Evidence map›Paper›PMID 36074409›Full record

ArticleJornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia2022

Physiotherapy practice for hospitalized patients with COVID-19.

Letícia Marcelino Sotelo Dias, Fernando Silva Guimaraes, Camila Ferreira Leite, Flavia Marini Paro, Raquel Annoni, Ana Carolina Otoni Oliveira, Marilita Falangola Accioly, Marcia Souza Volpe

Open access · diamondAbstract read
In one paragraph

Article in Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. COVID-19: clinical factors associated with functional capacity of hospitalized patients at admission and discharge.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2024
    Article
  5. Article
  6. Hospital physiotherapy practice in times of COVID-19-lessons to advance.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Letícia Marcelino Sotelo Dias. Programa de Pós-Graduação Interdisciplinar em Ciências da Saúde, Universidade Federal de São Paulo - UNIFESP - Campus Baixada Santista. Santos (SP) Brasil.ORCID 0000-0002-5053-1526
Fernando Silva Guimaraes. Departamento de Fisioterapia Cardiorrespiratória e Musculoesquelética, Faculdade de Fisioterapia, Universidade Federal do Rio de Janeiro - UFRJ - Rio de Janeiro (RJ) Brasil.ORCID 0000-0003-1277-9325
Camila Ferreira Leite. Programa de Pós-Graduação em Fisioterapia e Funcionalidade, Universidade Federal do Ceará - UFC - Fortaleza (CE) Brasil.ORCID 0000-0001-6375-8845
Flavia Marini Paro. Departamento de Educação Integrada em Saúde, Universidade Federal do Espírito Santo - UFES - Vitória (ES) Brasil.ORCID 0000-0003-1715-3778
Raquel Annoni. Laboratório de Investigação Funcional dos Sistemas Cardiopulmonar e Metabólico, Departamento de Fisioterapia Aplicada, Universidade Federal do Triângulo Mineiro - UFTM - Uberaba (MG) Brasil.ORCID 0000-0003-2416-7465
Ana Carolina Otoni Oliveira. Programa de Pós-Graduação em Fisioterapia, Universidade Federal do Triângulo Mineiro, - UFTM - Uberaba (MG) Brasil.ORCID 0000-0002-2752-6497
Marilita Falangola Accioly. Laboratório de Investigação Funcional dos Sistemas Cardiopulmonar e Metabólico, Departamento de Fisioterapia Aplicada, Universidade Federal do Triângulo Mineiro - UFTM - Uberaba (MG) Brasil.ORCID 0000-0002-9623-3145
Marcia Souza Volpe. Programa de Pós-Graduação Interdisciplinar em Ciências da Saúde, Universidade Federal de São Paulo - UNIFESP - Campus Baixada Santista. Santos (SP) Brasil.ORCID 0000-0003-1179-6254
Universidade Federal do Triângulo Mineiro · BRUniversidade Federal de São Paulo · BRUniversidade Federal do Ceará · BRUniversidade Federal do Espírito Santo · BRUniversidade Federal do Rio de Janeiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify the indications for physiotherapy and to evaluate physiotherapy practices in patients with COVID-19 admitted to the ICU (on mechanical ventilation) or to the ward (spontaneously breathing).

methodsAn online, 50-item survey was completed by physiotherapists who had been treating hospitalized patients with COVID-19 in Brazil.

resultsOf the 644 physiotherapists who initiated the survey, 488 (76%) completed it. The main reasons for indications for physiotherapy in both settings reported as "very frequently" and "frequently" both in the ICU and the ward by most respondents were oxygenation improvement (> 95%) and prevention of general complications (> 83%). Physical deconditioning was considered an infrequent indication. When compared with mobilization strategies, the use of respiratory interventions showed great variability in both work settings, and techniques considered effective were underutilized. The most frequently used respiratory techniques in the ICU were positioning (86%), alveolar recruitment (73%), and hard/brief expiratory rib cage compression (46%), whereas those in the ward were active prone positioning (90%), breathing exercises (88%), and directed/assisted cough (75%). The mobilization interventions reported by more than 75% of the respondents were sitting on the edge of the bed, active and resistive range of motion exercises, standing, ambulation, and stepping in place.

conclusionsThe least common reason for indications for physiotherapy was avoidance of deconditioning, whereas oxygenation improvement was the most frequent one. Great variability in respiratory interventions was observed when compared with mobilization therapies, and there is a clear need to standardize respiratory physiotherapy treatment for hospitalized patients with COVID-19.

Indexed as

COVID-19HumansLungPhysical Therapy ModalitiesRespiration, ArtificialRespiratory Therapy

Identifiers

PMID36074409
PMCPMC9496139
OpenAlexW4294992876

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.