Effectiveness of early rehabilitation on patients with chronic obstructive lung disease and acute respiratory failure in intensive care units: A case–control study

Chou, Willy; Lai, Chih‐Cheng; Cheng, Kuo-Chen; Yuan, Kuo-Shu; Chen, Chin‐Ming; Cheng, Ai‐Chin

doi:10.1177/1479973118820310

Cited by 11 publications

(11 citation statements)

References 23 publications

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“…Another important finding was that the earlier PR was introduced post-ICU and the longer the duration of PR, the better patients recovered their physical capacity. This observation corroborates previous results in COPD and respiratory failure patients emphasizing the need for early PR following ICU ( Chou et al, 2019 ).…”

Section: Discussionsupporting

confidence: 93%

“…Critically ill patients exhibiting respiratory failure were admitted to the intensive care unit (ICU) for prolonged stays, subsequently requiring a rehabilitation program to deal with the consequences of artificial ventilation and prolonged inactivity ( Polastri et al, 2020 ; Vitacca et al, 2020 ; Thomas et al, 2020 ). Pulmonary rehabilitation (PR) has proven to be effective in respiratory patients following mechanical ventilation ( Chou et al, 2019 ) and in patients with the most common pulmonary disease, chronic obstructive pulmonary disease, at all stages and recovering from acute exacerbations ( Puhan et al, 2005 ). Although PR has been suggested following severe COVID-19 ( Spruit et al, 2020 ), there is still a lack of data demonstrating its effectiveness on recovery of physical and psychosocial parameters in severe COVID-19 patients following an ICU stay.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of pulmonary rehabilitation in COVID-19 respiratory failure patients post-ICU

Chikhanie

Veale

Schoeffler³

et al. 2021

Respiratory Physiology & Neurobiology

139

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Introduction Some COVID-19 patients develop respiratory failure requiring admission to intensive care unit (ICU). We aim to evaluate the effects of pulmonary rehabilitation (PR) post-ICU in COVID-19 patients. Methods Twenty-one COVID-19 patients were evaluated pre- and post-PR and compared retrospectively to a non-COVID-19 group of 21 patients rehabilitated after ICU admission due to respiratory failure. Results PR induced greater 6-min walking distance improvement in COVID-19 patients (+205 ± 121 m) than in other respiratory failure patients post-ICU (+93 ± 66 m). The sooner PR was performed post-ICU, the better patients recovered. Conclusions PR induced large functional improvements in COVID-19 patients post-ICU although significant physical and psychosocial impairments remained post-PR.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Effectiveness of pulmonary rehabilitation in COVID-19 respiratory failure patients post-ICU

Chikhanie

Veale

Schoeffler³

et al. 2021

Respiratory Physiology & Neurobiology

139

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“…However, studies have shown [6] that some patients have varying degrees of psychological negativity in the early stages of treatment, which affects the effect of ventilation and increases the risk of poor prognosis, so appropriate nursing interventions need to be given to patients during treatment to improve the prognosis. Most of the conventional nursing tools currently used in the clinic are based on the patient's condition in order to maintain treatment, ignoring to some extent the differences in patients' stage needs [7][8][9]. Stage-based nursing measures are the hotspot studied at present, which was reported [10] that such nursing means can implement targeted measures and interventions at different stages.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Prognostic Impact of Staged Nursing Interventions on the Treatment of Patients with COPD Combined with Type II Respiratory Failure

Zheng

2022

Applied Bionics and Biomechanics

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Objective. To analyze the prognostic impact of staged nursing interventions on the treatment of patients with chronic obstructive pulmonary diseases (COPD) combined with type II respiratory failure. Methods. 120 patients with COPD combined with type II respiratory failure admitted to our hospital between January 2021 and January 2022 were divided into a control group and a study group, with 60 patients in each group. The control group received conventional strategy interventions, and the study group received staged nursing interventions. Pulmonary function, blood gases, health impairment, knowledge, mood, hope level, and quality of survival were evaluated before and after patient care, and satisfaction and the impact on patient prognosis were assessed. Results. The improvement of pulmonary function and blood gas in the study group was better than that in the control group aftercare, and the difference was statistically significant ( P < 0.05 ). Health impairment and mood scores were lower in the study group compared to the control group aftercare, and the difference was statistically significant ( P < 0.05 ). Knowledge awareness, hope, and quality of survival scores were higher in the study group compared to the control group aftercare, with statistically significant differences ( P < 0.05 ). The rate of excellent prognosis and satisfaction was higher in the study group compared with the control group, and the difference was statistically significant ( P < 0.05 ). Conclusion. The implementation of staged nursing interventions during the treatment of patients with COPD combined with type II respiratory failure can significantly improve patient prognosis and has a high application value.

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“…To the best of our knowledge, no clinical study has evaluated early rehabilitation effects on COVID-19 patients to date. However, an earlier rehabilitation program for acute respiratory failure in the ICU setting has been proven to increase survival rate, increase successful extubation rate, reduce mechanical ventilation (MV) duration, reduce ICU and hospital stays, and lower medical costs [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Optimizing Early Rehabilitation Intervention: Insights from Different Outcomes in 2 Patients with Severe COVID-19

Waluyo

Artika²,

Wahyuni³

et al. 2021

Am J Case Rep

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Case series Patients: Male, 53-year-old • Male, 68-year-old Final Diagnosis: COVID-19 Symptoms: Cough • desaturation • paraparesis • shortness of breath Medication: — Clinical Procedure: — Specialty: Rehabilitation Objective: Unusual setting of medical care Background: Coronavirus disease 2019 (COVID-19) is an emerging infectious disease first reported in Wuhan, China in December 2019 that has subsequently become pandemic worldwide. The more severe the symptoms, the more comprehensive and complex are the methods needed to treat patients. The World Health Organization (WHO) has highlighted the role of rehabilitation as one of the pillars in COVID-19 management, considering its advantages. It has been implemented in some countries’ guidelines, but it is not stated in Indonesia’s guideline. Thus, rehabilitation intervention is sometimes neglected or delayed. This case report aims to describe the possible benefit of optimizing the rehabilitation program during hospitalization. Case Reports: We describe 2 patients with severe COVID-19: Patient A was a 53-year-old man without comorbidities and Patient B was a 68-year-old man with several comorbidities. Patient A was discharged from the hospital with respiratory sequelae (dyspnea, cough, and desaturation) and muscle weakness in both limbs after 2 months of hospitalization without rehabilitation intervention. Then, he returned to work 3 months after rehabilitation. Patient B was discharged without any significant sequelae after undergoing rehabilitation during hospitalization. Conclusions: Early physical rehabilitation in severe cases of COVID-19 has several potential benefits, including improved muscle strength, physical function, and quality of life, as well as reduced health care costs and length of stay (LOS). We believe that an early rehabilitation program in severe cases of COVID-19 is needed, but the physician still has to consider the patients’ condition and capacity into to decide what kind of exercise should be programmed by the team.

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Effectiveness of early rehabilitation on patients with chronic obstructive lung disease and acute respiratory failure in intensive care units: A case–control study

Cited by 11 publications

References 23 publications

Effectiveness of pulmonary rehabilitation in COVID-19 respiratory failure patients post-ICU

Effectiveness of pulmonary rehabilitation in COVID-19 respiratory failure patients post-ICU

Analysis of the Prognostic Impact of Staged Nursing Interventions on the Treatment of Patients with COPD Combined with Type II Respiratory Failure

Optimizing Early Rehabilitation Intervention: Insights from Different Outcomes in 2 Patients with Severe COVID-19

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