Smoking and pulmonary complications: respiratory prehabilitation

Varga, János

doi:10.21037/jtd.2018.12.11

Cited by 25 publications

(33 citation statements)

References 41 publications

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“…Postoperative complications (CD ≥IIIa) in these three patients varied; two of them had CR-POPF. Considering our results, frail patients undergoing pancreaticoduodenectomy should have preoperative prehabilitation, especially respiratory prehabilitation 31 . In a study by Varga JT 31 , a respiratory prehabilitation program provided a positive effect on the cardiovascular system, metabolism, muscles, and lung mechanics, resulting in optimal functional condition and less postoperative complication.…”

Section: Discussionmentioning

confidence: 71%

Frailty is a useful predictive marker of postoperative complications after pancreaticoduodenectomy

Nakano

Hirata²,

Shimogawara³

et al. 2020

Preprint

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BACKGROUND: Frailty results in a high risk for disability, hospitalization, and mortality. This study aimed to investigate perioperative details of frail patients who underwent pancreatectomy and whether frailty can be a predictive factor of postoperative complications, especially of clinically relevant postoperative pancreatic fistula (CR-POPF).METHODS: This retrospective study included patients who underwent pancreatectomy in our hospital between August 2016 and March 2019. The patients were divided into frail and pre-/non-frail groups. The diagnostic criteria were based on the Japanese version of the Cardiovascular Health Study.RESULTS: Of 93 patients, 11 (11.8%) and 82 (88.2%) were frail and pre-/non-frail patients, with median ages of 82 and 72 years, respectively (p=0.041). Postoperative complications (Clavien-Dindo ≧IIIa) were found in 8 and 32 patients (p=0.034), CR-POPF in 3 and 13 patients (p=0.346), and postoperative hospital stays were 21 and 17 days (p=0.041), respectively. On multivariate analysis, frailty was an independent predictive factor (odds ratio [OR] 5.604, 95.0% confidence interval [CI] 1.002-30.734; p=0.047) of postoperative complications (Clavien-Dindo ≧IIIa) after pancreaticoduodenectomy. On multivariate analysis, a soft pancreas (OR 5.696, 95.0% CI 1.142-28.149; p=0.034) was an independent and significant predictive factor of CR-POPF after pancreaticoduodenectomy.CONCLUSIONS: Frailty may be a useful predictive factor of postoperative complications in patients undergoing pancreaticoduodenectomy.

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Section: Discussionmentioning

confidence: 71%

Frailty is a useful predictive marker of postoperative complications after pancreaticoduodenectomy

Nakano

Hirata²,

Shimogawara³

et al. 2020

Preprint

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“…vs. 54 (44-64); p < 0.001). This particular group also performed shorter 6-minute walking distance (250 (150-330) vs. 277 (162-360); p = 0.235), they experienced worse dyspnoe on the mMRC (p = 0.714), they also had lower quality of life and they had signi cantly more exacerbations in the previous years (3 (1)(2)(3)(4)(5)(6) vs. 1 (0-3); p < 0.001) compared to those who did not suffer from MetS (Table 7).…”

Section: Resultsmentioning

confidence: 93%

“…The prevalence of MetS in the entire patient population was 59.1%: it was signi cantly more common in women (67.6%) (142/210) than in men (49.7%) (95/191; p < 0.001) ( Table 6). CRP serum levels were measured higher in patients with metabolic syndrome, however the difference was not signi cant (7.0 (2-18) vs. 5.1 (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17); p = 0.064) ( Table 7). vs. 54 (44-64); p < 0.001).…”

Section: Resultsmentioning

confidence: 95%

“…The most recent GOLD recommendation on the diagnosis, treatment and prevention of COPD [16] highlighted the importance of comorbidities. In particular, cardiovascular disease, hypertension, lung cancer, depression, osteoporosis, and metabolic disorders such as type 2 diabetes, metabolic syndrome, as they signi cantly affect the prognosis, and some of them are the most common causes of death even in mild COPD [17].…”

Section: Discussionmentioning

confidence: 99%

“…Chronic obstructive pulmonary disease is a terminal disease of the respiratory system, in addition it is currently the fourth leading cause of death worldwide, however according to some predictions it will become the third leading cause of mortality until 2030 [1]. One of the most important risk factors of developing chronic obstructive pulmonary disease is smoking [2]. Patients living with COPD are also at higher risk of developing cardiovascular diseases, osteoporosis, anxiety and depression, pulmonary cancer, metabolic syndrome, anemia and other diseases [3].…”

Section: Introductionmentioning

confidence: 99%

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Metabolic and Inflammatory Profile in Patients with COPD

Fekete

Szöllösi

Tarantini

et al. 2020

Preprint

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Background: In COPD, aside from obesity, decreased physical activity significantly increases the probability of developing metabolic syndrome, which can have a great impact on the natural course of COPD. Objective: The purpose of our study was to evaluate the prevalence of metabolic syndrome and whether it is related to age, sex, comorbidities, drug intake, degree of impairment of lung function, nutritional status, physical activity and quality of life. Methods: A cross-sectional study was performed on patients in Budapest at the Department of Pulmonary Rehabilitation of the National Koranyi Institute of Pulmonology between March 1, 2019 and March 1, 2020. The anthropometric and respiratory function tests and laboratory parameters of a random sample of 401 patients were known. Metabolic syndrome was determined according to IDF criteria and by definition CRP levels above 5.0 mg/L were considered elevated. Results: Metabolic syndrome occurred in 59.1% of COPD patients, male: 49.7% female: 67.6% (p <0.001). Patients with metabolic syndrome had worse FEV1%pred (43 (30-56) vs. 47 (36-61); p=0.028), lower 6MWD (250 (150-330) vs. 277 (162-360); p=0.235), lower quality of life, and significantly higher number of exacerbations (3 (1-6) vs.1 (0-3); p <0.001), than patients without metabolic syndrome. C-Reactive protein level was elevated in 55.1% of patients, higher in patients with metabolic syndrome, but the difference was not significant (7.0 (2-18) vs. 5.1 (1-17); p = 0.064). Conclusions: MetS can affect respiratory function, physical activity, quality of life and the number of exacerbations and is related to nutritional status and the level of systemic inflammation.

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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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Smoking and pulmonary complications: respiratory prehabilitation

Cited by 25 publications

References 41 publications

Frailty is a useful predictive marker of postoperative complications after pancreaticoduodenectomy

Frailty is a useful predictive marker of postoperative complications after pancreaticoduodenectomy

Metabolic and Inflammatory Profile in Patients with COPD

Role of new digital technologies and telemedicine in pulmonary rehabilitation

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