako 414 5 , , , cord-007444-c9vu8ako 414 6 when when WRB cord-007444-c9vu8ako 414 7 possible possible JJ cord-007444-c9vu8ako 414 8 , , , cord-007444-c9vu8ako 414 9 correct correct JJ cord-007444-c9vu8ako 414 10 malnutrition malnutrition NN cord-007444-c9vu8ako 414 11 . . . cord-007444-c9vu8ako 415 1 Chest chest NN cord-007444-c9vu8ako 415 2 physiotherapy physiotherapy NN cord-007444-c9vu8ako 415 3 has have VBZ cord-007444-c9vu8ako 415 4 no no DT cord-007444-c9vu8ako 415 5 proven prove VBN cord-007444-c9vu8ako 415 6 role role NN cord-007444-c9vu8ako 415 7 in in IN cord-007444-c9vu8ako 415 8 the the DT cord-007444-c9vu8ako 415 9 management management NN cord-007444-c9vu8ako 415 10 of of IN cord-007444-c9vu8ako 415 11 acute acute JJ cord-007444-c9vu8ako 415 12 exacerbations exacerbation NNS cord-007444-c9vu8ako 415 13 . . . cord-007444-c9vu8ako 415 14 _SP cord-007444-c9vu8ako 416 1 Effect effect NN cord-007444-c9vu8ako 416 2 of of IN cord-007444-c9vu8ako 416 3 non non JJ cord-007444-c9vu8ako 416 4 - - JJ cord-007444-c9vu8ako 416 5 invasive invasive JJ cord-007444-c9vu8ako 416 6 positive positive JJ cord-007444-c9vu8ako 416 7 pressure pressure NN cord-007444-c9vu8ako 416 8 ventilation ventilation NN cord-007444-c9vu8ako 416 9 on on IN cord-007444-c9vu8ako 416 10 mortality mortality NN cord-007444-c9vu8ako 416 11 in in IN cord-007444-c9vu8ako 416 12 patients patient NNS cord-007444-c9vu8ako 416 13 admitted admit VBN cord-007444-c9vu8ako 416 14 with with IN cord-007444-c9vu8ako 416 15 acute acute JJ cord-007444-c9vu8ako 416 16 respiratory respiratory JJ cord-007444-c9vu8ako 416 17 failure failure NN cord-007444-c9vu8ako 416 18 : : : cord-007444-c9vu8ako 416 19 A a DT cord-007444-c9vu8ako 416 20 meta meta JJ cord-007444-c9vu8ako 416 21 - - HYPH cord-007444-c9vu8ako 416 22 analysis analysis NN cord-007444-c9vu8ako 416 23 Clinical clinical JJ cord-007444-c9vu8ako 416 24 efficacy efficacy NN cord-007444-c9vu8ako 416 25 of of IN cord-007444-c9vu8ako 416 26 pneumococcal pneumococcal JJ cord-007444-c9vu8ako 416 27 vaccine vaccine NN cord-007444-c9vu8ako 416 28 in in IN cord-007444-c9vu8ako 416 29 the the DT cord-007444-c9vu8ako 416 30 elderly elderly JJ cord-007444-c9vu8ako 416 31 : : : cord-007444-c9vu8ako 416 32 A a DT cord-007444-c9vu8ako 416 33 randomized randomized JJ cord-007444-c9vu8ako 416 34 , , , cord-007444-c9vu8ako 416 35 single single JJ cord-007444-c9vu8ako 416 36 - - HYPH cord-007444-c9vu8ako 416 37 blind blind JJ cord-007444-c9vu8ako 416 38 population population NN cord-007444-c9vu8ako 416 39 - - HYPH cord-007444-c9vu8ako 416 40 based base VBN cord-007444-c9vu8ako 416 41 trial trial NN cord-007444-c9vu8ako 416 42 Randomized randomized JJ cord-007444-c9vu8ako 416 43 , , , cord-007444-c9vu8ako 416 44 prospective prospective JJ cord-007444-c9vu8ako 416 45 trial trial NN cord-007444-c9vu8ako 416 46 of of IN cord-007444-c9vu8ako 416 47 noninvasive noninvasive JJ cord-007444-c9vu8ako 416 48 positive positive JJ cord-007444-c9vu8ako 416 49 - - HYPH cord-007444-c9vu8ako 416 50 pressure pressure NN cord-007444-c9vu8ako 416 51 ventilation ventilation NN cord-007444-c9vu8ako 416 52 in in IN cord-007444-c9vu8ako 416 53 acute acute JJ cord-007444-c9vu8ako 416 54 respiratory respiratory JJ cord-007444-c9vu8ako 416 55 failure failure NN cord-007444-c9vu8ako 416 56 Does do VBZ cord-007444-c9vu8ako 416 57 chest chest NN cord-007444-c9vu8ako 416 58 physical physical JJ cord-007444-c9vu8ako 416 59 therapy therapy NN cord-007444-c9vu8ako 416 60 work work NN cord-007444-c9vu8ako 416 61 ? ? . cord-007444-c9vu8ako 417 1 Respiratory respiratory JJ cord-007444-c9vu8ako 417 2 viral viral JJ cord-007444-c9vu8ako 417 3 infections infection NNS cord-007444-c9vu8ako 417 4 in in IN cord-007444-c9vu8ako 417 5 hospital hospital NN cord-007444-c9vu8ako 417 6 patients patient NNS cord-007444-c9vu8ako 417 7 with with IN cord-007444-c9vu8ako 417 8 chronic chronic JJ cord-007444-c9vu8ako 417 9 bronchitis bronchitis NN cord-007444-c9vu8ako 417 10 Bronchodilating Bronchodilating NNP cord-007444-c9vu8ako 417 11 effect effect NN cord-007444-c9vu8ako 417 12 and and CC cord-007444-c9vu8ako 417 13 side side NN cord-007444-c9vu8ako 417 14 effects effect NNS cord-007444-c9vu8ako 417 15 of of IN cord-007444-c9vu8ako 417 16 p2 p2 NNP cord-007444-c9vu8ako 417 17 adrenoreceptor adrenoreceptor NN cord-007444-c9vu8ako 417 18 stimulants stimulant NNS cord-007444-c9vu8ako 417 19 by by IN cord-007444-c9vu8ako 417 20 different different JJ cord-007444-c9vu8ako 417 21 modes mode NNS cord-007444-c9vu8ako 417 22 of of IN cord-007444-c9vu8ako 417 23 administration administration NN cord-007444-c9vu8ako 417 24 Efficacy Efficacy NNP cord-007444-c9vu8ako 417 25 of of IN cord-007444-c9vu8ako 417 26 pneumococcal pneumococcal JJ cord-007444-c9vu8ako 417 27 vaccine vaccine NN cord-007444-c9vu8ako 417 28 in in IN cord-007444-c9vu8ako 417 29 severe severe JJ cord-007444-c9vu8ako 417 30 chronic chronic JJ cord-007444-c9vu8ako 417 31 obstructive obstructive JJ cord-007444-c9vu8ako 417 32 pulmonary pulmonary JJ cord-007444-c9vu8ako 417 33 disease disease NN cord-007444-c9vu8ako 417 34 Aminophylline Aminophylline NNP cord-007444-c9vu8ako 417 35 treatment treatment NN cord-007444-c9vu8ako 417 36 in in IN cord-007444-c9vu8ako 417 37 severe severe JJ cord-007444-c9vu8ako 417 38 acute acute JJ cord-007444-c9vu8ako 417 39 asthma asthma NN cord-007444-c9vu8ako 417 40 . . . cord-007444-c9vu8ako 418 1 A a DT cord-007444-c9vu8ako 418 2 meta meta JJ cord-007444-c9vu8ako 418 3 - - HYPH cord-007444-c9vu8ako 418 4 analysis analysis NN cord-007444-c9vu8ako 418 5 A A NNP cord-007444-c9vu8ako 418 6 controlled control VBN cord-007444-c9vu8ako 418 7 trial trial NN cord-007444-c9vu8ako 418 8 of of IN cord-007444-c9vu8ako 418 9 methylprednisolone methylprednisolone NN cord-007444-c9vu8ako 418 10 in in IN cord-007444-c9vu8ako 418 11 the the DT cord-007444-c9vu8ako 418 12 emergency emergency NN cord-007444-c9vu8ako 418 13 treatment treatment NN cord-007444-c9vu8ako 418 14 of of IN cord-007444-c9vu8ako 418 15 acute acute JJ cord-007444-c9vu8ako 418 16 asthma asthma NN cord-007444-c9vu8ako 418 17 Lode Lode NNP cord-007444-c9vu8ako 418 18 H H NNP cord-007444-c9vu8ako 418 19 Respiratory respiratory JJ cord-007444-c9vu8ako 418 20 tract tract NN cord-007444-c9vu8ako 418 21 infections infection NNS cord-007444-c9vu8ako 418 22 : : : cord-007444-c9vu8ako 418 23 When when WRB cord-007444-c9vu8ako 418 24 is be VBZ cord-007444-c9vu8ako 418 25 antibiotic antibiotic JJ cord-007444-c9vu8ako 418 26 therapy therapy NN cord-007444-c9vu8ako 418 27 indicated indicate VBN cord-007444-c9vu8ako 418 28 ? ? . cord-007444-c9vu8ako 419 1 Chronic chronic JJ cord-007444-c9vu8ako 419 2 obstructive obstructive JJ cord-007444-c9vu8ako 419 3 pulmonary pulmonary JJ cord-007444-c9vu8ako 419 4 disease disease NN cord-007444-c9vu8ako 420 1 Acute acute JJ cord-007444-c9vu8ako 420 2 respiratory respiratory JJ cord-007444-c9vu8ako 420 3 failure failure NN cord-007444-c9vu8ako 421 1 Viral viral JJ cord-007444-c9vu8ako 421 2 and and CC cord-007444-c9vu8ako 421 3 Mycoplasma Mycoplasma NNP cord-007444-c9vu8ako 421 4 pneumoniae pneumoniae NN cord-007444-c9vu8ako 421 5 infections infection NNS cord-007444-c9vu8ako 421 6 in in IN cord-007444-c9vu8ako 421 7 exacerbations exacerbation NNS cord-007444-c9vu8ako 421 8 of of IN cord-007444-c9vu8ako 421 9 chronic chronic JJ cord-007444-c9vu8ako 421 10 lung lung NN cord-007444-c9vu8ako 421 11 disease disease NN cord-007444-c9vu8ako 421 12 Noninvasive noninvasive JJ cord-007444-c9vu8ako 421 13 positive positive JJ cord-007444-c9vu8ako 421 14 pressure pressure NN cord-007444-c9vu8ako 421 15 ventilation ventilation NN cord-007444-c9vu8ako 421 16 in in IN cord-007444-c9vu8ako 421 17 acute acute JJ cord-007444-c9vu8ako 421 18 respiratory respiratory JJ cord-007444-c9vu8ako 421 19 failure failure NN cord-007444-c9vu8ako 422 1 Respir Respir NNP cord-007444-c9vu8ako 422 2 Care Care NNP cord-007444-c9vu8ako 422 3 Clin Clin NNP cord-007444-c9vu8ako 422 4 North North NNP cord-007444-c9vu8ako 422 5 Am Am NNP cord-007444-c9vu8ako 422 6 93 93 CD cord-007444-c9vu8ako 422 7 . . . cord-007444-c9vu8ako 423 1 Prevention prevention NN cord-007444-c9vu8ako 423 2 and and CC cord-007444-c9vu8ako 423 3 control control NN cord-007444-c9vu8ako 423 4 of of IN cord-007444-c9vu8ako 423 5 pneumoccocal pneumoccocal JJ cord-007444-c9vu8ako 423 6 disease disease NN cord-007444-c9vu8ako 423 7 : : : cord-007444-c9vu8ako 423 8 Recommendations recommendation NNS cord-007444-c9vu8ako 423 9 of of IN cord-007444-c9vu8ako 423 10 the the DT cord-007444-c9vu8ako 423 11 Advisory Advisory NNP cord-007444-c9vu8ako 423 12 Committee Committee NNP cord-007444-c9vu8ako 423 13 on on IN cord-007444-c9vu8ako 423 14 Immunization Immunization NNP cord-007444-c9vu8ako 423 15 Practices Practices NNPS cord-007444-c9vu8ako 423 16 ( ( -LRB- cord-007444-c9vu8ako 423 17 ACIP ACIP NNP cord-007444-c9vu8ako 423 18 ) ) -RRB- cord-007444-c9vu8ako 424 1 The the DT cord-007444-c9vu8ako 424 2 interaction interaction NN cord-007444-c9vu8ako 424 3 of of IN cord-007444-c9vu8ako 424 4 pneumolysin pneumolysin NNP cord-007444-c9vu8ako 424 5 sufficient sufficient JJ cord-007444-c9vu8ako 424 6 and and CC cord-007444-c9vu8ako 424 7 deficient deficient JJ cord-007444-c9vu8ako 424 8 isogenic isogenic JJ cord-007444-c9vu8ako 424 9 variants variant NNS cord-007444-c9vu8ako 424 10 of of IN cord-007444-c9vu8ako 424 11 Streptococcus streptococcus NN cord-007444-c9vu8ako 424 12 pneumoniae pneumoniae NN cord-007444-c9vu8ako 424 13 with with IN cord-007444-c9vu8ako 424 14 human human JJ cord-007444-c9vu8ako 424 15 respiratory respiratory JJ cord-007444-c9vu8ako 424 16 mucosa mucosa JJ cord-007444-c9vu8ako 424 17 Effect effect NN cord-007444-c9vu8ako 424 18 of of IN cord-007444-c9vu8ako 424 19 Pseudomonas Pseudomonas NNP cord-007444-c9vu8ako 424 20 aeruginosa aeruginosa NN cord-007444-c9vu8ako 424 21 rhamnolipids rhamnolipids NNP cord-007444-c9vu8ako 424 22 on on IN cord-007444-c9vu8ako 424 23 mucociliary mucociliary JJ cord-007444-c9vu8ako 424 24 transport transport NN cord-007444-c9vu8ako 424 25 and and CC cord-007444-c9vu8ako 424 26 ciliary ciliary NN cord-007444-c9vu8ako 424 27 beating beat VBG cord-007444-c9vu8ako 424 28 Nebulized Nebulized NNP cord-007444-c9vu8ako 424 29 anticholinergic anticholinergic JJ cord-007444-c9vu8ako 424 30 and and CC cord-007444-c9vu8ako 424 31 sympathomimetic sympathomimetic JJ cord-007444-c9vu8ako 424 32 treatment treatment NN cord-007444-c9vu8ako 424 33 of of IN cord-007444-c9vu8ako 424 34 asthma asthma NN cord-007444-c9vu8ako 424 35 and and CC cord-007444-c9vu8ako 424 36 chronic chronic JJ cord-007444-c9vu8ako 424 37 obstructive obstructive JJ cord-007444-c9vu8ako 424 38 airways airways NN cord-007444-c9vu8ako 424 39 disease disease NN cord-007444-c9vu8ako 424 40 in in IN cord-007444-c9vu8ako 424 41 the the DT cord-007444-c9vu8ako 424 42 emergency emergency NN cord-007444-c9vu8ako 424 43 room room NN cord-007444-c9vu8ako 424 44 Antibody antibody NN cord-007444-c9vu8ako 424 45 responses response NNS cord-007444-c9vu8ako 424 46 to to IN cord-007444-c9vu8ako 424 47 bacterial bacterial JJ cord-007444-c9vu8ako 424 48 antigens antigen NNS cord-007444-c9vu8ako 424 49 during during IN cord-007444-c9vu8ako 424 50 exacerbations exacerbation NNS cord-007444-c9vu8ako 424 51 of of IN cord-007444-c9vu8ako 424 52 chronic chronic JJ cord-007444-c9vu8ako 424 53 bronchitis bronchitis NN cord-007444-c9vu8ako 425 1 The the DT cord-007444-c9vu8ako 425 2 Veterans Veterans NNPS cord-007444-c9vu8ako 425 3 Administration Administration NNP cord-007444-c9vu8ako 425 4 cooperative cooperative JJ cord-007444-c9vu8ako 425 5 study study NN cord-007444-c9vu8ako 425 6 of of IN cord-007444-c9vu8ako 425 7 pulmonary pulmonary JJ cord-007444-c9vu8ako 425 8 function function NN cord-007444-c9vu8ako 425 9 - - HYPH cord-007444-c9vu8ako 425 10 mortality mortality NN cord-007444-c9vu8ako 425 11 in in IN cord-007444-c9vu8ako 425 12 relation relation NN cord-007444-c9vu8ako 425 13 to to IN cord-007444-c9vu8ako 425 14 respiratory respiratory JJ cord-007444-c9vu8ako 425 15 function function NN cord-007444-c9vu8ako 425 16 in in IN cord-007444-c9vu8ako 425 17 chronic chronic JJ cord-007444-c9vu8ako 425 18 obstructive obstructive JJ cord-007444-c9vu8ako 425 19 pulmonary pulmonary JJ cord-007444-c9vu8ako 425 20 disease disease NN cord-007444-c9vu8ako 425 21 Aminophylline Aminophylline NNP cord-007444-c9vu8ako 425 22 for for IN cord-007444-c9vu8ako 425 23 acute acute JJ cord-007444-c9vu8ako 425 24 exacerbations exacerbation NNS cord-007444-c9vu8ako 425 25 of of IN cord-007444-c9vu8ako 425 26 chronic chronic JJ cord-007444-c9vu8ako 425 27 obstructive obstructive JJ cord-007444-c9vu8ako 425 28 pulmonary pulmonary JJ cord-007444-c9vu8ako 425 29 disease disease NN cord-007444-c9vu8ako 425 30 Severe Severe NNP cord-007444-c9vu8ako 425 31 COPD COPD NNP cord-007444-c9vu8ako 425 32 and and CC cord-007444-c9vu8ako 425 33 acute acute JJ cord-007444-c9vu8ako 425 34 respiratory respiratory JJ cord-007444-c9vu8ako 425 35 failure failure NN cord-007444-c9vu8ako 425 36 . . . cord-007444-c9vu8ako 426 1 Correlates correlate NNS cord-007444-c9vu8ako 426 2 for for IN cord-007444-c9vu8ako 426 3 survival survival NN cord-007444-c9vu8ako 426 4 at at IN cord-007444-c9vu8ako 426 5 the the DT cord-007444-c9vu8ako 426 6 time time NN cord-007444-c9vu8ako 426 7 of of IN cord-007444-c9vu8ako 426 8 tracheal tracheal JJ cord-007444-c9vu8ako 426 9 intubation intubation NN cord-007444-c9vu8ako 426 10 Bacterial bacterial JJ cord-007444-c9vu8ako 426 11 adhesion adhesion NN cord-007444-c9vu8ako 426 12 to to IN cord-007444-c9vu8ako 426 13 oropharyngeal oropharyngeal JJ cord-007444-c9vu8ako 426 14 and and CC cord-007444-c9vu8ako 426 15 chronchial chronchial JJ cord-007444-c9vu8ako 426 16 epithelial epithelial JJ cord-007444-c9vu8ako 426 17 cells cell NNS cord-007444-c9vu8ako 426 18 in in IN cord-007444-c9vu8ako 426 19 smokers smoker NNS cord-007444-c9vu8ako 426 20 with with IN cord-007444-c9vu8ako 426 21 chronic chronic JJ cord-007444-c9vu8ako 426 22 bronchitis bronchitis NN cord-007444-c9vu8ako 426 23 and and CC cord-007444-c9vu8ako 426 24 in in IN cord-007444-c9vu8ako 426 25 healthy healthy JJ cord-007444-c9vu8ako 426 26 nonsmokers nonsmoker NNS cord-007444-c9vu8ako 427 1 The the DT cord-007444-c9vu8ako 427 2 long long JJ cord-007444-c9vu8ako 427 3 - - HYPH cord-007444-c9vu8ako 427 4 term term NN cord-007444-c9vu8ako 427 5 efficacy efficacy NN cord-007444-c9vu8ako 427 6 of of IN cord-007444-c9vu8ako 427 7 methylprednisolone methylprednisolone NN cord-007444-c9vu8ako 427 8 in in IN cord-007444-c9vu8ako 427 9 the the DT cord-007444-c9vu8ako 427 10 treatment treatment NN cord-007444-c9vu8ako 427 11 of of IN cord-007444-c9vu8ako 427 12 acute acute JJ cord-007444-c9vu8ako 427 13 exacerbation exacerbation NN cord-007444-c9vu8ako 427 14 of of IN cord-007444-c9vu8ako 427 15 COPD COPD NNP cord-007444-c9vu8ako 427 16 Antibiotics Antibiotics NNPS cord-007444-c9vu8ako 427 17 in in IN cord-007444-c9vu8ako 427 18 chronic chronic JJ cord-007444-c9vu8ako 427 19 obstructive obstructive JJ cord-007444-c9vu8ako 427 20 pulmonary pulmonary JJ cord-007444-c9vu8ako 427 21 disease disease NN cord-007444-c9vu8ako 427 22 exacerbations exacerbation NNS cord-007444-c9vu8ako 427 23 . . . cord-007444-c9vu8ako 428 1 A a DT cord-007444-c9vu8ako 428 2 meta meta JJ cord-007444-c9vu8ako 428 3 - - HYPH cord-007444-c9vu8ako 428 4 analysis analysis NN cord-007444-c9vu8ako 428 5 Acute acute NN cord-007444-c9vu8ako 428 6 on on IN cord-007444-c9vu8ako 428 7 chronic chronic JJ cord-007444-c9vu8ako 428 8 respiratory respiratory JJ cord-007444-c9vu8ako 428 9 failure failure NN cord-007444-c9vu8ako 428 10 - - HYPH cord-007444-c9vu8ako 428 11 assessment assessment NN cord-007444-c9vu8ako 428 12 and and CC cord-007444-c9vu8ako 428 13 management management NN cord-007444-c9vu8ako 428 14 of of IN cord-007444-c9vu8ako 428 15 patients patient NNS cord-007444-c9vu8ako 428 16 with with IN cord-007444-c9vu8ako 428 17 COPD COPD NNP cord-007444-c9vu8ako 428 18 in in IN cord-007444-c9vu8ako 428 19 the the DT cord-007444-c9vu8ako 428 20 emergent emergent JJ cord-007444-c9vu8ako 428 21 setting set VBG cord-007444-c9vu8ako 428 22 Air air NN cord-007444-c9vu8ako 428 23 pollution pollution NN cord-007444-c9vu8ako 428 24 and and CC cord-007444-c9vu8ako 428 25 hospital hospital NN cord-007444-c9vu8ako 428 26 admissions admission NNS cord-007444-c9vu8ako 428 27 for for IN cord-007444-c9vu8ako 428 28 the the DT cord-007444-c9vu8ako 428 29 elderly elderly JJ cord-007444-c9vu8ako 428 30 in in IN cord-007444-c9vu8ako 428 31 Detroit Detroit NNP cord-007444-c9vu8ako 428 32 , , , cord-007444-c9vu8ako 428 33 Michigan Michigan NNP cord-007444-c9vu8ako 428 34 Hospital Hospital NNP cord-007444-c9vu8ako 428 35 and and CC cord-007444-c9vu8ako 428 36 1-year 1-year CD cord-007444-c9vu8ako 428 37 survival survival NN cord-007444-c9vu8ako 428 38 of of IN cord-007444-c9vu8ako 428 39 patients patient NNS cord-007444-c9vu8ako 428 40 admitted admit VBN cord-007444-c9vu8ako 428 41 to to IN cord-007444-c9vu8ako 428 42 intensive intensive JJ cord-007444-c9vu8ako 428 43 care care NN cord-007444-c9vu8ako 428 44 units unit NNS cord-007444-c9vu8ako 428 45 with with IN cord-007444-c9vu8ako 428 46 acute acute JJ cord-007444-c9vu8ako 428 47 exacerbation exacerbation NN cord-007444-c9vu8ako 428 48 of of IN cord-007444-c9vu8ako 428 49 chronic chronic JJ cord-007444-c9vu8ako 428 50 obstructive obstructive JJ cord-007444-c9vu8ako 428 51 pulmonary pulmonary JJ cord-007444-c9vu8ako 428 52 disease disease NN cord-007444-c9vu8ako 428 53 Austrian Austrian NNP cord-007444-c9vu8ako 428 54 R r NN cord-007444-c9vu8ako 429 1 The the DT cord-007444-c9vu8ako 429 2 protective protective JJ cord-007444-c9vu8ako 429 3 efficacy efficacy NN cord-007444-c9vu8ako 429 4 of of IN cord-007444-c9vu8ako 429 5 polyvalent polyvalent JJ cord-007444-c9vu8ako 429 6 pneumoccocal pneumoccocal NNP cord-007444-c9vu8ako 429 7 polysaccharide polysaccharide NN cord-007444-c9vu8ako 429 8 vaccine vaccine NN cord-007444-c9vu8ako 429 9 Epidemiology epidemiology NN cord-007444-c9vu8ako 429 10 of of IN cord-007444-c9vu8ako 429 11 chronic chronic JJ cord-007444-c9vu8ako 429 12 obstructive obstructive JJ cord-007444-c9vu8ako 429 13 pulmonary pulmonary JJ cord-007444-c9vu8ako 429 14 disease disease NN cord-007444-c9vu8ako 429 15 Decreased decrease VBD cord-007444-c9vu8ako 429 16 duration duration NN cord-007444-c9vu8ako 429 17 of of IN cord-007444-c9vu8ako 429 18 emergency emergency NN cord-007444-c9vu8ako 429 19 department department NN cord-007444-c9vu8ako 429 20 treatment treatment NN cord-007444-c9vu8ako 429 21 of of IN cord-007444-c9vu8ako 429 22 chronic chronic JJ cord-007444-c9vu8ako 429 23 obstructive obstructive JJ cord-007444-c9vu8ako 429 24 pulmonary pulmonary JJ cord-007444-c9vu8ako 429 25 disease disease NN cord-007444-c9vu8ako 429 26 exacerba exacerba NN cord-007444-c9vu8ako 429 27 tions tion NNS cord-007444-c9vu8ako 429 28 with with IN cord-007444-c9vu8ako 429 29 the the DT cord-007444-c9vu8ako 429 30 addition addition NN cord-007444-c9vu8ako 429 31 of of IN cord-007444-c9vu8ako 429 32 ipratropium ipratropium NN cord-007444-c9vu8ako 429 33 bromide bromide NN cord-007444-c9vu8ako 429 34 to to IN cord-007444-c9vu8ako 430 1 P p NN cord-007444-c9vu8ako 430 2 - - HYPH cord-007444-c9vu8ako 430 3 agonist agonist NN cord-007444-c9vu8ako 430 4 therapy therapy NN cord-007444-c9vu8ako 430 5 Optimal Optimal NNP cord-007444-c9vu8ako 430 6 pharmacologic pharmacologic JJ cord-007444-c9vu8ako 430 7 treatment treatment NN cord-007444-c9vu8ako 430 8 of of IN cord-007444-c9vu8ako 430 9 the the DT cord-007444-c9vu8ako 430 10 critically critically RB cord-007444-c9vu8ako 430 11 ill ill JJ cord-007444-c9vu8ako 430 12 patient patient NN cord-007444-c9vu8ako 430 13 with with IN cord-007444-c9vu8ako 430 14 obstructive obstructive JJ cord-007444-c9vu8ako 430 15 airways airway NNS cord-007444-c9vu8ako 430 16 disease disease NN cord-007444-c9vu8ako 430 17 Interactions interaction NNS cord-007444-c9vu8ako 430 18 between between IN cord-007444-c9vu8ako 430 19 viruses virus NNS cord-007444-c9vu8ako 430 20 and and CC cord-007444-c9vu8ako 430 21 bacteria bacteria NNS cord-007444-c9vu8ako 430 22 in in IN cord-007444-c9vu8ako 430 23 patients patient NNS cord-007444-c9vu8ako 430 24 with with IN cord-007444-c9vu8ako 430 25 chronic chronic JJ cord-007444-c9vu8ako 430 26 bronchitis bronchitis NNP cord-007444-c9vu8ako 430 27 Association Association NNP cord-007444-c9vu8ako 430 28 of of IN cord-007444-c9vu8ako 430 29 viral viral JJ cord-007444-c9vu8ako 430 30 and and CC cord-007444-c9vu8ako 430 31 Mycoplusma Mycoplusma NNP cord-007444-c9vu8ako 430 32 pneumoniae pneumoniae NN cord-007444-c9vu8ako 430 33 infections infection NNS cord-007444-c9vu8ako 430 34 with with IN cord-007444-c9vu8ako 430 35 acute acute JJ cord-007444-c9vu8ako 430 36 respiratory respiratory JJ cord-007444-c9vu8ako 430 37 illness illness NN cord-007444-c9vu8ako 430 38 in in IN cord-007444-c9vu8ako 430 39 patients patient NNS cord-007444-c9vu8ako 430 40 with with IN cord-007444-c9vu8ako 430 41 chronic chronic JJ cord-007444-c9vu8ako 430 42 obstructive obstructive JJ cord-007444-c9vu8ako 430 43 pulmonary pulmonary JJ cord-007444-c9vu8ako 430 44 disease disease NN cord-007444-c9vu8ako 430 45 Haemophilus haemophilus NN cord-007444-c9vu8ako 430 46 influenzae influenzae NN cord-007444-c9vu8ako 430 47 and and CC cord-007444-c9vu8ako 430 48 Haemophilus haemophilus JJ cord-007444-c9vu8ako 430 49 parainfluenzae parainfluenzae NNS cord-007444-c9vu8ako 430 50 in in IN cord-007444-c9vu8ako 430 51 chronic chronic JJ cord-007444-c9vu8ako 430 52 obstructive obstructive JJ cord-007444-c9vu8ako 430 53 pulmonary pulmonary JJ cord-007444-c9vu8ako 430 54 disease disease NN cord-007444-c9vu8ako 430 55 Bronchial bronchial JJ cord-007444-c9vu8ako 430 56 microbial microbial JJ cord-007444-c9vu8ako 430 57 patterns pattern NNS cord-007444-c9vu8ako 430 58 in in IN cord-007444-c9vu8ako 430 59 severe severe JJ cord-007444-c9vu8ako 430 60 exacerbations exacerbation NNS cord-007444-c9vu8ako 430 61 of of IN cord-007444-c9vu8ako 430 62 chronic chronic JJ cord-007444-c9vu8ako 430 63 obstructive obstructive JJ cord-007444-c9vu8ako 430 64 pulmonary pulmonary JJ cord-007444-c9vu8ako 430 65 disease disease NN cord-007444-c9vu8ako 430 66 ( ( -LRB- cord-007444-c9vu8ako 430 67 COPD COPD NNP cord-007444-c9vu8ako 430 68 ) ) -RRB- cord-007444-c9vu8ako 430 69 requiring require VBG cord-007444-c9vu8ako 430 70 mechanical mechanical JJ cord-007444-c9vu8ako 430 71 ventilation ventilation NN cord-007444-c9vu8ako 430 72 Stark Stark NNP cord-007444-c9vu8ako 430 73 JE JE NNP cord-007444-c9vu8ako 430 74 , , , cord-007444-c9vu8ako 430 75 Heath Heath NNP cord-007444-c9vu8ako 430 76 RE RE NNP cord-007444-c9vu8ako 430 77 , , , cord-007444-c9vu8ako 430 78 Curwen Curwen NNP cord-007444-c9vu8ako 430 79 MP MP NNP cord-007444-c9vu8ako 430 80 : : : cord-007444-c9vu8ako 430 81 Infection infection NN cord-007444-c9vu8ako 430 82 with with IN cord-007444-c9vu8ako 430 83 influenza influenza NN cord-007444-c9vu8ako 430 84 and and CC cord-007444-c9vu8ako 430 85 parainfluenza parainfluenza NN cord-007444-c9vu8ako 430 86 viruses virus NNS cord-007444-c9vu8ako 430 87 in in IN cord-007444-c9vu8ako 430 88 chronic chronic JJ cord-007444-c9vu8ako 430 89 bronchitis bronchitis NN cord-007444-c9vu8ako 430 90 Rhinovirus Rhinovirus NNP cord-007444-c9vu8ako 430 91 infection infection NN cord-007444-c9vu8ako 430 92 in in IN cord-007444-c9vu8ako 430 93 acute acute JJ cord-007444-c9vu8ako 430 94 exacerbations exacerbation NNS cord-007444-c9vu8ako 430 95 of of IN cord-007444-c9vu8ako 430 96 chronic chronic JJ cord-007444-c9vu8ako 430 97 bronchitis bronchitis NN cord-007444-c9vu8ako 430 98 : : : cord-007444-c9vu8ako 431 1 A a DT cord-007444-c9vu8ako 431 2 controlled control VBN cord-007444-c9vu8ako 431 3 prospective prospective JJ cord-007444-c9vu8ako 431 4 study study NN cord-007444-c9vu8ako 431 5 Hypercapnia Hypercapnia NNP cord-007444-c9vu8ako 431 6 during during IN cord-007444-c9vu8ako 431 7 oxygen oxygen NN cord-007444-c9vu8ako 431 8 therapy therapy NN cord-007444-c9vu8ako 431 9 in in IN cord-007444-c9vu8ako 431 10 airways airways NNP cord-007444-c9vu8ako 431 11 obstruction obstruction NN cord-007444-c9vu8ako 431 12 : : : cord-007444-c9vu8ako 431 13 A a DT cord-007444-c9vu8ako 431 14 reappraisal reappraisal NN cord-007444-c9vu8ako 432 1 Aerosol aerosol NN cord-007444-c9vu8ako 432 2 bronchodilator bronchodilator NN cord-007444-c9vu8ako 432 3 delivery delivery NN cord-007444-c9vu8ako 432 4 methods method NNS cord-007444-c9vu8ako 432 5 : : : cord-007444-c9vu8ako 433 1 Relative relative JJ cord-007444-c9vu8ako 433 2 impact impact NN cord-007444-c9vu8ako 433 3 on on IN cord-007444-c9vu8ako 433 4 pulmonary pulmonary JJ cord-007444-c9vu8ako 433 5 function function NN cord-007444-c9vu8ako 433 6 and and CC cord-007444-c9vu8ako 433 7 cost cost NN cord-007444-c9vu8ako 433 8 of of IN cord-007444-c9vu8ako 433 9 respiratory respiratory JJ cord-007444-c9vu8ako 433 10 care care NN cord-007444-c9vu8ako 433 11 Air air NN cord-007444-c9vu8ako 433 12 pollution pollution NN cord-007444-c9vu8ako 433 13 and and CC cord-007444-c9vu8ako 433 14 emergency emergency NN cord-007444-c9vu8ako 433 15 room room NN cord-007444-c9vu8ako 433 16 admissions admission NNS cord-007444-c9vu8ako 433 17 for for IN cord-007444-c9vu8ako 433 18 chronic chronic JJ cord-007444-c9vu8ako 433 19 obstructive obstructive JJ cord-007444-c9vu8ako 433 20 pulmonary pulmonary JJ cord-007444-c9vu8ako 433 21 disease disease NN cord-007444-c9vu8ako 433 22 : : : cord-007444-c9vu8ako 434 1 A a DT cord-007444-c9vu8ako 434 2 5-year 5-year CD cord-007444-c9vu8ako 434 3 study study NN cord-007444-c9vu8ako 434 4 Comparison comparison NN cord-007444-c9vu8ako 434 5 of of IN cord-007444-c9vu8ako 434 6 anticholinergic anticholinergic JJ cord-007444-c9vu8ako 434 7 bronchodilator bronchodilator NN cord-007444-c9vu8ako 434 8 ipratropium ipratropium NN cord-007444-c9vu8ako 434 9 bromide bromide NN cord-007444-c9vu8ako 434 10 with with IN cord-007444-c9vu8ako 434 11 metaproterenol metaproterenol NN cord-007444-c9vu8ako 434 12 in in IN cord-007444-c9vu8ako 434 13 chronic chronic JJ cord-007444-c9vu8ako 434 14 obstructive obstructive JJ cord-007444-c9vu8ako 434 15 pulmonary pulmonary JJ cord-007444-c9vu8ako 434 16 disease disease NN cord-007444-c9vu8ako 434 17 : : : cord-007444-c9vu8ako 435 1 A a DT cord-007444-c9vu8ako 435 2 90-day 90-day CD cord-007444-c9vu8ako 435 3 multicentre multicentre NNP cord-007444-c9vu8ako 435 4 study study VB cord-007444-c9vu8ako 435 5 An an DT cord-007444-c9vu8ako 435 6 alteration alteration NN cord-007444-c9vu8ako 435 7 in in IN cord-007444-c9vu8ako 435 8 the the DT cord-007444-c9vu8ako 435 9 host host NN cord-007444-c9vu8ako 435 10 - - HYPH cord-007444-c9vu8ako 435 11 parasite parasite NN cord-007444-c9vu8ako 435 12 relationship relationship NN cord-007444-c9vu8ako 435 13 in in IN cord-007444-c9vu8ako 435 14 subjects subject NNS cord-007444-c9vu8ako 435 15 with with IN cord-007444-c9vu8ako 435 16 chronic chronic JJ cord-007444-c9vu8ako 435 17 bronchitis bronchitis NN cord-007444-c9vu8ako 435 18 prone prone JJ cord-007444-c9vu8ako 435 19 to to IN cord-007444-c9vu8ako 435 20 recurrent recurrent JJ cord-007444-c9vu8ako 435 21 episodes episode NNS cord-007444-c9vu8ako 435 22 of of IN cord-007444-c9vu8ako 435 23 acute acute JJ cord-007444-c9vu8ako 435 24 bronchitis bronchitis NN cord-007444-c9vu8ako 436 1 The the DT cord-007444-c9vu8ako 436 2 Smoking Smoking NNP cord-007444-c9vu8ako 436 3 Cessation Cessation NNP cord-007444-c9vu8ako 436 4 Clinical Clinical NNP cord-007444-c9vu8ako 436 5 Practice Practice NNP cord-007444-c9vu8ako 436 6 Guideline Guideline NNP cord-007444-c9vu8ako 436 7 Panel Panel NNP cord-007444-c9vu8ako 436 8 and and CC cord-007444-c9vu8ako 436 9 Staff Staff NNP cord-007444-c9vu8ako 436 10 : : : cord-007444-c9vu8ako 437 1 The the DT cord-007444-c9vu8ako 437 2 Agency Agency NNP cord-007444-c9vu8ako 437 3 for for IN cord-007444-c9vu8ako 437 4 Health Health NNP cord-007444-c9vu8ako 437 5 Care Care NNP cord-007444-c9vu8ako 437 6 Policy Policy NNP cord-007444-c9vu8ako 437 7 and and CC cord-007444-c9vu8ako 437 8 Research Research NNP cord-007444-c9vu8ako 437 9 Smoking Smoking NNP cord-007444-c9vu8ako 437 10 Cessation Cessation NNP cord-007444-c9vu8ako 437 11 clinical clinical JJ cord-007444-c9vu8ako 437 12 practice practice NN cord-007444-c9vu8ako 437 13 guideline guideline NN cord-007444-c9vu8ako 437 14 Controlled control VBN cord-007444-c9vu8ako 437 15 trial trial NN cord-007444-c9vu8ako 437 16 of of IN cord-007444-c9vu8ako 437 17 oral oral JJ cord-007444-c9vu8ako 437 18 prednisone prednisone NN cord-007444-c9vu8ako 437 19 in in IN cord-007444-c9vu8ako 437 20 outpatients outpatient NNS cord-007444-c9vu8ako 437 21 with with IN cord-007444-c9vu8ako 437 22 acute acute JJ cord-007444-c9vu8ako 437 23 COPD COPD NNP cord-007444-c9vu8ako 437 24 exacerbation exacerbation NN cord-007444-c9vu8ako 437 25 Predictors Predictors NNP cord-007444-c9vu8ako 437 26 of of IN cord-007444-c9vu8ako 437 27 mortality mortality NN cord-007444-c9vu8ako 437 28 in in IN cord-007444-c9vu8ako 437 29 chronic chronic JJ cord-007444-c9vu8ako 437 30 obstructive obstructive JJ cord-007444-c9vu8ako 437 31 pulmonary pulmonary JJ cord-007444-c9vu8ako 437 32 disease disease NN cord-007444-c9vu8ako 437 33 : : : cord-007444-c9vu8ako 438 1 A a DT cord-007444-c9vu8ako 438 2 15-year 15-year JJ cord-007444-c9vu8ako 438 3 follow follow NN cord-007444-c9vu8ako 438 4 - - HYPH cord-007444-c9vu8ako 438 5 up up NN cord-007444-c9vu8ako 438 6 study study NN cord-007444-c9vu8ako 439 1 A a DT cord-007444-c9vu8ako 439 2 review review NN cord-007444-c9vu8ako 439 3 and and CC cord-007444-c9vu8ako 439 4 economic economic JJ cord-007444-c9vu8ako 439 5 evaluation evaluation NN cord-007444-c9vu8ako 439 6 of of IN cord-007444-c9vu8ako 439 7 bronchodilator bronchodilator NN cord-007444-c9vu8ako 439 8 delivery delivery NN cord-007444-c9vu8ako 439 9 methods method NNS cord-007444-c9vu8ako 439 10 in in IN cord-007444-c9vu8ako 439 11 hospitalized hospitalize VBN cord-007444-c9vu8ako 439 12 patients patient NNS cord-007444-c9vu8ako 439 13 tor tor NN cord-007444-c9vu8ako 439 14 delivery delivery NN cord-007444-c9vu8ako 439 15 in in IN cord-007444-c9vu8ako 439 16 acute acute JJ cord-007444-c9vu8ako 439 17 airflow airflow NN cord-007444-c9vu8ako 439 18 obstruction obstruction NN cord-007444-c9vu8ako 439 19 - - : cord-007444-c9vu8ako 439 20 a a DT cord-007444-c9vu8ako 439 21 metaanalysis metaanalysis NN cord-007444-c9vu8ako 439 22 Theophylline theophylline NN cord-007444-c9vu8ako 439 23 : : : cord-007444-c9vu8ako 439 24 Recent recent JJ cord-007444-c9vu8ako 439 25 advances advance NNS cord-007444-c9vu8ako 439 26 in in IN cord-007444-c9vu8ako 439 27 the the DT cord-007444-c9vu8ako 439 28 understanding understanding NN cord-007444-c9vu8ako 439 29 of of IN cord-007444-c9vu8ako 439 30 its -PRON- PRP$ cord-007444-c9vu8ako 439 31 mode mode NN cord-007444-c9vu8ako 439 32 of of IN cord-007444-c9vu8ako 439 33 action action NN cord-007444-c9vu8ako 439 34 and and CC cord-007444-c9vu8ako 439 35 uses use VBZ cord-007444-c9vu8ako 439 36 in in IN cord-007444-c9vu8ako 439 37 clinical clinical JJ cord-007444-c9vu8ako 439 38 practice practice NN cord-007444-c9vu8ako 440 1 Subcutaneous subcutaneous JJ cord-007444-c9vu8ako 440 2 administration administration NN cord-007444-c9vu8ako 440 3 of of IN cord-007444-c9vu8ako 440 4 hyaluronan hyaluronan NNP cord-007444-c9vu8ako 440 5 reduces reduce VBZ cord-007444-c9vu8ako 440 6 the the DT cord-007444-c9vu8ako 440 7 number number NN cord-007444-c9vu8ako 440 8 of of IN cord-007444-c9vu8ako 440 9 infectious infectious JJ cord-007444-c9vu8ako 440 10 exacerbations exacerbation NNS cord-007444-c9vu8ako 440 11 in in IN cord-007444-c9vu8ako 440 12 patients patient NNS cord-007444-c9vu8ako 440 13 with with IN cord-007444-c9vu8ako 440 14 chronic chronic JJ cord-007444-c9vu8ako 440 15 bronchitis bronchitis NN cord-007444-c9vu8ako 440 16 Hypercapnia Hypercapnia NNP cord-007444-c9vu8ako 440 17 Outcome outcome VBP cord-007444-c9vu8ako 440 18 from from IN cord-007444-c9vu8ako 440 19 respiratory respiratory JJ cord-007444-c9vu8ako 440 20 failure failure NN cord-007444-c9vu8ako 440 21 Nutritional nutritional JJ cord-007444-c9vu8ako 440 22 aspects aspect NNS cord-007444-c9vu8ako 440 23 of of IN cord-007444-c9vu8ako 440 24 chronic chronic JJ cord-007444-c9vu8ako 440 25 obstructive obstructive JJ cord-007444-c9vu8ako 440 26 pulmonary pulmonary JJ cord-007444-c9vu8ako 440 27 disease disease NN cord-007444-c9vu8ako 441 1 The the DT cord-007444-c9vu8ako 441 2 biology biology NN cord-007444-c9vu8ako 441 3 of of IN cord-007444-c9vu8ako 441 4 bacterial bacterial JJ cord-007444-c9vu8ako 441 5 colonization colonization NN cord-007444-c9vu8ako 441 6 and and CC cord-007444-c9vu8ako 441 7 invasion invasion NN cord-007444-c9vu8ako 441 8 of of IN cord-007444-c9vu8ako 441 9 the the DT cord-007444-c9vu8ako 441 10 respiratory respiratory JJ cord-007444-c9vu8ako 441 11 mucosa mucosa NN cord-007444-c9vu8ako 442 1 The the DT cord-007444-c9vu8ako 442 2 role role NN cord-007444-c9vu8ako 442 3 of of IN cord-007444-c9vu8ako 442 4 corticosteroids corticosteroid NNS cord-007444-c9vu8ako 442 5 in in IN cord-007444-c9vu8ako 442 6 acute acute JJ cord-007444-c9vu8ako 442 7 exacerbations exacerbation NNS cord-007444-c9vu8ako 442 8 of of IN cord-007444-c9vu8ako 442 9 chronic chronic JJ cord-007444-c9vu8ako 442 10 obstructive obstructive JJ cord-007444-c9vu8ako 442 11 pulmonary pulmonary JJ cord-007444-c9vu8ako 442 12 disease disease NN cord-007444-c9vu8ako 442 13 ( ( -LRB- cord-007444-c9vu8ako 442 14 Cochrane Cochrane NNP cord-007444-c9vu8ako 442 15 review review NN cord-007444-c9vu8ako 442 16 ) ) -RRB- cord-007444-c9vu8ako 442 17 . . . cord-007444-c9vu8ako 443 1 The the DT cord-007444-c9vu8ako 443 2 Cochrane Cochrane NNP cord-007444-c9vu8ako 443 3 Library Library NNP cord-007444-c9vu8ako 443 4 Aminophylline Aminophylline NNP cord-007444-c9vu8ako 443 5 therapy therapy NN cord-007444-c9vu8ako 443 6 for for IN cord-007444-c9vu8ako 443 7 acute acute JJ cord-007444-c9vu8ako 443 8 bronchospastic bronchospastic JJ cord-007444-c9vu8ako 443 9 disease disease NN cord-007444-c9vu8ako 443 10 in in IN cord-007444-c9vu8ako 443 11 the the DT cord-007444-c9vu8ako 443 12 emergency emergency NN cord-007444-c9vu8ako 443 13 room room NN cord-007444-c9vu8ako 444 1 A a DT cord-007444-c9vu8ako 444 2 short short JJ cord-007444-c9vu8ako 444 3 - - HYPH cord-007444-c9vu8ako 444 4 term term NN cord-007444-c9vu8ako 444 5 follow follow NN cord-007444-c9vu8ako 444 6 - - HYPH cord-007444-c9vu8ako 444 7 up up NN cord-007444-c9vu8ako 444 8 study study NN cord-007444-c9vu8ako 444 9 on on IN cord-007444-c9vu8ako 444 10 ex ex JJ cord-007444-c9vu8ako 444 11 - - JJ cord-007444-c9vu8ako 444 12 cigarette cigarette JJ cord-007444-c9vu8ako 444 13 smokers smoker NNS cord-007444-c9vu8ako 444 14 : : : cord-007444-c9vu8ako 444 15 With with IN cord-007444-c9vu8ako 444 16 special special JJ cord-007444-c9vu8ako 444 17 emphasis emphasis NN cord-007444-c9vu8ako 444 18 on on IN cord-007444-c9vu8ako 444 19 persistent persistent JJ cord-007444-c9vu8ako 444 20 cough cough NN cord-007444-c9vu8ako 444 21 and and CC cord-007444-c9vu8ako 444 22 weight weight NN cord-007444-c9vu8ako 444 23 gain gain NN