Mobile health technology to improve emergent frailty after lung transplantation

Diamond, Joshua M.; Courtwright, Andrew; Balar, Priya; Oyster, Michelle; Zaleski, Derek; Adler, Joe; Brown, Melanie; Hays, Steven R.; Sutter, N.; Garvey, Chris; Kukreja, Jasleen; Gao, Ying; Bruun, Allan; Smith, Patrick J.; Singer, Jonathan P.

doi:10.1111/ctr.14236

Cited by 13 publications

(17 citation statements)

References 30 publications

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“…From selected studies 16 articles related to patients with COPD, 5 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 three articles related to asthmatic patients, 18 , 38 , 39 six articles about cancer patients, 3 , 40 , 41 and lung transplantation 42 , 43 , 44 and one related to cystic fibrosis (CF) 45 and the last to patients with acute respiratory diseases. 46 The frequency of studies according to respiratory disorders is shown in Figure 2 .…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies examined the usability of m‐Health apps in pulmonary rehabilitation and reported the use of high usability and acceptability. 18 , 24 , 28 , 29 , 35 , 39 , 42 , 44 , 45 , 46 …”

Section: Resultsmentioning

confidence: 99%

“…Three studies have been performed on transplant patients, and the effectiveness of the m‐Health apps in improving self‐management in these patients has been expressed. 42 , 43 , 44 Two of these studies used the Pocket PATH app. Pocket PATH is one of the few m‐Health app interventions on self‐management for lung transplant recipients who have undergone a rigorous process of development, pilot testing, and formal evaluation.…”

Section: Discussionmentioning

confidence: 99%

“…The results showed that m-Health apps can improve health and physical activity. 5,[23][24][25]30,[32][33][34]37,40,44,47…”

Section: Improvement Of Physical Activitymentioning

confidence: 99%

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Evaluation of m‐Health‐rehabilitation for respiratory disorders: A systematic review

Kiani

Abasi

Yazdani

2022

Health Science Reports

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Background and Aims Chronic respiratory diseases are prominent causes of morbidity worldwide that impose significant social and economic burdens on individuals and communities. Pulmonary rehabilitation is one of the main aspects of medical rehabilitation. Nowadays, mobile health apps deliver pulmonary rehabilitation support via smartphones. This article presents a systematic review of the literature on m‐Health apps used in respiration disorders rehabilitation. Methods A systematic search was performed on MEDLINE (through PubMed), Web of Science, and Scopus in May 2021 without any date limitation. This study was using a combination of keywords and MeSH terms associated with pulmonary rehabilitation. Relevant studies were selected by two independents and were categorized studies results. The inclusion criterion was m‐Health apps for pulmonary rehabilitation and exclusion criteria mobile‐based interventions, by voice call or short message service and cardiopulmonary articles. Results Searching scientific databases yielded 161 relevant articles. Then, 27 articles were included in the study with a complete evaluation of the articles. Sixty percent of them were related to patients with chronic obstructive pulmonary disease (COPD). Rehabilitation aiming to improve the quality of life, promote self‐management, encourage physical activity, and reduce the symptoms as the most common goals of pulmonary rehabilitation using m‐Health apps; 89% of these studies showed that m‐Health apps can be effective in improving pulmonary rehabilitation. In addition, 37% of studies reported high usability and acceptance. However, the results of some studies show that adherence to apps decreases in the long run. Conclusion Our study shows that m‐Health pulmonary rehabilitation apps are effective in improving the quality of life, self‐management, and physical activity. According to the results, it seems that using the m‐Health apps for pulmonary rehabilitation can be useful in the COVID‐19 pandemic and help reduce respiratory disorders in patients with COVID‐19 disease.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The results showed that m-Health apps can improve health and physical activity. 5,[23][24][25]30,[32][33][34]37,40,44,47…”

Section: Improvement Of Physical Activitymentioning

confidence: 99%

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Evaluation of m‐Health‐rehabilitation for respiratory disorders: A systematic review

Kiani

Abasi

Yazdani

2022

Health Science Reports

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“…The COVID-19 pandemic has a large impact on day-to-day life of the general population, and particularly older adults experience the consequences of limited access to healthcare, social isolation and reduced physical activity 12 42. If frailty is identified, patients can benefit from comprehensive geriatric assessments, nutrition and physical activity interventions, mobile health-assisted interventions and pulmonary rehabilitation 43–47. Since frailty is a potentially preventable and reversible state, early detection of frailty is important, and particularly in the high-volume low-resource context of COVID-19 simple screening tools such as the CFS are urgently needed.…”

Section: Discussionmentioning

confidence: 99%

Frailty assessment for COVID-19 follow-up: a prospective cohort study

et al. 2022

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BackgroundThe Clinical Frailty Scale (CFS) is increasingly used for clinical decision making in acute care but little is known about frailty after COVID-19.ObjectivesTo investigate frailty and the CFS for post-COVID-19 follow-up.MethodsThis prospective multicentre cohort study included COVID-19 survivors aged ≥50 years presenting for a follow-up visit ≥3 months after the acute illness. Nine centres retrospectively collected pre-COVID-19 CFS and prospectively CFS at follow-up. Three centres completed the Frailty Index (FI), the short physical performance battery (SPPB), 30 s sit-to-stand test and handgrip strength measurements. Mixed effect logistic regression models accounting for repeated measurements and potential confounders were used to investigate factors associated with post-COVID-19 CFS. Criterion and construct validity were determined by correlating the CFS to other concurrently assessed frailty measurements and measures of respiratory impairment, respectively.ResultsOf the 288 participants 65% were men, mean (SD) age was 65.1 (9) years. Median (IQR) CFS at follow-up was 3 (2–3), 21% were vulnerable or frail (CFS ≥4). The CFS was responsive to change, correlated with the FI (r=0.69, p<0.001), the SPPB score (r=−0.48, p<0.001) (criterion validity) and with the St George’s Respiratory Questionnaire score (r=0.59, p<0.001), forced vital capacity %-predicted (r=−0.25, p<0.001), 6 min walk distance (r=−0.39, p<0.001) and modified Medical Research Council (mMRC) (r=0.59, p<0.001). Dyspnoea was significantly associated with a higher odds for vulnerability/frailty (per one mMRC adjusted OR 2.01 (95% CI 1.13 to 3.58), p=0.02).ConclusionsThe CFS significantly increases with COVID-19, and dyspnoea is an important risk factor for post-COVID-19 frailty and should be addressed thoroughly.

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