Pulmonary Rehabilitation for Indigenous Adults with Chronic Obstructive Pulmonary Disease in Australia, Canada, New Zealand and the United States of America: A Systematic Review

The purpose of this research was to replicate a study undertaken with different cohorts of clients and their caregivers in both Australia and the United States of America (USA). The researcher wanted to establish better local information, through the use of a survey, about the needs of informal caregivers who provide physical and emotional care, rehabilitation and supervision of treatments for patients with Chronic Obstructive Pulmonary Disease (COPD), at home. Contemporary feedback about what caregivers perceive as critical to their ability to provide care in the home environment was identified. Health services, particularly professionals such as nurses within those services, need to respond appropriately to these needs.

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Faculty Opinions recommendation of Outcomes of noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease in the United States, 1998-2008.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.14213961.15729061 ◽

2012 ◽

Author(s):

Stefano Nava ◽

Raffaele Scala

Keyword(s):

United States ◽

Chronic Obstructive Pulmonary Disease ◽

Pulmonary Disease ◽

Noninvasive Ventilation ◽

The United States ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease ◽

Acute Exacerbations

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Safety and efficacy of inpatient pulmonary rehabilitation for patients hospitalised with an acute exacerbation of chronic obstructive pulmonary disease: a systematic review protocol

BMJ Open ◽

10.1136/bmjopen-2020-043377 ◽

2021 ◽

Vol 11 (6) ◽

pp. e043377

Author(s):

Kai Zhu ◽

Jagdeep Gill ◽

Ashley Kirkham ◽

Joel Chen ◽

Amy Ellis ◽

...

Keyword(s):

Systematic Review ◽

Chronic Obstructive Pulmonary Disease ◽

Pulmonary Disease ◽

Acute Exacerbation ◽

Pulmonary Rehabilitation ◽

Meta Analysis ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease ◽

Safety And Efficacy

IntroductionPulmonary rehabilitation (PR) following an acute exacerbation of chronic obstructive pulmonary disease (AECOPD) reduces the risk of hospital admissions, and improves physical function and health-related quality of life. However, the safety and efficacy of in-hospital PR during the most acute phase of an AECOPD is not well established. This paper describes the protocol for a systematic review with meta-analysis to determine the safety and efficacy of inpatient acute care PR during the hospitalisation phase.Methods and analysisMedical literature databases and registries MEDLINE, EMBASE, Physiotherapy Evidence Database, Cumulative Index to Nursing and Allied Health Literature, Canadian Agency for Drugs and Technologies in Health, CENTRAL, Allied and Complementary Medicine Database, WHO trials portal and ClinicalTrials.gov will be searched for articles from inception to June 2021 using a prespecified search strategy. We will identify randomised controlled trials that have a comparison of in-hospital PR with usual care. PR programmes had to commence during the hospitalisation and include a minimum of two sessions. Title and abstract followed by full-text screening will be conducted independently by two reviewers. A meta-analysis will be performed if there is sufficient homogeneity across selected studies or groups of studies. The Population, Intervention, Comparator, Outcomes and Study characteristics framework will be used to standardise the data collection process. The quality of the cumulative evidence will be assessed using the Grading of Recommendations, Assessment, Development and Evaluations framework.Ethics and disseminationAECOPD results in physical limitations which are amenable to PR. This review will assess the safety and efficacy of in-hospital PR for AECOPD. The results will be presented in a peer-reviewed publication and at research conferences. Ethical review is not required for this study.

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