A krónikus obstruktív tüdőbetegség metabolikus következményei

Fekete, Mónika; Fazekas-Pongor, Vince; Szöllösi, Gergő József; Varga, János

doi:10.1556/650.2021.31984

Cited by 8 publications

(10 citation statements)

References 20 publications

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“…In line with previous research findings the most frequent comorbidities in our study were: cardiovascular disease, respiratory disease, and diabetes mellitus. Only three patients had no comorbidities at all (43,44). As pre-existing comorbidities negatively affect the course of acute COVID-19, so people with multi comorbidities are more likely to develop more severe acute COVID-19 infection, and are more likely to require rehabilitation in the future (45).…”

Section: The Process Of Complex Pulmonary Rehabilitationmentioning

confidence: 99%

Cardiopulmonary rehabilitation programme improves physical health and quality of life in post-COVID syndrome

Szarvas¹,

Fekete²,

Horvath³

et al. 2023

Ann Palliat Med

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Background: Many patients with previous COVID-19 infection suffer from prolonged symptoms after their recovery: cough, dyspnea, chest pain, shortness of breath, fatigue, anxiety or depression, regardless of milder or severe coronavirus infection. Review of the literature demonstrates underrepresented complex cardiopulmonary rehabilitation of patients with post-COVID syndrome. The aim of our quasi-experimental study was to evaluate the effectiveness of complex cardiopulmonary rehabilitation and to assess the quality of life, functional parameters before and after a 14-day specific cardiopulmonary rehabilitation and two months later. Methods: Sixty-eight patients participated in rehabilitation at Semmelweis University's Department of Pulmonology. Respiratory function: forced expiratory volume in 1 second (FEV 1 %pred), 6-minute walk test (6MWT), chest kinematics (CK), quality of life [EuroQol-5D (EQ-5D), Post-COVID-19 Functional Status (PCFS)] and Modified Medical Research Council (mMRC) dyspnea scale were measured at the beginning and end of the programme and two months after the rehabilitation. Results: The 14-day rehabilitation programme resulted in significant improvement of 6MWT {492 [interquartile range (IQR), 435-547] vs. 523 (IQR, 477-580) m; P=0.031}, mMRC [1 (IQR, 0.25-1) vs. 0 (IQR, 0-1); P=0.003], EQ-VAS score [75 (IQR, 65-80) vs. 85 (IQR, 75-90); P=0.015], and PCFS [1 (IQR, 1-2) vs. 0.5 (IQR, 0-1); P=0.032]. Respiratory function and chest kinematics also improved, FEV 1 (%pred) [86 (IQR, 73-103) vs. 91 (IQR, 80-99); P=0.360], chest kinematics [3.5 (IQR, 2.75-4.25) vs. 4 (IQR, 1-5.25) cm; P=0.296], and breath-holding test (BHT) [33 (IQR, 23-44) vs. 41 (IQR, 28-58) s; P=0.041].Conclusions: Complex cardiopulmonary rehabilitation improved workload, quality of life, respiratory function, complaints and clinical status of patients with post-COVID syndrome. Personalized complex pulmonary rehabilitation can be beneficial and recommended for patients suffer from post-COVID syndrome, who have good potential for recovery and are able to participate in the two weeks complex pulmonary rehabilitation.

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Section: The Process Of Complex Pulmonary Rehabilitationmentioning

confidence: 99%

Cardiopulmonary rehabilitation programme improves physical health and quality of life in post-COVID syndrome

Szarvas¹,

Fekete²,

Horvath³

et al. 2023

Ann Palliat Med

View full text Add to dashboard Cite

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“…It is important to avoid smoking completely and to maintain regular physical activity [33,34]. Most patients are given long-acting bronchodilators or a combination of different types of bronchodilators in their inhalers (so-called "sprays" or "dry powder inhalers"), and abandoning these preparations is particularly dangerous [35]. In the case of acute deterioration, aerosol or dry powder inhaler formulations are recommended instead of mechanical nebulizers.…”

Section: Treatment Of Copd Patients Infected With Covid-19mentioning

confidence: 99%

COVID-19 infection in patients with chronic obstructive pulmonary disease: From pathophysiology to therapy. Mini-review

Fekete

Szarvas

Fazekas-Pongor

et al. 2022

PhysInt

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Introduction Patients with chronic obstructive pulmonary disease (COPD) are a vulnerable group in terms of the outcome of coronavirus infection in relation to their disease or its treatment, with a higher risk of developing serious complications compared to the healthy population. Aim The aim of our summary study is to review the background and health outcomes of chronic obstructive pulmonary disease and COVID-19 infection in the presence of both diseases. Methods Review of national and international medical databases (PubMed, MEDLINE, and MOB) with keywords COPD, COVID-19, disease risk, cause, prevention, complications, and prognosis. Results Meta-analyses show that COPD is one of the most common underlying conditions in patients hospitalized for COVID-19. Such patients are five times more likely to develop a serious complication due to oxygen supply problems therefore they are more likely to be admitted to intensive care units, where they may require mechanical ventilation. In the case of underlying COPD, the usual care plan for COVID-19 infection should be followed, as well as all public health recommendations to minimize the risk of developing and transmitting COVID-19. Conclusion Coronavirus infection is especially dangerous for COPD patients, who are much more likely to become seriously ill, so increased surveillance, prevention, early detection, adequate treatment and rehabilitation of the disease group are of paramount importance.

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“…Evidence shows that a well-informed patient is more likely to adhere to treatment [60]. COPD has a significant impact on patients' quality of life, unfortunately Role of new digital technologies and telemedicine in pulmonary rehabilitation K review article it is usually only recognized in moderate to severe cases, when it is already severely limiting [61], and is often associated with anxiety, depression, sleep disturbances and cognitive decline [62]. The lack of knowledge has been shown to compromise the effectiveness of the treatment and may exacerbate the disease, therefore education programs, improved doctor-patient communication and patient education tools (forms, emails); and the use of self-monitoring methods (medication diaries, mobile apps) are of utmost importance, because education and being wellinformed positively influence doctor-patient collaboration and ultimately the outcome of this chronic disease [63].…”

Section: Digital Technology Is the Future Of Pulmonologymentioning

confidence: 99%

Role of new digital technologies and telemedicine in pulmonary rehabilitation

Fekete

Fazekas-Pongor

Balázs

et al. 2021

Wien Klin Wochenschr

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Summary Background Asthma and chronic obstructive pulmonary diseases are conditions characterized by a variable progression. Some individuals experience longer asymptomatic periods while others acute worsening periods and/or exacerbations triggered by symptom multiplication factors. Medications are adjusted to the patients’ respiratory function, self-assessment of health and emerging certain physical changes. A more effective treatment may be applied by real-time data registered during the patient’s everyday life. Aim and methods Introducing new modern digital technology in pulmonary rehabilitation (PR) to help tracking the patients’ medication, thus we systematically reviewed the latest publications on telemedicine and pulmonary telerehabilitation. Conclusion The use of the latest digital technologies in PR is very exciting and offers great opportunities while treating patients affected by specific conditions. On the one hand, adherence to medication can be improved in patients with chronic respiratory diseases by using these new state of the art devices; on the other hand, digital devices will also be able to monitor various physiological parameters of patients during their usual everyday activities. Data can be stored on a smartphone and shared with the provider. Relying on this information, physicians will be able to tailor medications and dosage to the specific needs of individual patients. Telerehabilitation may be a sustainable solution to the growing burden of chronic respiratory disease worldwide. However, PR must keep its cornerstones, such as education and motivations, which are most successful when conducted in person. Many issues remain to be resolved in the future, e.g. cybersecurity while using smart devices since they offer unique opportunities for PR.

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A krónikus obstruktív tüdőbetegség metabolikus következményei

Cited by 8 publications

References 20 publications

Cardiopulmonary rehabilitation programme improves physical health and quality of life in post-COVID syndrome

Cardiopulmonary rehabilitation programme improves physical health and quality of life in post-COVID syndrome

COVID-19 infection in patients with chronic obstructive pulmonary disease: From pathophysiology to therapy. Mini-review

Role of new digital technologies and telemedicine in pulmonary rehabilitation

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