The effectiveness of pulmonary rehabilitation in connection with lung transplantation in Hungary

Kerti, Mária; Bohács, Anikó; Madurka, Ildikó; Kovats, Zsuzsanna; Gieszer, Balázs; Elek, Jenö; Rényi-Vámos, F; Varga, János

doi:10.21037/apm-20-1783

Cited by 12 publications

(26 citation statements)

References 45 publications

(48 reference statements)

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“…Lung transplantation patients have a long course of disease, and most of them have a poor basic physical condition, and their autonomous motor ability and living activity ability are decreased. Even after lung transplantation, these basic physical conditions will continue to impair patients' motor ability due to surgical trauma and recovery times (13,14). During lung transplantation, the innervation of the transplanted lung needs to be removed, resulting in phrenic nerve injury and weakened auxiliary muscle strength.…”

Section: Rapid Pulmonary Rehabilitation Can Shorten the Length Of Hos...mentioning

confidence: 99%

The effect of early tracheal extubation combined with physical training on pulmonary rehabilitation of patients after lung transplantation: a randomized controlled trial

Wu¹,

Zhou²,

Wu³

et al. 2022

J Thorac Dis

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Background: This study aimed to explore the effect of early extubation combined with physical training on pulmonary rehabilitation of patients after lung transplantation. Methods: This is an open parallel randomized controlled trial. A total of 96 lung transplant patients admitted to Wuxi People's Hospital (July 2018 to June 2019) were included. Inclusion criteria: (I) aged 18-75; (II) lung transplantation; (III) communicate normally; (IV) voluntary participation. According to the random number method, they were divided into the control group (routine nursing intervention) and the observation group (early extubation combined with a physical training program). The indwelling tracheal intubation time, discharge time, intensive care unit (ICU) stay time, lung function, 6 Minutes Walk Distance (6MWD), Modified Barthel Index (MBI) and satisfaction rate were recorded and analyzed. Results:The observation group's first-time postoperative ambulation (t=2.10, P=0.039), indwelling tracheal intubation time (Z=2.864, P=0.004), and discharge time (t=3.111, P<0.001) were shorter than the control group, while the difference of ICU stay time was not statistically significant (Z=−1.658, P=0.097).Before treatment, there was no significant difference in the lung function, 6MWD, and MBI of the two groups (P>0.05). After treatment, the Forced Expiratory Volume In 1 s (FEV1)% (t=−2.707, P<0.001), forced vital capacity (FVC)% (t=−3.716, P<0.001), FEV1/FVC (t=−3.539, P<0.001), 6MWD (t=−5.567, P<0.001), and MBI indexes (t=−4.073, P<0.001) were better than in observation group. The satisfaction rate of the observation group was better than the control group (P<0.05).Conclusions: For lung transplant recipients, early extubation combined with a physical training program is scientific, safe, and feasible. This approach is helpful to promote the postoperative recovery of lung transplant patients, reduce the length of hospitalization, help patients improve their lung function and ability to engage in activities of daily living, and increase the satisfaction rate of postoperative recovery. Results show that the combination of early extubation and a physical training program is worthy of clinical promotion for lung transplant recipients.

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Section: Rapid Pulmonary Rehabilitation Can Shorten the Length Of Hos...mentioning

confidence: 99%

The effect of early tracheal extubation combined with physical training on pulmonary rehabilitation of patients after lung transplantation: a randomized controlled trial

Wu¹,

Zhou²,

Wu³

et al. 2022

J Thorac Dis

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“…To date, we are facing huge challenges, in particular, the imbalance of supply and demand among donors. This can result in an average waiting list of 326 days in the UK [ 2 ]. During this time, LTx candidates continue to suffer from medical chronicity, ventilatory restriction, training intolerance, and inactivity in everyday activities [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…This can result in an average waiting list of 326 days in the UK [ 2 ]. During this time, LTx candidates continue to suffer from medical chronicity, ventilatory restriction, training intolerance, and inactivity in everyday activities [ 2 ]. Quality of life (QoL) and peripheral and diaphragmatic muscle impairment are manifested [ 1 , 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…During this time, LTx candidates continue to suffer from medical chronicity, ventilatory restriction, training intolerance, and inactivity in everyday activities [ 2 ]. Quality of life (QoL) and peripheral and diaphragmatic muscle impairment are manifested [ 1 , 2 , 3 ]. Therefore, it is primordial to maintain a minimum daily functional capacity and prevent more complications [ 1 , 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, it is primordial to maintain a minimum daily functional capacity and prevent more complications [ 1 , 4 , 5 ]. Lung transplant rehabilitation is a highly recommended therapy for patients with long-term lung diseases who are simultaneously recovering after a transplant operation or candidates for LTx, [ 1 , 2 ]. There is a significant improvement in pulmonary functions after transplantation.…”

Section: Introductionmentioning

confidence: 99%

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Lung Transplant Rehabilitation—A Review

Abidi

Kovats

Bohács

et al. 2023

Life

Self Cite

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Background: Both lung transplant recipients and candidates are characterised by reduced training capacity and low average quality of life (QoL). This review investigates the impact of training on exercise ability and QoL in patients before and after lung transplant. Methods: Searches were conducted from the beginning to 7 March 2022 using the terms “exercise,” “rehabilitation,” “lung transplant,” “exercise ability,” “survival,” “quality of life” and “telerehabilitation” in six databases, including Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, CINAHL, Nursing and Allied Health, and Scopus. The inclusion criteria were studies evaluating the effects of an exercise training programme concurrent with lung transplantation as well as patients and candidates (>18 years old) through any lung diseases. The term “lung transplant rehabilitation” was used to refer to all carefully thought-out physical activities with the ultimate or intermediate objective of improving or maintaining physical health. Results: Out of 1422 articles, 10 clinical- and 3 telerehabilitation studies, candidates (n = 420) and recipients (n = 116) were related to the criteria and included in this review. The main outcome significantly improved in all studies. The 6-min walk distance, maximum exercise capacity, peak oxygen uptake, or endurance for constant load rate cycling improved measuring physical activity [aerobic exercises, breathing training, and aerobic and inspiratory muscle training sessions (IMT)]. Overall scores for dyspnoea improved after exercise training. Furthermore, health-related quality of life (HRQOL) also improved after aerobic exercise training, which was performed unsupervised or accompanied by breathing sessions. Aerobic training alone rather than combined with inspiratory muscle- (IMT) or breathing training enhanced exercise capacity. Conclusion: In conclusion, rehabilitation programmes seem to be beneficial to patients both preceding and following lung transplantation. More studies are required to determine the best training settings in terms of time scale, frequency, and work intensity in terms of improving exercise ability, dyspnoea, and HRQOL.

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Optimizing cardiopulmonary rehabilitation duration for long COVID patients: an exercise physiology monitoring approach

Szarvas,

Fekete,

Szollosi

et al. 2024

GeroScience

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The presence of prolonged symptoms after COVID infection worsens the workability and quality of life. 200 adults with long COVID syndrome were enrolled after medical, physical, and mental screening, and were divided into two groups based on their performance. The intervention group (n = 100) received supervised rehabilitation at Department of Pulmonology, Semmelweis University with the registration number 160/2021 between 01/APR/2021–31/DEC/2022, while an age-matched control group (n = 100) received a single check-up. To evaluate the long-term effects of the rehabilitation, the intervention group was involved in a 2- and 3-month follow-up, carrying out cardiopulmonary exercise test. Our study contributes understanding long COVID rehabilitation, emphasizing the potential benefits of structured cardiopulmonary rehabilitation in enhancing patient outcomes and well-being. Significant difference was found between intervention group and control group at baseline visit in pulmonary parameters, as forced vital capacity, forced expiratory volume, forced expiratory volume, transfer factor for carbon monoxide, transfer coefficient for carbon monoxide, and oxygen saturation (all p < 0.05). Our follow-up study proved that a 2-week long, patient-centered pulmonary rehabilitation program has a positive long-term effect on people with symptomatic long COVID syndrome. Our data showed significant improvement between two and three months in maximal oxygen consumption (p < 0.05). Multidisciplinary, individualized approach may be a key element of a successful cardiopulmonary rehabilitation in long COVID conditions, which improves workload, quality of life, respiratory function, and status of patients with long COVID syndrome.

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The effectiveness of pulmonary rehabilitation in connection with lung transplantation in Hungary

Cited by 12 publications

References 45 publications

The effect of early tracheal extubation combined with physical training on pulmonary rehabilitation of patients after lung transplantation: a randomized controlled trial

The effect of early tracheal extubation combined with physical training on pulmonary rehabilitation of patients after lung transplantation: a randomized controlled trial

Lung Transplant Rehabilitation—A Review

Optimizing cardiopulmonary rehabilitation duration for long COVID patients: an exercise physiology monitoring approach

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