Safety and Efficacy of Incentive Spirometer in Covid-19 Pneumonia; a Randomized Clinical Trial.
Introduction: Various treatment protocols have been recommended since the beginning of the COVID-19 pandemic and have gradually evolved. This study aimed to assess the effectiveness and safety of incentive spirometer exercise (ISE) in outcomes of hospitalized patients with moderate-to-severe COVID-1...
| Publicado en: | Archives of Academic Emergency Medicine Vol. 12; no. 1; pp. 1 - 10 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Shahid Beheshti University of Medical Sciences
2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181741167&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181741167 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26454904 MFMK jtl: Archives of Academic Emergency Medicine issn: 26454904 maglogo: N pubinfo: dt: 2024 vid: 12 iid: 1 pid: 87963 pub: Shahid Beheshti University of Medical Sciences artinfo: ui: 181741167 181741167 181741167 10.22037/aaem.v12i1.2244 181741167 ppf: 1 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Safety and Efficacy of Incentive Spirometer in Covid-19 Pneumonia; a Randomized Clinical Trial. aug: au: Bargahi, Mohammad Alavi-Moghaddam, Mostafa Karimi, Mehdi Azizan, Zahra Jafarzadeh, Fateme Javaherian, Mohammad Soleimantabar, Hussein Mirbehbahani, Seyed Hamidreza affil: Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. sug: subj: COVID-19 Therapy Pneumonia Therapy Breathing Exercises Methods Training Effect (Physiology) Patient Safety Human Iran Funding Source Randomized Controlled Trials Random Assignment Iran Academic Medical Centers Single-Blind Studies Male Female Adult Middle Age Oxygen Saturation Length of Stay Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Introduction: Various treatment protocols have been recommended since the beginning of the COVID-19 pandemic and have gradually evolved. This study aimed to assess the effectiveness and safety of incentive spirometer exercise (ISE) in outcomes of hospitalized patients with moderate-to-severe COVID-19 pneumonia. Methods: A 3-month single-blind, two parallel-armed randomized controlled trial was conducted at Imam Hossein Hospital, Tehran, Iran. Participants aged >18 years with documented COVID-19 pneumonia were randomly allocated to 2 groups of IS (ISE in addition to the usual treatment) and control (usual care alone). The IS group was also asked to perform ISE after discharge for three months. The primary outcomes were peripheral O2 saturation (SpO2), VBG parameters (pCO2, PH, HCO3), dyspnea level measured by Modified Borg Scale (MBS), length of hospital stay (LOS), and respiratory rate (RR). Secondary outcomes included mortality rate, intubation rate (IR), and ICU admission rate. Results: A total of 160 eligible patients were randomly assigned to either the IS (n = 80) or control (n=80) groups. Although there were no significant differences in primary and secondary outcomes between the groups post-intervention, adjusted analysis showed that participants allocated to the IS group had significantly higher SpO2 levels and lower RR, MBS levels, and LOS. Also, the adjusted model analysis showed a marginal statistically significant difference between groups in secondary outcomes, such as IR, the 1-month mortality rate, and the 3-month mortality rate. Conclusions: It seems that adding the ISE to usual care in the early treatment setting of COVID-19 patients resulted in a relatively significant increase in SpO2 levels, improved respiratory status, and marginally decreased LOS. Additionally, ISE minimally reduced ICU admissions and intubation rates, with no significant impact on in-hospital or long-term mortality in patients with COVID-19 pneumonia. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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