High-flow nasal cannula in adults with chronic respiratory diseases during physical exercise: a systematic review and meta-analysis

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dc.catalogadorjlo
dc.contributor.authorMoya Gallardo, Eduardo Sebastián
dc.contributor.authorFajardo Gutiérrez, Jeniffer
dc.contributor.authorAcevedo Encalada, Karol Stefanie
dc.contributor.authorVerdugo-Paiva, Francisca
dc.contributor.authorBravo Jeria, Rocío Paz
dc.contributor.authorOrtiz Muñoz, Luis Eugenio
dc.contributor.authorContreras Briceño, Felipe
dc.contributor.authorEspinosa Ramírez, Maximiliano Andrés
dc.date.accessioned2024-10-28T19:59:04Z
dc.date.available2024-10-28T19:59:04Z
dc.date.issued2024
dc.description.abstractBackground: Chronic respiratory diseases (CRDs) affect at least 545 million people globally, leading to symptoms such as dyspnoea, fatigue and limited physical activity. Pulmonary rehabilitation (PR) programmes aim to improve the exercise capacity and quality of life of patients with CRD through exercise training. High-flow nasal cannula (HFNC) therapy shows potential as an adjunct treatment during exercise, but its effects on CRD populations are unclear. The purpose of this systematic review was to evaluate the effects of HFNC during exercise in people with CRD.Methods: A systematic review was conducted and eight databases and other resources were searched from inception (28 June 2022) to 4 April 2023. Studies that used adult patients with CRD and randomised controlled trial that compared the effect of HFNC versus standard care (conventional oxygen therapy or room air) during exercise were included. Two authors independently selected trials, extracted the data, assessed risks of bias and employed the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) approach to judging the certainty of evidence. We pooled trials using random-effect models and inverse variance estimation.Results: Seventeen studies (n=8406) were included in the review (570 patients). The evidence suggests that HFNC increases exercise time after multiple training sessions (weighted mean difference (WMD)=160.58 s; 95% 95% CI=67.32-253.83, 2 studies) and increase after a single session (WMD=72.10 s; 95% CI=28.95-115.24, 11 studies). HFNC may result in little improvements in secondary outcomes (quality of life, dyspnoea, comfort, complications and adherence).Discussion: The evidence suggests that HFNC may increase functional exercise capacity and positively enhance secondary outcomes. Continued research is justified to elucidate the role of HFNC in PR during exercise training.
dc.fechaingreso.objetodigital2024-10-28
dc.format.extent12 páginas
dc.fuente.origenORCID
dc.identifier.doi10.1136/bmjresp-2024-002431
dc.identifier.urihttps://doi.org/10.1136/bmjresp-2024-002431
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/88386
dc.information.autorucEscuela de Medicina; Moya Gallardo, Eduardo Sebastián; 0000-0001-9356-9009; 234667
dc.information.autorucEscuela de Medicina; Fajardo Gutiérrez, Jeniffer; 0000-0001-6264-4950; 1083245
dc.information.autorucEscuela de Medicina; Acevedo Encalada, Karol Stefanie; 0000-0002-9683-0847; 1051134
dc.information.autorucInstituto de Ciencia Política; Bravo Jeria, Rocío Paz; 0000-0002-3744-5578; 206571
dc.information.autorucEscuela de Medicina; Ortiz Muñoz, Luis Eugenio; 0000-0001-6449-2153; 121678
dc.information.autorucEscuela de Medicina; Contreras Briceño, Felipe; 0000-0002-0674-7506; 1011730
dc.information.autorucEscuela de Medicina; Espinosa Ramírez, Maximiliano Andrés; 0000-0002-0840-1904; 215830
dc.language.isoen
dc.nota.accesocontenido completo
dc.revistaBMJ Open Respiratory Research
dc.rightsacceso abierto
dc.subjectCOPD pathology
dc.subjectInterstitial fibrosis
dc.subjectLong term oxygen therapy (LTOT)
dc.subjectPulmonary rehabilitation
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleHigh-flow nasal cannula in adults with chronic respiratory diseases during physical exercise: a systematic review and meta-analysis
dc.typeartículo
dc.volumen11
sipa.codpersvinculados234667
sipa.codpersvinculados1083245
sipa.codpersvinculados1051134
sipa.codpersvinculados206571
sipa.codpersvinculados121678
sipa.codpersvinculados1011730
sipa.codpersvinculados215830
sipa.trazabilidadORCID;2024-10-28
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