Evidence map›Paper›PMID 35664498›Full record

ArticleInternational journal of osteopathic medicine : IJOM2022

Adjunctive osteopathic therapy for hospitalized COVID-19 patients: A feasibility-oriented chart review study with matched controls.

Robert P Lennon, Huamei Dong, Aleksandra E Zgierska, Theodore Demetriou, Jason Croad, Craig Livelsberger, Lisa Hodge, Megan Mendez-Miller, Anne Darby, David Rabago

Abstract read
In one paragraph

Article in International journal of osteopathic medicine : IJOM, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. 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

10 authors.

Robert P LennonDepartment of Family and Community Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Huamei DongDepartment of Public Health Sciences, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Aleksandra E ZgierskaDepartment of Family and Community Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Theodore DemetriouDepartment of Family and Community Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Jason CroadDepartment of Family and Community Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Craig LivelsbergerDepartment of Public Health Sciences, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Lisa HodgeDepartment of Physiology and Anatomy, The University of North Texas Health Science Center, 3500 Camp Bowie Boulevard Fort Worth, TX, 76107, USA.
Megan Mendez-MillerDepartment of Family and Community Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Anne DarbyDepartment of Family and Community Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
David RabagoDepartment of Family and Community Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Osteopathic manipulative treatment (OMT) may improve outcomes during COVID-related respiratory distress - the most common cause of death from novel coronavirus (SARS-CoV-2). Outcomes from OMT treatments of respiratory distress during the COVID-19 pandemic have not been reported. Objective: Assess adjunctive OMT in hospitalized patients with SARS-CoV-2 and respiratory distress. Design: Feasibility oriented retrospective observational cohort study. Setting: COVID-19 (non-ICU) ward in a tertiary academic medical center. Methods: Inpatients received daily OMT treatments of rib raising, abdominal diaphragm doming, thoracic pump and pedal pump. Primary outcomes were procedural acceptance, satisfaction, side effects, and adverse events. Secondary outcomes were patient-reported clinical change after therapy; number of hospital days; need during hospitalization for high-flow oxygen, C-PAP/BiPAP or intensive care; need for supplementary oxygen at discharge; and discharge disposition. Participants: Hospitalized adults with SARS-CoV-2 infection and respiratory distress. Results: OMT (n = 27) and Control (n = 152) groups were similar in demographics and most laboratory studies. 90% of patients accepted OMT and reported high satisfaction (4.26/±0.71 (maximum 5)), few negative effects, no adverse events, and positive clinical change (5.07 ± 0.96 (maximum 7)). Although no significant differences were found in secondary outcomes, OMT patients trended towards fewer hospital days than Controls ( Conclusion: Hospitalized patients with respiratory distress and COVID-19 reported acceptance, satisfaction, and greater ease of breathing after a four-part OMT protocol, and appear to have a shorter length of hospitalization. Randomized controlled trials are needed to confirm these results.

Identifiers

PMID35664498
PMCPMC9151461

What OpenQuestion holds

Textmetadata
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.