Evidence map›Paper›PMID 38660953›Full record

Observational studyTherapeutic advances in respiratory disease

Effects of a pulmonary rehabilitation program on pulmonary function, exercise performance, and quality of life in patients with severe COVID-19.

María Fernanda Del Valle, Jorge Valenzuela, Claudio Bascour-Sandoval, Gabriel Nasri Marzuca-Nassr, Mariano Del Sol, Constanza Díaz Canales, Máximo Escobar-Cabello, Rodrigo Lizama-Pérez, Fernando Valenzuela-Aedo, Rodrigo Muñoz-Cofré

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Therapeutic advances in respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Perceived health-related quality of life in people living with HIV co-infected with SARS-CoV-2 in France.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  4. 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

10 authors at 3 institutions in 2 countries.

María Fernanda Del ValleServicio de Medicina Física y Rehabilitación, Hospital el Carmen, Maipú, Chile.
Jorge ValenzuelaServicio de Medicina Física y Rehabilitación, Hospital el Carmen, Maipú, Chile.
Claudio Bascour-SandovalDepartamento de Ciencias de la Rehabilitación, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile.
Gabriel Nasri Marzuca-NassrDepartamento de Ciencias de la Rehabilitación, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile.
Mariano Del SolCentro de Excelencia en Estudios Morfológicos y Quirúrgicos, Universidad de La Frontera. Temuco, Chile.
Constanza Díaz CanalesServicio de Medicina Física y Rehabilitación, Hospital el Carmen, Maipú, Chile.
Máximo Escobar-CabelloLaboratorio de Función Disfunción Ventilatoria, Departamento de Kinesiología, Universidad Católica del Maule, Talca, Chile.
Rodrigo Lizama-PérezDepartment of Physical Education and Sport, Faculty of Sport Science, University of Granada, Granada, Spain.
Fernando Valenzuela-AedoDepartamento de Ciencias de la Rehabilitación, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile.
Rodrigo Muñoz-CofréPosdoctorado en Ciencias Morfológicas, Universidad de La Frontera, Av. Francisco Salazar 01145, Temuco 4811230, Chile.ORCID 0000-0001-5690-8956
Universidad de La Frontera · CLCatholic University of the Maule · CLUniversidad de Granada · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere coronavirus 2019 disease (COVID-19) causes acute hypoxemic respiratory failure requiring invasive mechanical ventilation (IMV). Once these symptoms are resolved, patients can present systemic deterioration.

objectiveThe two objectives of this study were as follows: to describe the results of a pulmonary rehabilitation program (PRP), which is divided into three groups with different numbers of sessions (12, 24, and 36), and to associate the variables of pulmonary function, exercise performance, and functionality with the number of sessions and functional improvement.

designProspective, observational study.

methodsPRP consisted of aerobic + strength + flexibility exercises under the supervision and individualized into 12, 24, or 36 sessions (12s, 24s, and 36s), depending on the evolution of each patient. At the beginning of the study and immediately after the intervention, forced vital capacity (FVC), maximal inspiratory pressure, 6-minute walk test (6MWT), sit-to-stand test (STS), maximal handgrip strength (HGS), Fatigue Assessment Scale, Post-COVID-19 Functional Status (PCFS), and health-related quality of life (HRQoL) were measured.

resultsThe proposed PRP demonstrated a positive effect on pulmonary function, exercise performance, and HRQoL, regardless of the number of sessions. A higher score on the PCFS and more days on IMV were associated with the increased likelihood of needing more sessions, whereas more meters on the 6MWT in the initial evaluation was associated with a reduced likelihood of needing more sessions. Finally, more repetitions on the STS and less distance covered on the initial 6MWT were associated with a greater improvement in exercise performance evaluated with the 6MWT.

conclusionSupervised and individualized PRP for patients with severe post-COVID-19 improves pulmonary function, exercise performance, functionality, and quality of life. Functionality, distance covered on the 6MWT, and the days on IMV are central to the scheduling of the number of sessions for these patients.

Indexed as

COVID-19Exercise TherapyQuality of LifeAgedExercise ToleranceFemaleHumansLungMaleMiddle AgedProspective StudiesRecovery of FunctionRespiratory Function TestsSeverity of Illness IndexTime FactorsTreatment OutcomeCOVID-19exercise performancepulmonary functionpulmonary rehabilitationquality of life

Identifiers

PMID38660953
PMCPMC11047239
OpenAlexW4395466096

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.