A Prospective Cohort Study on the Effects of Geriatric Rehabilitation Following Acute Exacerbations of COPD

Isselt, Eléonore van Dam van F; Eijk, Monica van; Geloven, Nan van; Groenewegen-Sipkema, K.H.; Berg, Jan-Willem K. van den; Nieuwenhuys, Cécile M. A.; Chavannes, Niels H.; Achterberg, Wilco P.

doi:10.1016/j.jamda.2019.02.025

Cited by 15 publications

(12 citation statements)

References 32 publications

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“…However, most participants agreed that preferably, specialized units (or multidisciplinary teams) for neurological and orthopedic rehabilitation should be installed. A recent study has shown that evidence for effectiveness of diagnosis-specific geriatric rehabilitation extends to COPD, but the comparator in such studies is almost never generic geriatric rehabilitation [19].…”

Section: Discussionmentioning

confidence: 99%

What is geriatric rehabilitation and how should it be organized? A Delphi study aimed at reaching European consensus

et al. 2019

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Section: Discussionmentioning

confidence: 99%

What is geriatric rehabilitation and how should it be organized? A Delphi study aimed at reaching European consensus

et al. 2019

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“…Of four randomised trials, three tested the effectiveness of exercise-based interventions (a hospital-based pedal exercise intervention, 45 pulmonary rehabilitation with or without electrical muscle stimulation, 46 and home-based pulmonary rehabilitation 47 ); one trial tested whether the severity of respiratory disability affected outcomes of centre-or homebased pulmonary rehabilitation. 48 Of 12 cohort studies, most assessed the impact of pulmonary rehabilitation on frailty or frailty components, [49][50][51][52][53][54] three assessed the feasibility or outcomes of geriatric rehabilitation, [55][56][57] and three assessed how baseline characteristics (e.g. dyspnoea severity, exercise tolerance, frailty) affect pulmonary rehabilitation outcomes.…”

Section: Focus Of Included Studiesmentioning

confidence: 99%

“…Authors noted how this population frequently present with lower levels of function and health, and higher levels of dyspnoea, distress relating to dyspnoea, disability, and comorbidities, 10,19,21,48,[59][60][61][62][63][64][65][66][67][68]73,74 including comorbid psychiatric illness and cognitive dysfunction. 56,61 This was further complicated by their risk of significant health events or deterioration during exercise-based interventions. 10,19,21,61,64,68 People's health influenced how they saw themselves and services, contributing to feelings of shame 60 or losses of control.…”

Section: Scoping the Literature The Context Of Living With Frailtymentioning

confidence: 99%

“…Once people felt supported to engage with exercise-based interventions, articles suggested experiencing subsequent improvements could also motivate participants going forwards. 58,65 Authors also signalled the need to take a more wholeperson approach, 1,19,48,55,56,60,61,63,64,[68][69][70]74 including having appropriate staffing and resources to do so. 55,56,64,69 Both service user and professional stakeholders perceived a holistic approach as essential.…”

Section: Factors Affecting Participation and Outcomesmentioning

confidence: 99%

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<p>Improving Exercise-Based Interventions for People Living with Both COPD and Frailty: A Realist Review</p>

Brighton

Evans

Man

et al. 2020

COPD

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Background: People living with both chronic obstructive pulmonary disease (COPD) and frailty have high potential to benefit from exercise-based interventions, including pulmonary rehabilitation, but face challenges completing them. Research to understand ways to optimise exercise-based interventions in this group is lacking. We aimed to understand how exercisebased interventions might improve outcomes for people living with both COPD and frailty. Methods: This realist review used database searches and handsearching until October 2019 to identify articles of relevance to exercise-based interventions for people living with COPD and frailty. A scoping search explored what is important about the context of living with COPD and frailty, and what mechanisms might be important in how exercise-based interventions result in their intended outcomes. Through discussion with stakeholders, the review scope was refined to areas deemed pertinent to improving care. We retained articles within this refined scope and identified additional articles through targeted handsearching. Data were extracted and synthesised in a narrative, prioritised by relevance and rigour. Results: Of 344 records identified, 35 were included in the review and 20 informed the final synthesis. Important contextual factors to consider included: negative beliefs about themselves and exercise-based interventions; heterogenous presentation and comorbidities; decreased reserves and multidimensional loss; and experiencing unpredictable health and disruptions. In these circumstances, mechanisms that may help maximise outcomes from exercise-based interventions included: trusting relationships; creating a shared understanding of needs; having the capacity to address multidimensional concerns; being able to individualise approaches to needs and priorities; and flexible approaches to intervention delivery. Mixed-methods research and explicit theorising were often absent. Conclusion: Building trusting relationships, understanding priorities, using individualised and multidisciplinary approaches, and flexible service delivery can improve the value of exercise-based interventions for people living with both COPD and frailty. Development and evaluation of new and adapted interventions should consider these principles.

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“…As an important non-drug intervention in the treatment of respiratory diseases, respiratory rehabilitation training is increasingly accepted in clinical practice, [ 7 – 9 ] which mainly includes sports training (such as breathing training, aerobic training, and resistance training) as well as disease health education and self-management. [ 10 – 12 ] Among them, exercise training, as one of the most effective rehabilitation methods for respiratory diseases, forms the core part.…”

Section: Introductionmentioning

confidence: 99%

Effect of respiratory rehabilitation training on elderly patients with COVID-19

Yan¹,

Ouyang²,

Wang

et al. 2020

Medicine

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Background: Patients with the Corona Virus Disease 2019 (COVID-19) often see their respiratory, physical, and psychological functions impaired to varying degrees, especially for the elderly patients. Timely respiratory rehabilitation intervention for such patients may improve their prognoses. However, its relative effectiveness has not been proved. Therefore, this study is purposed to determine the effect of respiratory rehabilitation on elderly patients with COVID-19. Methods: This study will search the following electronic databases: Embase, MEDLINE, PubMed, Cochrane Library, China national knowledge infrastructure database, Wan Fang database, Chinese Science and Technology Periodical Database, and Chinese Biomedical Literature Database, with the retrieval period running from their inception to August 2020. All randomized controlled trials of respiratory rehabilitation training on elderly patients with COVID-19 are collected, and the data are selected and extracted independently according to the pre-designed inclusion/exclusion criteria. Cochrane bias risk assessment tool is used to evaluate the method quality and bias risk. All data analyses will be implemented by using Revman5.3 and Stata14 software. Results: This study will make a high-quality and comprehensive evaluation of the efficacy of respiratory rehabilitation training on elderly patients with COVID-19. Conclusion: The conclusions of this systematic review will deliver more convincing evidence. Ethics and dissemination: The private information collected from individuals will not be published. And this systematic review will also not involve impairing the participants’ rights. Ethical approval is not required. The results may be published in a peer-reviewed journal or disseminated in relevant conferences.

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A Prospective Cohort Study on the Effects of Geriatric Rehabilitation Following Acute Exacerbations of COPD

Cited by 15 publications

References 32 publications

What is geriatric rehabilitation and how should it be organized? A Delphi study aimed at reaching European consensus

What is geriatric rehabilitation and how should it be organized? A Delphi study aimed at reaching European consensus

<p>Improving Exercise-Based Interventions for People Living with Both COPD and Frailty: A Realist Review</p>

Effect of respiratory rehabilitation training on elderly patients with COVID-19

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