Results on health-related quality of life and functionality of a patient-centered self-management program in hospitalized COPD: a randomized control trial

López‐López, Laura; Valenza, Marie Carmen; Rodríguez‐Torres, Janet; Torres‐Sánchez, Irene; Santiago, Maria Granados; Valenza-Demet, Gerald

doi:10.1080/09638288.2019.1609099

Cited by 16 publications

(43 citation statements)

References 40 publications

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“…Furthermore, patient's knowledge was one of the outcome measures presenting larger ES, showing how empowering pulmonary rehabilitation can be during AECOPD. It has been recognised that many AECOPD occur without being Exercise and breathing techniques [48] [ 24,29,33,36,45,46,51] [ 31,42,51,53] reported to health professionals [1]. Despite the short duration of these events, they have a negative impact on patients' health status, thus highlighting the importance of educating these patients [1].…”

Section: Discussionmentioning

confidence: 99%

“…Most frequent timings to begin intervention were 24-48 h after hospital admission (n=10) [22,30,31,40,41,45,46,49,53,57], after hospital discharge (n=5) [28,33,35,38,56], at the moment of hospital discharge (n=4) [18,19,36,47] and at hospital admission (n=3) [25,43,55]. [27,45,46,53], positive expiratory pressure therapy performed with noninvasive ventilation [22,54] or devices (n=3) [49], home diaries (n=2) [35,36], respiratory muscle training (n=1) [37], nutrition (n=1) [28] and whole body vibration (n=1) [30]. Only 16 (38.1%) of the included studies [18, 21-24, 26, 28, 29, 31, 34, 35, 38, 39, 44, 46, 56] used pulmonary rehabilitation as an intervention if the pulmonary rehabilitation definition is taken into account [4].…”

Section: Study Characteristicsmentioning

confidence: 99%

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Design of pulmonary rehabilitation programmes during acute exacerbations of COPD: a systematic review and network meta-analysis

et al. 2020

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This systematic review aimed to systematise the different designs used to deliver pulmonary rehabilitation during acute exacerbations of COPD (AECOPD) and explore which ones are the most effective. PubMed, Scopus, Web of Science, EBSCO and Cochrane were searched. Randomised controlled trials comparing pulmonary rehabilitation or at least one of its components with usual care or comparing different components of pulmonary rehabilitation were included. Network meta-analysis was conducted in MetaXL 5.3 using a generalised pairwise modelling framework. Pooled effects compared each treatment to usual care. 42 studies were included. Most studies were conducted in an inpatient setting (57%) and started the intervention 24–48 h after hospital admission (24%). Exercise training (71%), education and psychosocial support (57%) and breathing techniques (55%) were the most used components. Studies combining exercise with breathing techniques presented the larger effects on exercise capacity (weighted mean difference (WMD) −41.06, 95% CI −131.70–49.58) and health-related quality of life (WMD 16.07, 95% CI 10.29–21.84), and breathing techniques presented the larger effects on dyspnoea (WMD 1.90, 95% CI 0.53–3.27) and length of hospitalisation (effect size =0.15, 95% CI −0.28–0.57). A few minor adverse events were found.Pulmonary rehabilitation is a safe intervention during AECOPD. Exercise, breathing techniques, and education and psychosocial support seem to be the core components for implementing pulmonary rehabilitation during AECOPD. Studies may now focus on comparisons of optimal timings to start the intervention, total duration of the intervention, duration and frequency of sessions, and intensity for exercise prescription.

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Section: Discussionmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Design of pulmonary rehabilitation programmes during acute exacerbations of COPD: a systematic review and network meta-analysis

et al. 2020

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“…Twelve studies 42–47 , 49–54 identified the method of allocation concealment, and the outcome assessment was blinded in six studies. 42–45 , 52 , 54 A detailed assessment of risk of bias is provided in Figure 2A and B .…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies 43–45 , 49 , 50 , 52–54 (434 participants) provided numerical data for DoHS and were included in this part of the meta-analysis. Significant heterogeneity was not found (χ 2 = 6.95, P = 0.43; I 2 = 0%) and a fixed-effects model was used.…”

Section: Resultsmentioning

confidence: 99%

Pulmonary Rehabilitation Programmes Within Three Days of Hospitalization for Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis

Zhang¹,

Zhang²,

Li³

et al. 2021

COPD

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Objective To evaluate the efficacy and safety of early pulmonary rehabilitation (PR) (ie, <3 days of hospitalization) in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods Embase, Web of Science, PubMed and Cochrane Library were searched from their inception to 1 April 2021. Randomized controlled trials were included if they observed the efficacy of early PR in AECOPD patients. Study selection, data extraction, risk of bias and quality of evidence were assessed by two researchers independently. Assessment of the risk of bias and eidence quality were evaluated by the Cochrane Collaboration’s tool and Grading of Recommendations, Assessment, Development and Evaluation system, respectively. Results Fourteen trials (829 participants) were identified. Significant improvement was found in the 6-minute walk distance (6MWD; mean difference (MD): 69.64; 95% CI: 40.26 to 99.01; Z = 4.65, P < 0.0001, low quality). In the subgroup analysis, the exercise-training group showed marked improvement (MD: 96.14; 95% CI: 20.24 to 172.04; Z = 2.48, P = 0.001). The Saint George’s Respiratory Questionnaire (SGRQ) total score was low (MD: −12.77; 95% CI: −16.03 to −9.50; Z = 7.67, P < 0.0001, moderate quality). Significant effects were not found for the duration of hospital stay, quadriceps muscle strength or five times sit to stand test. Only one serious adverse event was reported in experimental group, which was not associated with early PR. Conclusion PR initiated <3 days of hospitalization may increase exercise capacity and improve quality of life, but the results should be interpreted prudently and dialectically, and the role of early PR in AECOPD needs further exploration.

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“…Nature Publishing Group, 27(1), p. 46, https://doi.org/10.1038/s41533-017-0046-6. Lopez-Lopez, L. et al (2019), "Results on health-related quality of life and functionality of a patient-centered self-management 22. program in hospitalized COPd: a randomized control trial", Disability and rehabilitation, England, pp. 1-9, https://doi.org/10.1080/09638288 .2019.1609099.…”

Section: висновки / дискусіяmentioning

confidence: 99%

Self-management strategy in training programs for patients with chronic obstructive pulmonary disease

Tymruk-Skoropad¹,

Павлова²,

Sydoryk³

2019

СНСВ

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Results on health-related quality of life and functionality of a patient-centered self-management program in hospitalized COPD: a randomized control trial

Cited by 16 publications

References 40 publications

Design of pulmonary rehabilitation programmes during acute exacerbations of COPD: a systematic review and network meta-analysis

Design of pulmonary rehabilitation programmes during acute exacerbations of COPD: a systematic review and network meta-analysis

Pulmonary Rehabilitation Programmes Within Three Days of Hospitalization for Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis

Self-management strategy in training programs for patients with chronic obstructive pulmonary disease

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