Pulmonary rehabilitation in lung transplant candidates

Li, Melinda; Mathur, Sunita; Chowdhury, N.; Helm, Denise; Singer, Lianne G.

doi:10.1016/j.healun.2013.04.002

Cited by 95 publications

(133 citation statements)

References 31 publications

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“…Six articles were included in this literature review (8,9,(23)(24)(25)(26) . The age of the investigated patients varied from 18 years (8) to more than 65 years (26) and it was identified almost the same number of man and woman when analyzing the total patients from the studies.…”

Section: Resultsmentioning

confidence: 99%

“…The most prevalent diagnosis in the articles were the COPD (8,(23)(24)(25)(26) , the Cystic Fibrosis (8,(24)(25)(26) , the Pulmonary Hypertension (8,(24)(25)(26) , the Interstitial Pulmonary Disease (8,23,24) and the Pulmonary Fibrosis (9,25,26) . Three studies were realized with lung transplant recipients (8,24,25) and three with candidates to lung transplant (9,23,26) . Table I presents the socio-demographics and clinical data from the patients of each study.…”

Section: Resultsmentioning

confidence: 99%

“…Table I presents the socio-demographics and clinical data from the patients of each study. The evaluation of the patients were principally through the pulmonary function (8,9,(23)(24)(25) , exercise capacity with the Six Minute Walking Test (6MWT) (8,9,(23)(24)(25)(26) and the QoL using the generic questionnaire Short-Form 36 (SF-36) in most studies (8,9,24,26) . Quadriceps force was also investigated in some researches (23,24) .…”

Section: Resultsmentioning

confidence: 99%

“…Quadriceps force was also investigated in some researches (23,24) . In most studies the PR program had 3 months duration (9,(23)(24)(25) with the sample varying from 19 (25) to 345 patients registered in one retrospective study (26) . Table II describes in detail the methodological aspects of each manuscript.…”

Section: Resultsmentioning

confidence: 99%

“…Table III presents the characteristics of the PR programs applied in each study. Most of them were outpatient program (9,23,24,26) although some were realized in hospital setting. The frequency of the programs were three times a week with a mean of 1 hour duration for each session (9,23,24,26) .…”

Section: Resultsmentioning

confidence: 99%

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Pulmonary rehabilitation programs in lung transplant: a literature review

Pinto¹,

Vale²,

Rodrigues³

et al. 2015

RBPS

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To analyze, using a literature review, Pulmonary Rehabilitation (RP) Programs in lung transplant. Methods: A literature review in July 2014 in Ebsco Host, Periódicos Capes, BVS and Science Direct data bases using descriptors in English ("lung transplantation", "lung transplant" AND/OR "rehabilitation") and Portuguese ("reabilitação" AND/OR "transplante pulmonar"). The eligibility criterions were interventional studies of PR before and/or after lung transplant; participants who were candidates to lung transplant or lung transplant recipients; studies that applied any kind of PR program (hospital-based, homebased or outpatient) and articles published in English, Spanish or Portuguese. Literature reviews, guidelines and case reports were excluded. The search process yielded 46 articles of which two were duplicated. After title and abstract screening 13 articles remained for full text reading. Six studies met the inclusion eligibility and were included in the review. Results:The studies involved patients with Chronic Obstructive Pulmonary Disease, Cystic Fibrosis, Pulmonary Hypertension, Interstitial Lung Disease and Pulmonary Fibrosis. Pulmonary function, exercise capacity, quality of life (QoL) and quadriceps force were evaluated. Most interventions were outpatient programs with three months duration, three times a week and session with at least one hour. Protocols included physical training, educational approach and just one included nutritional, psychiatric and social assistant follow-up. The studies presented significant change in the six-minute walking distance, QoL and quadriceps force after PR programs. Conclusion: This review showed the benefits of the PR in the QoL and exercise capacity contributing to the Health Promotion of the patients. Descriptors

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Pulmonary rehabilitation programs in lung transplant: a literature review

Pinto¹,

Vale²,

Rodrigues³

et al. 2015

RBPS

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Multidisciplinary Inpatient Rehabilitation Following Heart and/or Lung Transplantation—Examining Cohort Characteristics and Clinical Outcomes

Shiner

Woodbridge

Skalický

et al. 2019

PM&R

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Background Cardiopulmonary transplantation is becoming a more common treatment option for advanced heart and/or lung disease. Specialist rehabilitation programs may assist recovery and enhance functional independence following transplantation. Objective To quantify the outcomes of multidisciplinary inpatient rehabilitation following cardiopulmonary transplantation and describe cohort characteristics. Design Retrospective cohort study. Setting Subacute inpatient rehabilitation facility, located on‐site at Australia's largest cardiopulmonary transplant center. Participants Heart and/or lung transplant recipients (n = 116), admitted for multidisciplinary inpatient rehabilitation, between 2009 and 2016. Interventions All participants received multidisciplinary rehabilitation as part of their standard care. Main Outcome Measurements Participants' functional independence was scored using the Functional Independence Measure (FIM) upon rehabilitation admission and discharge. Physical measures of mobility and balance were assessed at the same time points, including the 6‐minute walk test, 10 m walk, Timed Up and Go, and Berg Balance Scale. Process measures of interest included rehabilitation length of stay, interruptions to rehabilitation, and discharge destination. Results Average length‐of‐stay in rehabilitation was 26.9 ± 21.2 days (mean ± SD). FIM scores improved from 79.8 ± 20.3 on admission to 101.8 ± 29.1 at discharge (P < .001) for the pooled cohort. Physical measures of mobility and balance also improved: 6‐minute walk test distances improved from 103.6 ± 80.1 to 183.2 ± 104.8 m (P < .001); Timed Up and Go results decreased from 26.4 ± 18.3 seconds to 16.5 ± 14.1 seconds (P < .001); and Berg Balance Scale scores increased from 26.8 ± 17.1 to 45.0 ± 9.4 (P < .001). Approximately one‐third (33.6%) of admissions were interrupted by an acute medical complication; however, this did not preclude completion of rehabilitation or achievement of functional gains. Ninety‐four percent of the cohort was discharged to a private residence following rehabilitation. No significant differences were observed between heart versus lung transplant recipients. Conclusions For debilitated patients following heart and/or lung transplantation, physical function, mobility, and independence significantly improved following multidisciplinary inpatient rehabilitation. Level of Evidence III

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