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COPD (Chronic Obstructive Pulmonary Disease)

Prognosis with both COPD and CHF

01/31/2008

Question:

My father is 68 years old and has been battling COPD for 8 - 10 years with it becoming severe in the last 2-3 years. He has also been diagnosed with severe CHF. WE (our family) did not realize the severity of the heart and want to know the probable prognosis. How long would the average person in this condition be able to survive?

Answer:

COPD is a chronic condition with multiple factors that impact survival.  The addition of congestive heart failure as a diagnosis adds additional factors. 

While a specific prognosis for your father cannot be made here, there are important questions to ask: 

The severity of COPD, presence of high carbon dioxide levels, severe activity limitations and weight loss are known to negatively impact survival. Oxygen therapy has been shown to improve survival if a patient has low oxygen levels. Pulmonary rehabilitation, while not shown to improve survival overall, does improve activity tolerance.   

Has your father been seen by a pulmonologist (a physician who specializes in pulmonary diseases)?  If not, this type of specialist can comprehensively evaluate your father's condition and ensure that he is being treated in the best manner.  With the information needs listed above, a pulmonologist could provide more specific answers to your questions. 

 

For more information:

Go to the COPD (Chronic Obstructive Pulmonary Disease) health topic, where you can:

Response by:

Gerene S Bauldoff, RN, PhD, FCCP, FAACVPR, FAAN Gerene S Bauldoff, RN, PhD, FCCP, FAACVPR, FAAN
Professor of Clinical Nursing
College of Nursing
The Ohio State University