Evidence map›Paper›PMID 33544556›Full record

ArticleJournal of mother and child2021

The effects of the addition of a new airway clearance device to chest physiotherapy in children with cystic fibrosis pulmonary exacerbations.

Katarzyna Walicka-Serzysko, Magdalena Postek, Natalia Jeneralska, Aleksandra Cichocka, Justyna Milczewska, Dorota Sands

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of mother and child, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 26% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Efficacy of the SimeoxChildren (Basel, Switzerland) · 2023
    Article
  5. Article
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

6 authors at 2 institutions in 2 countries.

Katarzyna Walicka-SerzyskoCystic Fibrosis Department, Institute of Mother and Child, Warsaw, Poland.ORCID https://orcid.org/0000-0002-6496-8737
Magdalena PostekCystic Fibrosis Department, Institute of Mother and Child, Warsaw, Poland.ORCID https://orcid.org/0000-0002-1678-3316
Natalia JeneralskaCystic Fibrosis Centre, Pediatric Hospital, Dziekanow Lesny, Poland.ORCID https://orcid.org/0000-0002-0201-8082
Aleksandra CichockaCystic Fibrosis Centre, Pediatric Hospital, Dziekanow Lesny, Poland.ORCID https://orcid.org/0000-0003-1829-0918
Justyna MilczewskaCystic Fibrosis Department, Institute of Mother and Child, Warsaw, Poland.ORCID https://orcid.org/0000-0003-3365-9963
Dorota SandsCystic Fibrosis Department, Institute of Mother and Child, Warsaw, Poland.ORCID https://orcid.org/0000-0002-4601-5158
Instytut Matki i Dziecka · PLCystic Fibrosis Research Foundation · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChest physiotherapy plays a crucial role in managing cystic fibrosis, especially during pulmonary exacerbations. This study evaluated the effects of adding a new airway clearance device to chest physiotherapy in subjects with cystic fibrosis hospitalised due to pulmonary exacerbations.

methodsThis prospective open-label study was carried out at the Pediatric Cystic Fibrosis Centre in Poland between October 2017 and August 2018. Cystic fibrosis patients aged 10 to 18 years who were admitted to the hospital and required intravenous antibiotic therapy due to pulmonary exacerbations were consecutively allocated (1:1) to either chest physiotherapy alone or chest physiotherapy with a new airway clearance device (Simeox; PhysioAssist). Patients performed spirometry and multiple-breath nitrogen washout for lung clearance index assessment upon admission and prior to discharge.

resultsForty-eight cystic fibrosis patients were included (24 in each group). Spirometry parameters in both groups improved significantly after intravenous antibiotic therapy. A significant improvement in the maximum expiratory flow at 25% of forced vital capacity was observed only in the group with a new airway clearance device (p < 0.01 vs. baseline). Trends towards a lower lung clearance index ratio were similar in both groups. No adverse events were observed in either group.

conclusionsSpirometry parameters increased significantly in cystic fibrosis patients treated for pulmonary exacerbations with intravenous antibiotic therapy and intensive chest physiotherapy. The new airway clearance device was safe and well tolerated when added to chest physiotherapy and may be another option for the treatment of pulmonary exacerbation in cystic fibrosis.

Indexed as

AdolescentAirway ManagementChildCystic FibrosisDrainage, PosturalFemaleHumansMalePolandProspective StudiesPulmonary Diffusing CapacityRespiratory TherapySpirometryTreatment OutcomeVital Capacityairway clearance devicechest physiotherapycystic fibrosislung clearance indexpulmonary exacerbationpulmonary function test

Identifiers

PMID33544556
PMCPMC8258837
OpenAlexW3128492587

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.