High Frequency Chest Wall Oscillation May Decrease Moderate Exacerbations in Subjects With Bronchiectasis, COPD, Asthma, or Overlap...American Association for Respiratory Care (AARC) Congress, November 20-23, 2024, Orlando, Florida.
Background: Mucus clearance to prevent mucus plugging can be difficult in subjects with obstructive pulmonary disease. This may lead to an increase in exacerbations that may require antibiotic and/or prednisone use; in severe exacerbations, can lead to ED visits or hospitalizations. Standard airway...
| Publicado en: | Respiratory Care Vol. 69; pp. 4137848 - 4137849 |
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| Autores principales: | , , , |
| Formato: | abstract proceedings research Journal Article |
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Mary Ann Liebert, Inc.
2024 Supplement
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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=194777462&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194777462 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: 2024 Supplement vid: 69 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 194777462 194777462 194777462 10.4187/respcare.20244137848 194777462 ppf: 4137848 ppct: 1 formats: fmt: @attributes: type: P tig: atl: High Frequency Chest Wall Oscillation May Decrease Moderate Exacerbations in Subjects With Bronchiectasis, COPD, Asthma, or Overlap...American Association for Respiratory Care (AARC) Congress, November 20-23, 2024, Orlando, Florida. aug: au: Bugayong, Naomi Hill, Vanessa Heath, Amy Feighery, Ashley affil: Respiratory Care, UC Davis Health, Sacramento, California, United States sug: subj: Chest Physical Therapy Methods Bronchiectasis In Adulthood Pulmonary Disease, Chronic Obstructive In Adulthood Asthma In Adulthood Disease Exacerbation In Adulthood Emergency Service Office Visits Evaluation Hospitalization Evaluation Outcomes (Health Care) Congresses and Conferences Florida Florida Adult Adult: 19-44 years ab: Background: Mucus clearance to prevent mucus plugging can be difficult in subjects with obstructive pulmonary disease. This may lead to an increase in exacerbations that may require antibiotic and/or prednisone use; in severe exacerbations, can lead to ED visits or hospitalizations. Standard airway clearance therapy includes exercise, huff cough, and pulmonary hygiene therapy such as high frequency chest wall oscillation (HFCWO). Our aim is to evaluate the use of HFCWO in adult subjects with bronchiectasis, COPD, asthma, or an overlap of any of these diseases and its impact on rates of exacerbations, ED visits, or hospitalizations. Methods: This study is a retrospective analysis of UC Davis Health adult ambulatory care subjects who were ordered home HFCWO, due to failure of other forms of pulmonary hygiene, between January 2019 - December 2023. Subject diagnoses include bronchiectasis, COPD, asthma, or an overlap of any of these. We compared data 6 months pre- to 6 months post-HFCWO ordered. Pre- and post-HFCWO analyzed for moderate exacerbation rates requiring antibiotic and/or prednisone use. Pre- and post-HFCWO analyzed for severe exacerbation rates that required ED visits or hospitalization. Excel t-Test: Two-Sample Assuming Equal Variances used for statistical analyses. Study deemed not research by UC Davis IRB # 2173468-1. Results: Authors included n = 114 subjects for variable comparisons. Moderate exacerbations requiring antibiotic and/or prednisone use, P =.040; severe exacerbations requiring ED visits, P =.38, hospitalizations, P >.99. Descriptive data: Mean age 69.5 y, mean BMI 27.2, female 65%, diagnosed with GERD 42%. Conclusions: Statistical significance was reached when comparing rates of moderate exacerbations requiring the use of antibiotics and/or prednisone 6 months before and after HFCWO was ordered. No statistical significance was reached when comparing rates of severe exacerbations requiring ED visits or hospitalizations. HFCWO use may decrease moderate exacerbations requiring antibiotic and/or prednisone in subjects with bronchiectasis, COPD, asthma, or any overlap of these. pubtype: Academic Journal doctype: abstract proceedings research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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