Noninvasive ventilation and exercise tolerance in heart failure: A systematic review and meta-analysis
Autor(a) principal: | |
---|---|
Data de Publicação: | 2014 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Physical Therapy |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-35552014000500385 |
Resumo: | Background: Patients with heart failure (HF) usually develop exercise intolerance. In this context, noninvasive ventilation (NIV) can help to increase physical performance. Objective: To undertake a systematic review and meta-analysis of randomized controlled trials that evaluated the effects of NIV on exercise tolerance in patients with HF. Method: Search Strategy: Articles were searched in the following databases: Physiotherapy Evidence Database (PEDro), Scientific Electronic Library Online (SciELO), and MEDLINE. Selection Criteria: This review included only randomized controlled trials involving patients with HF undergoing NIV, with or without other therapies, that used exercise tolerance as an outcome, verified by the distance travelled in the six-minute walk test (6MWT), VO2peak in the cardiopulmonary test, time spent in testing, and dyspnea. Data Collection and Analysis: The methodological quality of the studies was rated according to the PEDro scale. Data were pooled in fixed-effect meta-analysis whenever possible. Results: Four studies were selected. A meta-analysis including 18 participants showed that the use of NIV prior to the 6MWT promoted increased distance, [mean difference 65.29 m (95% CI 38.80 to 91.78)]. Conclusions: The use of NIV prior to the 6MWT in patients with HF may promote increased distance. However, the limited number of studies may have compromised a more definitive conclusion on the subject. |
id |
ABRA-FT-1_437e3fe531b8897e94e083be40978f7f |
---|---|
oai_identifier_str |
oai:scielo:S1413-35552014000500385 |
network_acronym_str |
ABRA-FT-1 |
network_name_str |
Brazilian Journal of Physical Therapy |
repository_id_str |
|
spelling |
Noninvasive ventilation and exercise tolerance in heart failure: A systematic review and meta-analysisheart diseaseexercise intolerancepositive pressure Background: Patients with heart failure (HF) usually develop exercise intolerance. In this context, noninvasive ventilation (NIV) can help to increase physical performance. Objective: To undertake a systematic review and meta-analysis of randomized controlled trials that evaluated the effects of NIV on exercise tolerance in patients with HF. Method: Search Strategy: Articles were searched in the following databases: Physiotherapy Evidence Database (PEDro), Scientific Electronic Library Online (SciELO), and MEDLINE. Selection Criteria: This review included only randomized controlled trials involving patients with HF undergoing NIV, with or without other therapies, that used exercise tolerance as an outcome, verified by the distance travelled in the six-minute walk test (6MWT), VO2peak in the cardiopulmonary test, time spent in testing, and dyspnea. Data Collection and Analysis: The methodological quality of the studies was rated according to the PEDro scale. Data were pooled in fixed-effect meta-analysis whenever possible. Results: Four studies were selected. A meta-analysis including 18 participants showed that the use of NIV prior to the 6MWT promoted increased distance, [mean difference 65.29 m (95% CI 38.80 to 91.78)]. Conclusions: The use of NIV prior to the 6MWT in patients with HF may promote increased distance. However, the limited number of studies may have compromised a more definitive conclusion on the subject. Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia 2014-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-35552014000500385Brazilian Journal of Physical Therapy v.18 n.5 2014reponame:Brazilian Journal of Physical Therapyinstname:Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia (ABRAPG-FT)instacron:ABRAPG-FT10.1590/bjpt-rbf.2014.0039info:eu-repo/semantics/openAccessBündchen,Daiana C.Gonzáles,Ana I.Noronha,Marcos DeBrüggemann,Ana K.Sties,Sabrina W.Carvalho,Tales Deeng2015-08-21T00:00:00Zoai:scielo:S1413-35552014000500385Revistahttps://www.scielo.br/j/rbfis/https://old.scielo.br/oai/scielo-oai.phpcontato@rbf-bjpt.org.br||contato@rbf-bjpt.org.br1809-92461413-3555opendoar:2015-08-21T00:00Brazilian Journal of Physical Therapy - Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia (ABRAPG-FT)false |
dc.title.none.fl_str_mv |
Noninvasive ventilation and exercise tolerance in heart failure: A systematic review and meta-analysis |
title |
Noninvasive ventilation and exercise tolerance in heart failure: A systematic review and meta-analysis |
spellingShingle |
Noninvasive ventilation and exercise tolerance in heart failure: A systematic review and meta-analysis Bündchen,Daiana C. heart disease exercise intolerance positive pressure |
title_short |
Noninvasive ventilation and exercise tolerance in heart failure: A systematic review and meta-analysis |
title_full |
Noninvasive ventilation and exercise tolerance in heart failure: A systematic review and meta-analysis |
title_fullStr |
Noninvasive ventilation and exercise tolerance in heart failure: A systematic review and meta-analysis |
title_full_unstemmed |
Noninvasive ventilation and exercise tolerance in heart failure: A systematic review and meta-analysis |
title_sort |
Noninvasive ventilation and exercise tolerance in heart failure: A systematic review and meta-analysis |
author |
Bündchen,Daiana C. |
author_facet |
Bündchen,Daiana C. Gonzáles,Ana I. Noronha,Marcos De Brüggemann,Ana K. Sties,Sabrina W. Carvalho,Tales De |
author_role |
author |
author2 |
Gonzáles,Ana I. Noronha,Marcos De Brüggemann,Ana K. Sties,Sabrina W. Carvalho,Tales De |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Bündchen,Daiana C. Gonzáles,Ana I. Noronha,Marcos De Brüggemann,Ana K. Sties,Sabrina W. Carvalho,Tales De |
dc.subject.por.fl_str_mv |
heart disease exercise intolerance positive pressure |
topic |
heart disease exercise intolerance positive pressure |
description |
Background: Patients with heart failure (HF) usually develop exercise intolerance. In this context, noninvasive ventilation (NIV) can help to increase physical performance. Objective: To undertake a systematic review and meta-analysis of randomized controlled trials that evaluated the effects of NIV on exercise tolerance in patients with HF. Method: Search Strategy: Articles were searched in the following databases: Physiotherapy Evidence Database (PEDro), Scientific Electronic Library Online (SciELO), and MEDLINE. Selection Criteria: This review included only randomized controlled trials involving patients with HF undergoing NIV, with or without other therapies, that used exercise tolerance as an outcome, verified by the distance travelled in the six-minute walk test (6MWT), VO2peak in the cardiopulmonary test, time spent in testing, and dyspnea. Data Collection and Analysis: The methodological quality of the studies was rated according to the PEDro scale. Data were pooled in fixed-effect meta-analysis whenever possible. Results: Four studies were selected. A meta-analysis including 18 participants showed that the use of NIV prior to the 6MWT promoted increased distance, [mean difference 65.29 m (95% CI 38.80 to 91.78)]. Conclusions: The use of NIV prior to the 6MWT in patients with HF may promote increased distance. However, the limited number of studies may have compromised a more definitive conclusion on the subject. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-35552014000500385 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-35552014000500385 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/bjpt-rbf.2014.0039 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia |
publisher.none.fl_str_mv |
Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia |
dc.source.none.fl_str_mv |
Brazilian Journal of Physical Therapy v.18 n.5 2014 reponame:Brazilian Journal of Physical Therapy instname:Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia (ABRAPG-FT) instacron:ABRAPG-FT |
instname_str |
Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia (ABRAPG-FT) |
instacron_str |
ABRAPG-FT |
institution |
ABRAPG-FT |
reponame_str |
Brazilian Journal of Physical Therapy |
collection |
Brazilian Journal of Physical Therapy |
repository.name.fl_str_mv |
Brazilian Journal of Physical Therapy - Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia (ABRAPG-FT) |
repository.mail.fl_str_mv |
contato@rbf-bjpt.org.br||contato@rbf-bjpt.org.br |
_version_ |
1754575949988364288 |