Evidence map›Paper›PMID 31340793›Full record

Trial reportBMC pulmonary medicine2019

Asthma rehabilitation at high vs. low altitude: randomized parallel-group trial.

Stéphanie Saxer, Simon R Schneider, Paula Appenzeller, Patrick R Bader, Mona Lichtblau, Michael Furian, Ulan Sheraliev, Bermet Estebesova, Berik Emilov, Talant Sooronbaev and 2 more

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC pulmonary medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02741583 (Asthma Rehabilitation at High vs. Low Altitude), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02741583 nacompletednot on this map

Asthma Rehabilitation at High vs. Low Altitude: Randomized Controlled Parallel-group Trial

TypeinterventionalSponsorUniversity of ZurichRan2016 to 2016Enrolled50ConditionsEffect of High AltitudeArmsaltitude rehabilitation program, rehabilitation program
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. The Oxygen Transport Triad in High-Altitude Pulmonary Edema: A Perspective from the High Andes.International journal of environmental research and public health · 2021
    Article
  7. Defining a role for exercise training in the management of asthma.European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
  8. Physical Activity: A Missing Link in Asthma Care.Journal of clinical medicine · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Stéphanie SaxerDepartment of Pulmonology, UniversityHospital Zurich, Rämistrasse 100, CH-8091 , Zurich, Switzerland.
Simon R SchneiderDepartment of Pulmonology, UniversityHospital Zurich, Rämistrasse 100, CH-8091 , Zurich, Switzerland.
Paula AppenzellerDepartment of Pulmonology, UniversityHospital Zurich, Rämistrasse 100, CH-8091 , Zurich, Switzerland.
Patrick R BaderDepartment of Pulmonology, UniversityHospital Zurich, Rämistrasse 100, CH-8091 , Zurich, Switzerland.
Mona LichtblauDepartment of Pulmonology, UniversityHospital Zurich, Rämistrasse 100, CH-8091 , Zurich, Switzerland.
Michael FurianDepartment of Pulmonology, UniversityHospital Zurich, Rämistrasse 100, CH-8091 , Zurich, Switzerland.
Ulan SheralievNational Center for Cardiology and Internal Medicine, Bishkek, Kyrgyzstan.
Bermet EstebesovaNational Center for Cardiology and Internal Medicine, Bishkek, Kyrgyzstan.
Berik EmilovNational Center for Cardiology and Internal Medicine, Bishkek, Kyrgyzstan.
Talant SooronbaevNational Center for Cardiology and Internal Medicine, Bishkek, Kyrgyzstan.
Konrad E BlochDepartment of Pulmonology, UniversityHospital Zurich, Rämistrasse 100, CH-8091 , Zurich, Switzerland.
Silvia UlrichDepartment of Pulmonology, UniversityHospital Zurich, Rämistrasse 100, CH-8091 , Zurich, Switzerland. silvia.ulrich@usz.ch.ORCID http://orcid.org/0000-0002-5250-5022

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 168254
6 · The paper itself

Abstract

backgroundTo investigate the effect of asthma rehabilitation at high altitude (3100 m, HA) compared to low altitude (760 m, LA).

methodsFor this randomized parallel-group trial insufficiently controlled asthmatics (Asthma Control Questionnaire (ACQ) > 0.75) were randomly assigned to 3-week in-hospital rehabilitation comprising education, physical-&breathing-exercises at LA or HA. Co-primary outcomes assessed at 760 m were between group changes in peak expiratory flow (PEF)-variability, and ACQ) from baseline to end-rehabilitation and 3 months thereafter.

results50 asthmatics were randomized [median (quartiles) LA: ACQ 2.7(1.7;3.2), PEF-variability 19%(14;33); HA: ACQ 2.0(1.6;3.0), PEF-variability 17%(12;32)]. The LA-group improved PEF-variability by median(95%CI) -7%(- 14 to 0, p = 0.033), ACQ - 1.4(- 2.2 to - 0.9, p < 0.001), and after 3 months by - 3%(- 18 to 2, p = 0.103) and - 0.9(- 1.3 to - 0.3, p = 0.002). The HA-group improved PEF-variability by - 10%(- 21 to - 3, p = 0.004), ACQ - 1.1(- 1.3 to - 0.7, p < 0.001), and after 3 months by - 9%(- 10 to - 3, p = 0.003) and - 0.2(- 0.9 to 0.4, p = 0.177). The additive effect of HA vs. LA directly after the rehabilitation on PEF-variability was - 6%(- 14 to 2), on ACQ 0.3(- 0.4 to 1.1) and after 3 months - 5%(- 14 to 5) respectively 0.4(- 0.4 to 1.1), all p = NS.

conclusionAsthma rehabilitation is highly effective in improving asthma control in terms of PEF-variability and symptoms, both at LA and HA similarly.

trial registrationClinicaltrials.gov: NCT02741583, Registered April 18, 2016.

Indexed as

AltitudeAdultAsthmaBreathing ExercisesEndurance TrainingFemaleForced Expiratory VolumeHumansLinear ModelsMaleMiddle AgedPatient Education as TopicPeak Expiratory Flow RateResistance TrainingSeverity of Illness IndexSurveys and QuestionnairesAltitudeAsthmaPulmonary rehabilitation

Identifiers

PMID31340793
PMCPMC6657156

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.