Evidence map›Paper›PMID 37174791›Full record

ArticleHealthcare (Basel, Switzerland)2023

Long-Term High Flow Nasal Cannula Therapy in Primary and Secondary Bronchiectasis.

Francesca Simioli, Giuseppe Fiorentino, Rosa Cauteruccio, Antonietta Coppola, Pasquale Imitazione, Antonella Marotta, Valentina Di Spirito, Anna Annunziata

Open access · goldAbstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Patient-managed interventions for adults with bronchiectasis: evidence, challenges and prospects.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  9. Observational
  10. Review
  11. 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

8 authors at 1 institution in 1 country.

Francesca SimioliDepartment of Respiratory Pathophysiology and Rehabilitation, Monaldi Hospital, A.O. deiColli, 80131 Naples, Italy.ORCID 0000-0002-9457-6558
Giuseppe FiorentinoDepartment of Respiratory Pathophysiology and Rehabilitation, Monaldi Hospital, A.O. deiColli, 80131 Naples, Italy.ORCID 0000-0002-2523-9769
Rosa CauteruccioDepartment of Respiratory Pathophysiology and Rehabilitation, Monaldi Hospital, A.O. deiColli, 80131 Naples, Italy.
Antonietta CoppolaDepartment of Respiratory Pathophysiology and Rehabilitation, Monaldi Hospital, A.O. deiColli, 80131 Naples, Italy.ORCID 0000-0002-6596-3065
Pasquale ImitazioneDepartment of Respiratory Pathophysiology and Rehabilitation, Monaldi Hospital, A.O. deiColli, 80131 Naples, Italy.
Antonella MarottaDepartment of Respiratory Pathophysiology and Rehabilitation, Monaldi Hospital, A.O. deiColli, 80131 Naples, Italy.
Valentina Di SpiritoDepartment of Respiratory Pathophysiology and Rehabilitation, Monaldi Hospital, A.O. deiColli, 80131 Naples, Italy.
Anna AnnunziataDepartment of Respiratory Pathophysiology and Rehabilitation, Monaldi Hospital, A.O. deiColli, 80131 Naples, Italy.ORCID 0000-0002-2404-3545
Ospedale Monaldi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBronchiectasis is the consequence of chronic bronchial inflammation, inappropriate mucus clearance, bacterial colonization, and recurrent or chronic infection. High flow therapy (HFT) is a type of non-invasive respiratory therapy, usually delivered through a nasal cannula interface (HFNC). It delivers heated and humidified air with a stable fraction of inspired oxygen and a wide range of possible flow rates. AIM OF THE STUDY: Determine the effectiveness of HFNC as add-on therapy in adult primary and secondary bronchiectasis with frequent acute exacerbations (AEs) and/or hospitalizations.

methodsThis is a single-center crossover study on long-term home therapy with HFNC in adult bronchiectasis. Pharmacological therapy included pulse therapy with mucolytics and bronchodilators. After one year, all patients were switched to additional HFNC. The temperature range was 31-37 °C. The flow range was 35-60 L/m. FiO

resultsSeventy-eight patients completed the follow-up; 54% were females; the median age was 70 years (IQR 60-76). The etiology of bronchiectasis was mainly post-infective (51%), COPD related (26%), and congenital (11%). AEs at baseline were 2.81 (±2.15). A significant reduction in AEs was observed after 24 months with a mean of 0.45 (±0.66) (f-ratio value 79.703.

conclusionsHFNC is a well-tolerated add-on therapy for adult bronchiectasis. Dyspnea improved after 2 months and further after 2 years. The exacerbation rate decreased during the 2 years follow-up. No significant difference was observed in lung function.

Indexed as

COPDcystic fibrosisheated and humidified therapymucusrehabilitation

Identifiers

PMID37174791
PMCPMC10178516
OpenAlexW4367298823

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.