ArticleEuropean respiratory review : an official journal of the European Respiratory Society2025
Airway clearance techniques for people with acute exacerbation of COPD: a scoping review.
Article in European respiratory review : an official journal of the European Respiratory Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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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.
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Who cites it
7 citing papers in PubMed.
- Adjunctive Short-Wave Diathermy to High-Frequency Chest Wall Oscillation for Acute Exacerbation of COPD: A Randomized Controlled Trial.Canadian respiratory journal · 2026Trial
- International consensus on airway clearance techniques for patients hospitalised with acute exacerbations of COPD: a European Delphi study.ERJ open research · 2026Article
- Efficacy of electroacupuncture in the treatment of Acute Exacerbation of Chronic Obstructive Pulmonary disease: study protocol for a multicenter, randomized, sham-controlled trial.Frontiers in medicine · 2026Article
- Exploring Relevance of Graded Sputum Production in Stable COPD in Clinical Practice.International journal of chronic obstructive pulmonary disease · 2026Article
- Perioperative nursing management of an adult patient with giant right-sided Bochdalek hernia: a case report.Frontiers in medicine · 2026Article
- Pulmonary Rehabilitation Nursing Interventions Promoting Self-Care in Elderly People with Chronic Obstructive Pulmonary Disease (At Home).Healthcare (Basel, Switzerland) · 2025Review
- The effect of incentive spirometry with early pulmonary rehabilitation on hospital stay of patients with chronic obstructive pulmonary disease exacerbation.Annals of thoracic medicineArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAcute exacerbations of COPD (AECOPD) often involve mucus hypersecretion. Thus, management of sputum retention is critical. However, the use of airway clearance techniques (ACTs) in people with AECOPD across different healthcare settings and factors influencing their selection remain unclear.
objectiveTo identify and map ACTs used for AECOPD in different healthcare settings and the factors influencing clinical decision-making worldwide.
methodsFour electronic databases and grey literature were searched from 1995 to December 2023, with hand-searching of eligible records. The Joanna Briggs Institute methodology for scoping reviews was followed.
results25 articles were included: 14 clinical studies, five guidelines/statements and six surveys/audits. Clinical studies reported the use of a wide range of single or combined ACTs, with no clear pattern in using particular ACTs in different parts of the world. Recent guidelines advise using ACTs for certain patients with AECOPD, particularly those with hypersecretion, with most guidelines recommending positive expiratory pressure (PEP) therapy. According to surveys, the most used ACTs in Australia and Europe are active cycle of breathing techniques, PEP or forced expiratory technique, while vibrations are most frequently used in Canada. Factors influencing the selection of specific ACTs include the presence of contraindications, level of dyspnoea, access to resources/equipment and ease of learning/performing the technique. All information was derived from hospital settings.
conclusionsThis scoping review identified and mapped ACTs used for people with AECOPD worldwide and their decision-making factors. Future work should focus on community settings.
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