Bianca Bigogno Reis Cazeta, Rodrigo Santos de Queiroz, Tais Silva Nacimento, Beatriz Reis Ferreira, Micheli Bernardone Saquetto, Bruno Prata Martinez, Vitor Oliveira Carvalho, Mansueto Gomes-Neto
{"title":"运动干预对危重病人出院后功能和健康相关生活质量的影响：随机试验的系统回顾和荟萃分析。","authors":"Bianca Bigogno Reis Cazeta, Rodrigo Santos de Queiroz, Tais Silva Nacimento, Beatriz Reis Ferreira, Micheli Bernardone Saquetto, Bruno Prata Martinez, Vitor Oliveira Carvalho, Mansueto Gomes-Neto","doi":"10.1177/02692155241241665","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This systematic review and meta-analysis aimed to analyze the published randomized controlled trials (RCTs) that investigated the effects of exercise interventions on functioning and health-related quality of life following hospital discharge for recovery from critical illness.</p><p><strong>Design: </strong>Systematic review and meta-analysis of RCTs.</p><p><strong>Data sources: </strong>We searched PubMed/MEDLINE, Cochrane Central Register of Controlled Trials, PEDro data base, and SciELO (from the earliest date available to January 2023) for RCTs that evaluated the effects of physical rehabilitation interventions following hospital discharge for recovery from critical illness.</p><p><strong>Review methods: </strong>Study quality was evaluated using the PEDro Scale. Mean differences (MDs), standard MDs (SMD), and 95% confidence intervals (CIs) were calculated.</p><p><strong>Results: </strong>Fourteen studies met the study criteria, including 1259 patients. Exercise interventions improved aerobic capacity SMD 0.2 (95% CI: 0.03-0.3, <i>I</i><sup>2</sup> = 0% <i>N</i> = 880, nine studies, high-quality evidence), and physical component score of health-related quality of life MD 3.3 (95% CI: 1.0-5.6, <i>I</i><sup>2</sup> = 57%, six studies <i>N</i> = 669, moderate-quality evidence). In addition, a significant reduction in depression was observed MD -1.4 (95% CI: -2.7 to -0.1, <i>I</i><sup>2</sup> = 0% <i>N</i> = 148, three studies, moderate-quality evidence). No serious adverse events were reported.</p><p><strong>Conclusion: </strong>Exercise intervention was associated with improvement of aerobic capacity, depression, and physical component score of health-related quality of life after hospital discharge for survivors of critical illness.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"898-909"},"PeriodicalIF":2.6000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of exercise interventions on functioning and health-related quality of life following hospital discharge for recovery from critical illness: A systematic review and meta-analysis of randomized trials.\",\"authors\":\"Bianca Bigogno Reis Cazeta, Rodrigo Santos de Queiroz, Tais Silva Nacimento, Beatriz Reis Ferreira, Micheli Bernardone Saquetto, Bruno Prata Martinez, Vitor Oliveira Carvalho, Mansueto Gomes-Neto\",\"doi\":\"10.1177/02692155241241665\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This systematic review and meta-analysis aimed to analyze the published randomized controlled trials (RCTs) that investigated the effects of exercise interventions on functioning and health-related quality of life following hospital discharge for recovery from critical illness.</p><p><strong>Design: </strong>Systematic review and meta-analysis of RCTs.</p><p><strong>Data sources: </strong>We searched PubMed/MEDLINE, Cochrane Central Register of Controlled Trials, PEDro data base, and SciELO (from the earliest date available to January 2023) for RCTs that evaluated the effects of physical rehabilitation interventions following hospital discharge for recovery from critical illness.</p><p><strong>Review methods: </strong>Study quality was evaluated using the PEDro Scale. Mean differences (MDs), standard MDs (SMD), and 95% confidence intervals (CIs) were calculated.</p><p><strong>Results: </strong>Fourteen studies met the study criteria, including 1259 patients. Exercise interventions improved aerobic capacity SMD 0.2 (95% CI: 0.03-0.3, <i>I</i><sup>2</sup> = 0% <i>N</i> = 880, nine studies, high-quality evidence), and physical component score of health-related quality of life MD 3.3 (95% CI: 1.0-5.6, <i>I</i><sup>2</sup> = 57%, six studies <i>N</i> = 669, moderate-quality evidence). In addition, a significant reduction in depression was observed MD -1.4 (95% CI: -2.7 to -0.1, <i>I</i><sup>2</sup> = 0% <i>N</i> = 148, three studies, moderate-quality evidence). No serious adverse events were reported.</p><p><strong>Conclusion: </strong>Exercise intervention was associated with improvement of aerobic capacity, depression, and physical component score of health-related quality of life after hospital discharge for survivors of critical illness.</p>\",\"PeriodicalId\":10441,\"journal\":{\"name\":\"Clinical Rehabilitation\",\"volume\":\" \",\"pages\":\"898-909\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Rehabilitation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/02692155241241665\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/3/31 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/02692155241241665","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/3/31 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
摘要
目的：本系统综述和荟萃分析旨在分析已发表的随机对照试验（RCT），这些试验调查了运动干预对危重病人出院后的功能和与健康相关的生活质量的影响：设计：对随机对照试验进行系统回顾和荟萃分析：数据来源：我们检索了PubMed/MEDLINE、Cochrane对照试验中央登记册、PEDro数据库和SciELO（从最早可用日期到2023年1月）中评估危重病人出院后身体康复干预效果的RCT：采用 PEDro 量表评估研究质量。计算平均差（MD）、标准MD（SMD）和95%置信区间（CI）：14项研究符合研究标准，包括1259名患者。运动干预改善了有氧运动能力，SMD 0.2（95% CI：0.03-0.3，I2 = 0%，9 项研究 N = 880，高质量证据），改善了健康相关生活质量的身体部分得分，MD 3.3（95% CI：1.0-5.6，I2 = 57%，6 项研究 N = 669，中等质量证据）。此外，还观察到抑郁症明显减轻，MD -1.4 (95% CI: -2.7 to -0.1, I2 = 0% N = 148, 三项研究，中等质量证据)。无严重不良事件报告：运动干预与危重病幸存者出院后有氧运动能力、抑郁和健康相关生活质量的身体成分得分的改善有关。
Effects of exercise interventions on functioning and health-related quality of life following hospital discharge for recovery from critical illness: A systematic review and meta-analysis of randomized trials.
Objective: This systematic review and meta-analysis aimed to analyze the published randomized controlled trials (RCTs) that investigated the effects of exercise interventions on functioning and health-related quality of life following hospital discharge for recovery from critical illness.
Design: Systematic review and meta-analysis of RCTs.
Data sources: We searched PubMed/MEDLINE, Cochrane Central Register of Controlled Trials, PEDro data base, and SciELO (from the earliest date available to January 2023) for RCTs that evaluated the effects of physical rehabilitation interventions following hospital discharge for recovery from critical illness.
Review methods: Study quality was evaluated using the PEDro Scale. Mean differences (MDs), standard MDs (SMD), and 95% confidence intervals (CIs) were calculated.
Results: Fourteen studies met the study criteria, including 1259 patients. Exercise interventions improved aerobic capacity SMD 0.2 (95% CI: 0.03-0.3, I2 = 0% N = 880, nine studies, high-quality evidence), and physical component score of health-related quality of life MD 3.3 (95% CI: 1.0-5.6, I2 = 57%, six studies N = 669, moderate-quality evidence). In addition, a significant reduction in depression was observed MD -1.4 (95% CI: -2.7 to -0.1, I2 = 0% N = 148, three studies, moderate-quality evidence). No serious adverse events were reported.
Conclusion: Exercise intervention was associated with improvement of aerobic capacity, depression, and physical component score of health-related quality of life after hospital discharge for survivors of critical illness.
期刊介绍：
Clinical Rehabilitation covering the whole field of disability and rehabilitation, this peer-reviewed journal publishes research and discussion articles and acts as a forum for the international dissemination and exchange of information amongst the large number of professionals involved in rehabilitation. This journal is a member of the Committee on Publication Ethics (COPE)
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
