John Hurst Profile picture
NIHR Global Research Prof | Vice Dean (International), UCL Medical Sciences | Professor of Respiratory Medicine UCL/Royal Free. COPDologist. NCDs. Runs. Trains.
Jan 13, 2023 11 tweets 6 min read
NEW

Yesterday we published our first combined asthma and COPD 'Drawing Breath' @NACAPaudit report.

I thought I'd highlight a few key themes.

First, it's important to note that these data reflect care during the pandemic period when front line clinical teams were stretched... We have four key recommendations, each relevant to #asthma in adults, asthma in children and young people and #COPD, including #PR services.

The first area is that everyone should be able to access early and accurate diagnosis. Here are some key findings; we need to do better:
Nov 14, 2022 7 tweets 3 min read
👀it’s out! The llatest 2023 @GOLD_COPD guidance has been released...

🌟There are BIG changes this year. Here are my first thoughts… but lots to digest:

TL/DR:
1. Revised #COPD defn
2. Etiotypes
3. ABCD is out, ABE is in
4. Farewell ICS-LABA
5. New exacerbation defn

1/n👇 1. Definition of COPD now *includes* emphysema…

'heterogeneous lung condition characterized by chronic respiratory symptoms due to abnormalities of the airways (bronchitis, bronchiolitis) and/or alveoli (emphysema) that cause persistent, often progressive, airflow obstruction’
Jul 3, 2020 6 tweets 4 min read
POST #COVIDー19 RECOVERY.

How do you know if someone is on an expected trajectory post hospital discharge?

Here is a first look at our needs assessment and service evaluation, from a collaboration across @RoyalFreeNHS and @uclh.

We wanted to help others doing similar work 1/n: WHAT WE DID.
Mostly 📞 follow-up of people who had COVID-19 (swab+), aiming for 4-6 weeks after discharge. Phone script delivered by an amazing group of @UCLMS medical students and doctors in training. People with abnormal bloods or imaging on discharge invited to repeat them.