Chest Physiotherapy Techniques Administered by Certified Specialists to Hospitalized Patients with COVID-19 in Brazil: A Look towards Future Practice
Physiotherapy practice for hospitalized patients has been poorly reported worldwide. Moreover, physiotherapists ’ tasks differ among countries, hospital types, personal availability, and training, which hampers comparison and best practice assessment.1 (Source: Heart and Lung)
Source: Heart and Lung - June 12, 2023 Category: Intensive Care Authors: Marcia Souza Volpe, Let ícia Marcelino Sotelo Dias, Camila Ferreira Leite, Raquel Annoni, Flavia Marini Paro, Ana Carolina Otoni Oliveira, Marilita Accioly, Fernando Silva Guimaraes Source Type: research
Predictors of early mobilization in patients requiring VV ECMO for greater than 7 days: An international cohort study
Rehabilitation during critical illness, including early mobilization during mechanical ventilation, is both well described and can mitigate deconditioning during prolonged critical illness.1-4 Despite the demonstrated benefits of rehabilitation in preventing muscle atrophy, a highly prevalent complication of prolonged critical illness, active physical therapy and early mobilization are not universally performed during critical illness.5 This is even more true among the most critically ill patients, such as those receiving extracorporeal membrane oxygenation (ECMO). (Source: Heart and Lung)
Source: Heart and Lung - June 11, 2023 Category: Intensive Care Authors: Joseph E. Tonna, Michael Bailey, Darryl Abrams, Daniel Brodie, Carol L. Hodgson Source Type: research
Pediatric unplanned extubation risk score: A predictive model for risk assessment
Unplanned extubation is one of the most common preventable adverse events associated with invasive mechanical ventilation. (Source: Heart and Lung)
Source: Heart and Lung - June 10, 2023 Category: Intensive Care Authors: Val éria C. Neves, Camila G.R. Locatelli, Olivia Ramalho, Bruno S. Miranda, Adriana Koliski, Mônica L. Nunes, José E. Carreiro Source Type: research
A prediction model for assessing hypoglycemia risk in critically ill patients with sepsis
Sepsis is defined as organ dysfunction caused by a dysregulated host response to infection, which was considered one of the leading causes of death in intensive care unit (ICU) patients.1 Sepsis was estimated to cause 15% −56% mortality, placing a significant economic burden worldwide.2 Patients with sepsis often show varying degrees of abnormal blood glucose.3 Hypoglycemia is one of the important complications of sepsis and has been reported to be associated with a higher risk of death in patients with sepsis. (Source: Heart and Lung)
Source: Heart and Lung - June 9, 2023 Category: Intensive Care Authors: Hongyang Gao, Yang Zhao Source Type: research
Causal association of rheumatoid arthritis with obstructive lung disease: Evidence from Mendelian randomization study
Observational studies have found an association between rheumatoid arthritis (RA) and risk of obstructive lung disease (ORDs). However, whether RA plays a role in ORDs development remains unclear. (Source: Heart and Lung)
Source: Heart and Lung - June 9, 2023 Category: Intensive Care Authors: Ziqin Cao, Qiangxiang Li, Jianhuang Wu, Yajia Li Source Type: research
Prediction of worsening postoperative renal function in older candidates to elective cardiac surgery: Choosing the best eGFR formula may not be enough
Due to increased life expectancy and advancements in surgical techniques, cardiac surgery has been continuously extending to older adults over the last decades.1 However, surgical procedures in older patients are burdened by higher rates of morbidity and mortality2, mainly due to the presence of several pre-existing, chronic comorbidities. Among these, chronic kidney disease (CKD) has a recognized negative prognostic impact, with a higher risk of perioperative complications, including acute kidney injury (AKI), prolonged hospitalization and mortality. (Source: Heart and Lung)
Source: Heart and Lung - June 7, 2023 Category: Intensive Care Authors: Samuele Baldasseroni, Mauro Di Bari, Alessandra Pratesi, Giulia Rivasi, Pierluigi Stef àno, Giuseppe Olivo, Maria Laura Di Meo, Francesco Orso, Stefano Del Pace, Andrea Ungar, Niccolò Marchionni Source Type: research
Evaluation of the relationship of tricuspid regurgitation peak gradient/tricuspid annulus plane systolic excursion to exercise capacity, cardiac index, and ventilatory function during exercise in patients with COPD
Chronic obstructive pulmonary disease (COPD) is a global health problem and the third leading cause of death.1 The incidence of COPD is expected to increase in the coming decades owing to continued exposure to noxious substances and an aging population.2 COPD is characterized by shortness of breath, wheezing, coughing or excessive sputum production, resulting in poor health-related quality of life.1 Many patients with COPD experience progressive disease and deteriorated cardiovascular function.1 These patients tend to have exercise intolerance and higher mortality rates. (Source: Heart and Lung)
Source: Heart and Lung - June 7, 2023 Category: Intensive Care Authors: Chou-Chin Lan, Kuan-Hung Yeh, I-Shiang Tzeng, Po-Chun Hsieh, Mei-Chen Yang, Chih-Wei Wu, Wen-Lin Su, Yao-Kuang Wu Source Type: research
Effects of high intensity interval-based inspiratory muscle training in patients with heart failure: A single-blind randomized controlled trial
Heart failure (HF) is a life-threatening healthcare problem associated with high mortality, morbidity and costs worldwide.1,2 HF causes a substantial reduction in quality of life linked to exercise intolerance.3,4 The causes of exercise intolerance in HF with both reduced and preserved ejection fraction are multifactorial, including autonomic, vascular, and skeletal muscle dysfunctions.3,4 (Source: Heart and Lung)
Source: Heart and Lung - June 6, 2023 Category: Intensive Care Authors: Aylin Tanriverdi, Sema Savci, Buse Ozcan Kahraman, Huseyin Odaman, Ebru Ozpelit, Bihter Senturk, Ismail Ozsoy, Agah Baran, Bahri Akdeniz, Serap Acar, Ali Balci Source Type: research
Combination of low muscle strength and malnutrition is associated with longer length of hospital stay among older patients with heart failure
Heart failure (HF) affects approximately 26 million people worldwide, and this high prevalence has a serious negative impact on public health.1 In particular, the prevalence of HF is more likely to increase with advancing age,2,3 and HF in older adults leads to high mortality, frequent readmission, and prolonged length of hospital stay (LOHS).1,4 Among these, a long LOHS imposes a large economic burden on the healthcare system.5 (Source: Heart and Lung)
Source: Heart and Lung - June 6, 2023 Category: Intensive Care Authors: Iwao Kojima, Shingo Koyama, Yuhei Otobe, Mizue Suzuki, Shu Tanaka, Yusuke Terao, Takuya Aoki, Yosuke Kimura, Hiroaki Masuda, Reon Abe, Kenya Nishizawa, Minoru Yamada Source Type: research
Comment on “A new risk score for the assessment of outcomes for Chinese patients with peripartum cardiomyopathy”
We read with great interest the article by Zhang et al.1 The authors developed a new score to assess peripartum cardiomyopathy (PPCM), specifically a risk score consisting of pericardial effusion, left ventricular dilatation and D-dimer levels ≥0.5 μg/mL is helpful in screening for PPCM patients,and a risk score consisting of pulmonary hypertension, lower haemoglobin and worse LVEF can help assess the prognosis of PPCM patients. It is well known that there are not many clinical predictive models for PPCM patients, so the author should be commended for his choice of topic and his efforts. (Source: Heart and Lung)
Source: Heart and Lung - June 6, 2023 Category: Intensive Care Authors: Gen Ba, Qifang Shi Source Type: research
Respiratory and non-respiratory symptoms in patients with IPF or sarcoidosis and controls
The two most common types of interstitial lung diseases (ILDs) are idiopathic pulmonary fibrosis (IPF)1 –3 and pulmonary sarcoidosis4. Although these diseases have different pathophysiology and prognosis, patients with IPF or sarcoidosis usually experience distressing respiratory symptoms like dyspnoea and cough. In addition, non-respiratory symptoms, like fatigue, muscle weakness and depression5– 7, can also contribute to a severely reduced quality of life.8,9 Most ILD research focused on a limited number of respiratory and/or non-respiratory symptoms. (Source: Heart and Lung)
Source: Heart and Lung - June 2, 2023 Category: Intensive Care Authors: Ada E.M. Bloem, Sarah Houben-Wilke, R émy L.M. Mostard, Naomi Stoot, Daisy J.A. Janssen, Frits M.E. Franssen, Jan W.H. Custers, Martijn A. Spruit Source Type: research
Pulmonary arterial hypertension trials put to the test: Using the fragility index to assess trials robustness
Randomized clinical trials (RCTs) are considered the gold standard of evidence-based medicine due to their statistical reliability and reduced risk of bias.1 In RCTs, the null hypothesis is rejected if the P-value is less than 0.05, indicating statistical significance. However, P-values alone may not accurately reflect the robustness of the RCT results.2 (Source: Heart and Lung)
Source: Heart and Lung - June 2, 2023 Category: Intensive Care Authors: Marcos Vinicius Fernandes Garcia, Angel Coz-Yataco, Mohammed J. Al-Jaghbeer Source Type: research
Effect of different titration methods on right heart function and prognosis in patients with acute respiratory distress syndrome
: Acute respiratory distress syndrome (ARDS) is a common disease in intensive critical care(ICU), and the use of positive end-expiratory pressure(PEEP) during mechanical ventilation can increase the right heart afterload and eventually cause right heart dysfunction. For these factors causing acute cor pulmonale(ACP), especially inappropriate mechanical ventilation settings, it is important to explore the effect of PEEP on right heart function. (Source: Heart and Lung)
Source: Heart and Lung - May 29, 2023 Category: Intensive Care Authors: Daoran Dong, Chengqiao Jing, Yuan Zong, Yan Wang, Jiawei Ren Source Type: research
Thirty-Day Readmissions Among COVID-19 Patients Hospitalized During the Early Pandemic in the United States: Insights from the Nationwide Readmissions Database
Hospital readmissions are core indicators of the quality of health care provision. (Source: Heart and Lung)
Source: Heart and Lung - May 29, 2023 Category: Intensive Care Authors: Taimur Sohail Muzammil, Karthik Gangu, Adeel Nasrullah, Harris Majeed, Prabal Chourasia, Aneish Bobba, Rahul Shekhar, Christopher Bartlett, Abu Baker Sheikh Source Type: research
High-frequency chest wall oscillation multiple times daily can better reduce the loss of pulmonary surfactant and improve lung compliance in mechanically ventilated patients
In intensive care unit patients, the prevalence of ventilator-associated lung injury continues to be high due to the patient's severe organ dysfunction and specific treatment measures such as analgesia sedation and external pipeline management 1.2. The causes are related to dysfunction of airway secretion clearance, edema caused by pulmonary capillary permeability changes, lung compliance, and respiratory muscle weakness caused by ICU-acquired weakness3. Airway clearance techniques (ACT) are needed to coordinate airway secretion clearance and pulmonary function rehabilitation in severe cases. (Source: Heart and Lung)
Source: Heart and Lung - May 27, 2023 Category: Intensive Care Authors: Jiaqi Ge, Yinjie Ye, Yongfei Tan, Fang Liu, Yan Jiang, Junjie Lu Source Type: research
