Efficacy of Physiotherapy Interventions on Weaning in Mechanically Ventilated Critically Ill Patients: A Systematic Review and Meta-Analysis.
intensive care
mechanical ventilation
physiotherapy
rehabilitation
weaning
Journal
Frontiers in medicine
ISSN: 2296-858X
Titre abrégé: Front Med (Lausanne)
Pays: Switzerland
ID NLM: 101648047
Informations de publication
Date de publication:
2022
2022
Historique:
received:
03
03
2022
accepted:
07
04
2022
entrez:
26
5
2022
pubmed:
27
5
2022
medline:
27
5
2022
Statut:
epublish
Résumé
Mechanical ventilation (MV) is currently considered a life-saving intervention. However, growing evidence highlighted that prolonged MV significantly affects functional outcomes and length of stay. In this scenario, controversies are still open about the optimal rehabilitation strategies for improving MV duration in ICU patients. In addition, the efficacy of physiotherapy interventions in critical ill patients without positive history of chronic respiratory conditions is still debated. Therefore, this systematic review of randomized controlled trials (RCTs) with meta-analysis aimed at characterizing the efficacy of a comprehensive physiotherapy intervention in critically ill patients. PubMed, Scopus, and Web of Science databases were systematically searched up to October 22, 2021 to identify RCTs assessing acute patients mechanical ventilated in ICU setting undergoing a rehabilitative intervention. The primary outcomes were MV duration, extubation, and weaning time. The secondary outcomes were weaning successful rate, respiratory function, ICU discharge rate and length of stay. Out of 2503 records, 12 studies were included in the present work. The meta-analysis performed in 6 RCTs showed a significant improvement in terms of MV duration (overall effect size: -3.23 days; 95% CI = -5.79, -0.67,
Identifiants
pubmed: 35615094
doi: 10.3389/fmed.2022.889218
pmc: PMC9124783
doi:
Types de publication
Systematic Review
Langues
eng
Pagination
889218Informations de copyright
Copyright © 2022 Lippi, de Sire, D’Abrosca, Polla, Marotta, Castello, Ammendolia, Molinari and Invernizzi.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Materials (Basel). 2013 Dec 04;6(12):5639-5658
pubmed: 28788414
Crit Care Med. 2015 Feb;43(2):282-7
pubmed: 25377018
Ann Transl Med. 2018 Oct;6(19):384
pubmed: 30460258
Aust J Physiother. 2006;52(4):267-71
pubmed: 17132121
Eur Respir J. 2007 May;29(5):1033-56
pubmed: 17470624
Crit Care. 2015 Feb 24;19:48
pubmed: 25887887
Arch Phys Med Rehabil. 2020 Nov;101(11):2002-2014
pubmed: 32750371
Crit Care. 2011;15(2):R84
pubmed: 21385346
Acute Crit Care. 2019 Feb;34(1):1-13
pubmed: 31723900
Rehabil Nurs. 2001 Nov-Dec;26(6):216-20, 244
pubmed: 12035721
Am J Respir Crit Care Med. 2018 Jan 15;197(2):204-213
pubmed: 28930478
Front Med (Lausanne). 2021 Feb 04;8:544826
pubmed: 33634144
Am J Respir Crit Care Med. 2017 Mar 15;195(6):772-783
pubmed: 27626706
Crit Care. 2019 Jul 24;23(1):261
pubmed: 31340846
Medicine (Baltimore). 2021 Apr 16;100(15):e25314
pubmed: 33847630
BMC Pulm Med. 2021 Mar 29;21(1):106
pubmed: 33781259
F1000Res. 2019 Apr 17;8:
pubmed: 31069055
Aust Crit Care. 2019 May;32(3):249-255
pubmed: 30007823
Crit Care. 2010;14(6):245
pubmed: 21143773
PLoS One. 2021 Aug 26;16(8):e0255431
pubmed: 34437582
J Crit Care. 2018 Oct;47:204-210
pubmed: 30025227
Am J Respir Crit Care Med. 2017 Jan 1;195(1):120-133
pubmed: 27762595
AMIA Annu Symp Proc. 2006;:359-63
pubmed: 17238363
Am J Respir Crit Care Med. 2014 Dec 15;190(12):1437-46
pubmed: 25496103
Front Med (Lausanne). 2021 Oct 28;8:735860
pubmed: 34778298
Open Respir Med J. 2020 Dec 18;14:62-66
pubmed: 33425068
BMC Med Res Methodol. 2005 Apr 20;5:13
pubmed: 15840177
Clin Interv Aging. 2012;7:437-43
pubmed: 23118533
JAMA. 2002 Jan 16;287(3):345-55
pubmed: 11790214
Lancet Respir Med. 2015 Jul;3(7):544-53
pubmed: 26003390
J Intensive Care. 2017 Jun 2;5:33
pubmed: 28588895
Intensive Care Med. 2019 Aug;45(8):1061-1071
pubmed: 31236639
Sports Med. 2002;32(9):567-81
pubmed: 12096930
Crit Care Clin. 2018 Jul;34(3):383-394
pubmed: 29907271
J Physiother. 2015 Jul;61(3):125-34
pubmed: 26092389
Eur J Phys Rehabil Med. 2020 Aug;56(4):515-524
pubmed: 32434314
Lancet. 2010 Oct 16;376(9749):1339-46
pubmed: 20934212
Crit Care. 2020 Mar 24;24(1):103
pubmed: 32204719
Front Med (Lausanne). 2021 Jun 28;8:692898
pubmed: 34262919
Am Rev Respir Dis. 1989 Aug;140(2 Pt 2):S14-8
pubmed: 2669583
J Clin Med. 2019 Sep 13;8(9):
pubmed: 31540240
Ann Phys Rehabil Med. 2020 Nov;63(6):554-556
pubmed: 32315802
Dtsch Arztebl Int. 2020 Mar 20;117(12):197-204
pubmed: 32343653
PLoS One. 2019 Oct 3;14(10):e0223185
pubmed: 31581205
J Bras Pneumol. 2012 Jul-Aug;38(4):477-86
pubmed: 22964932
Syst Rev. 2015 Sep 29;4:130
pubmed: 26419458
Rev Esp Cardiol (Engl Ed). 2021 Sep;74(9):790-799
pubmed: 34446261
Crit Care. 2015 Jun 11;19:246
pubmed: 26580673
BMJ. 2019 Aug 28;366:l4898
pubmed: 31462531
Intensive Crit Care Nurs. 2015 Jun;31(3):125-32
pubmed: 26026495
Ann Am Thorac Soc. 2018 Jun;15(6):735-744
pubmed: 29584447
Eur Respir J. 2012 Feb;39(2):487-92
pubmed: 22135278
Arch Phys Med Rehabil. 2017 May;98(5):931-939
pubmed: 27979608
J Physiother. 2010;56(3):171-7
pubmed: 20795923
Am J Respir Crit Care Med. 2013 Oct 15;188(8):e13-64
pubmed: 24127811
Clinics (Sao Paulo). 2018 Dec 03;73:e723
pubmed: 30517307
Indian J Crit Care Med. 2010 Apr;14(2):70-6
pubmed: 20859490
Crit Care. 2013 Feb 28;17(1):207
pubmed: 23672747
Int J Chron Obstruct Pulmon Dis. 2019 Nov 22;14:2575-2585
pubmed: 31819395
Am J Respir Crit Care Med. 2016 Oct 1;194(7):831-844
pubmed: 26974173
Int J Chron Obstruct Pulmon Dis. 2008;3(1):149-53
pubmed: 18488438
Eur Respir Rev. 2017 Feb 21;26(143):
pubmed: 28223396
Can Respir J. 2016;2016:5624315
pubmed: 27445550
Ann Intern Med. 2010 Aug 3;153(3):167-75
pubmed: 20679561
Med Intensiva (Engl Ed). 2019 Mar;43(2):79-89
pubmed: 29398169
Cochrane Database Syst Rev. 2014 Sep 09;(9):CD008638
pubmed: 25203308