Exercise testing to guide safe discharge from hospital in COVID-19: a scoping review to identify candidate tests.
ACCIDENT & EMERGENCY MEDICINE
COVID-19
Heart failure
Respiratory infections
Respiratory physiology
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
31 10 2023
31 10 2023
Historique:
medline:
2
11
2023
pubmed:
1
11
2023
entrez:
31
10
2023
Statut:
epublish
Résumé
We aimed to identify exercise tests that have been validated to support a safe discharge to home in patients with or without COVID-19. Scoping review, using PRISMA-ScR reporting standards. Medline, PubMed, AMED, Embase, CINAHL and LitCovid databases were searched between 16 and 22 February 2021, with studies included from any publication date up to and including the search date. Short exercise tests. Safe discharge from hospital, readmission rate, length of hospital stay, mortality. Secondary outcomes measures: safety, feasibility and reliability. Of 1612 original records screened, 19 studies were included in the analysis. These used a variety of exercise tests in patients with chronic obstructive pulmonary disease, suspected pulmonary embolism and pneumocystis carinii pneumonia, heart failure or critical illness. Only six studies had examined patients with COVID-19, of these two were still recruiting to evaluate the 1 min sit-to-stand test and the 40-steps test. There was heterogeneity in patient populations, tests used and outcome measures. Few exercise tests have been validated to support discharge decisions. There is currently no support for short exercise tests for triage of care in patients with COVID-19. Further research is needed to aid clinical decision-making at discharge from hospital.
Identifiants
pubmed: 37907292
pii: bmjopen-2022-068169
doi: 10.1136/bmjopen-2022-068169
pmc: PMC10619037
doi:
Types de publication
Systematic Review
Review
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e068169Informations de copyright
© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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