Physical Activity as a Predictor of Absence of Frailty in Subjects With Stable COPD and COPD Exacerbation.

Abstract:

BACKGROUND:Frailty is a key issue in the care of elderly patients. Patients with COPD are more likely to be frail, with a prevalence of 57.8%. Frailty is associated with a low level of physical activity. The aim of this study was to analyze the predictive power and identify the cutoffs of physical activity in their different domains (household, leisure time, and sport) for the absence of frailty in subjects with COPD exacerbation and stable COPD. METHODS:A cross-sectional study was conducted. The participants underwent an individual interview, including sociodemographic and clinical aspects. The total physical activity and its domains were assessed by the modified Baecke questionnaire, and frailty was measured according to the modified version of Fried. A total of 212 subjects with COPD (104 stable and 108 with COPD exacerbation) were enrolled, along with 100 healthy subjects. RESULTS:The prevalence of frailty was higher in subjects with COPD compared with the control group. An activity level of 3.54 for COPD exacerbation, 3.88 for stable COPD, and 3.50 for healthy subjects assessed using the Baecke questionnaire were recommended as the cutoff points for frailty. Sensitivity and specificity values were 0.95 and 0.807; 0.95 and 0.815; and 0.95 and 0.947, respectively. CONCLUSIONS:Physical activity level can predict the absence or presence of frailty in subjects with stable and exacerbated COPD.

journal_name

Respir Care

journal_title

Respiratory care

authors

Valenza MC,Torres-Sánchez I,Cabrera-Martos I,Rodríguez-Torres J,González-Jiménez E,Muñoz-Casaubon T

doi

10.4187/respcare.04118

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

212-9

issue

2

eissn

0020-1324

issn

1943-3654

pii

respcare.04118

journal_volume

61

pub_type

杂志文章
  • Liberal Manipulation of Ventilator Settings and Its Impact on Tracheostomy Rate and Ventilator-Free Days.

    abstract:BACKGROUND:The utilization of checklists, bundles, and protocols attempts to provide standardization in the delivery of patient care. Despite important progress obtained in the prevention of hospital-acquired infections, the daily management of mechanical ventilation is still prone to heterogeneity, depending on the nu...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.03887

    authors: Modrykamien AM,Killian L,Walters RW

    更新日期:2016-01-01 00:00:00

  • Mechanical Ventilation in the Prehospital and Emergency Department Environment.

    abstract::Patients who require mechanical ventilation in the prehospital and emergency department environments experience high mortality and are at high risk of ventilator-associated ventilator-induced lung injury and ARDS. In addition, little attention has been given in the literature, trainee education, or clinical emphasis t...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:10.4187/respcare.06888

    authors: Stephens RJ,Siegler JE,Fuller BM

    更新日期:2019-05-01 00:00:00

  • Congenital pulmonary airway malformation: a case report and review of the literature.

    abstract::Congenital parenchymal lung malformations have an estimated incidence at 1:25,000-1:35,000 births. We present a case of this rare congenital abnormality in a 38 year-old male, review the current literature with discussion of proposed causes, malignant potential, and management strategies. A 38-year-old white male pre...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:10.4187/respcare.00727

    authors: McDonough RJ,Niven AS,Havenstrite KA

    更新日期:2012-02-01 00:00:00

  • Filamin A mutation may be associated with diffuse lung disease mimicking bronchopulmonary dysplasia in premature newborns.

    abstract::Bronchopulmonary dysplasia (BPD) is a common long-term complication in premature newborns requiring ventilatory support and is the most common cause of chronic diffuse lung disease in this population. We present the clinical course of a premature newborn with a complicated neonatal respiratory course that was initiall...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.02847

    authors: Lord A,Shapiro AJ,Saint-Martin C,Claveau M,Melançon S,Wintermark P

    更新日期:2014-11-01 00:00:00

  • Decreasing Unplanned Extubation in the Neonatal ICU With a Focus on Endotracheal Tube Tip Position.

    abstract:BACKGROUND:Unplanned extubation (UE) is an important quality metric in the neonatal ICU that is associated with hypoxia, bradycardia, and risk for airway trauma with emergent re-intubation. Initial efforts to reduce UE in our level 4 neonatal ICU included standardized securement of the endotracheal tube (ETT) and requi...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.07446

    authors: Morris HF,Schuller L,Archer J,Niesen A,Ellsworth S,Egan J,Rao R,Vesoulis ZA,Mathur AM

    更新日期:2020-11-01 00:00:00

  • Use of a computerized respiratory care record system to study utilization of IPPB therapy.

    abstract::Increases in the utilization of respiratory therapy and the need to avoid its misuse have placed increasing management responsibilities on medical and technical supervisors of respiratory care services. To improve our managerial capabilities we designed a computerized respiratory care record system. Respiratory therap...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Chase CR,Merz BA,Shinozaki T,Greenwood SA,Deane RS

    更新日期:1983-03-01 00:00:00

  • Usefulness of Oscillations Added to Mechanical In-Exsufflation in Amyotrophic Lateral Sclerosis.

    abstract:BACKGROUND:Assisted coughing via mechanical in-exsufflation (MI-E) is a first-line treatment for secretion management in patients with amyotrophic lateral sclerosis (ALS) with unassisted CPF < 4.25 L/s. Some devices enable oscillations to be added to MI-E (MI-E+O). We sought to determine whether adding oscillations to ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.07202

    authors: Sancho J,Burés E,Ferrer S,Bondía E,Servera E

    更新日期:2020-05-01 00:00:00

  • Heliox during mechanical ventilation.

    abstract::The indications for heliox during mechanical ventilation are lower-airway obstruction, especially with hypercarbia; need to enhance aerosol delivery to lung periphery; and need to facilitate weaning from mechanical ventilation. Certain ventilators perform relatively well with heliox and are not substantially affected ...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Venkataraman ST

    更新日期:2006-06-01 00:00:00

  • Correlation between spirometry values and pulmonary artery pressure in young healthy subjects.

    abstract:BACKGROUND:Pulmonary hypertension is frequently associated with parenchymal lung disease. We evaluated the association between spirometry values and pulmonary artery systolic pressure (PASP) in young subjects without lung disease METHODS:: We studied applicants to the Israeli Air Force, who undergo routine evaluation ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.02701

    authors: Grossman A,Benderly M,Prokupetz A,Gordon B,Kalter-Leibovici O

    更新日期:2014-03-01 00:00:00

  • Respiratory care management information systems.

    abstract::Hospital-wide computerized information systems evolved from the need to capture patient information and perform billing and other financial functions. These systems, however, have fallen short of meeting the needs of respiratory care departments regarding work load assessment, productivity management, and the level of...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Ford RM

    更新日期:2004-04-01 00:00:00

  • Effects of inspiratory rise time on triggering work load during pressure-support ventilation: a lung model study.

    abstract:BACKGROUND:The rise in inspiratory flow is important during patient-triggered ventilation. Many ventilators incorporate a function to control the time to reach the targeted airway pressure (inspiratory rise time). However, it has not been clarified how inspiratory rise time affects inspiratory work load under various v...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Murata S,Yokoyama K,Sakamoto Y,Yamashita K,Oto J,Imanaka H,Nishimura M

    更新日期:2010-07-01 00:00:00

  • Improving aerosol drug delivery during invasive mechanical ventilation with redesigned components.

    abstract:INTRODUCTION:Patients receiving invasive mechanical ventilation with an endotracheal tube (ETT) can often benefit from pharmaceutical aerosols; however, drug delivery through the ventilator circuit is known to be very inefficient. The objective of this study was to improve the delivery of aerosol through an invasive me...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.02782

    authors: Longest PW,Azimi M,Golshahi L,Hindle M

    更新日期:2014-05-01 00:00:00

  • Tolerance of Volume Control Noninvasive Ventilation in Subjects With Amyotrophic Lateral Sclerosis.

    abstract:BACKGROUND:Noninvasive ventilation (NIV) tolerance has been identified as an independent predictor of survival in amyotrophic lateral sclerosis (ALS). Volume control continuous mandatory ventilation (VC-CMV) NIV has been associated with poor tolerance. The aim of this study was to determine the tolerance of subjects wi...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.04172

    authors: Martínez D,Sancho J,Servera E,Marín J

    更新日期:2015-12-01 00:00:00

  • Accuracy and Precision of an Optoacoustic Prototype in Determining Endotracheal Tube Position in Children.

    abstract:BACKGROUND:Confirmation of endotracheal tube (ETT) tip position and timely identification and correction of malposition is an essential component of care for endotracheally intubated and mechanically ventilated children. We evaluated the ability of a prototype optoacoustic medical device to determine ETT tip position. ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.06140

    authors: Volsko TA,Petrov Y,McNinch NL,Prough DS,Anderson CR,Bigham MT

    更新日期:2018-12-01 00:00:00

  • Respiratory controversies in the critical care setting. Do the NIH ARDS Clinical Trials Network PEEP/FIO2 tables provide the best evidence-based guide to balancing PEEP and FIO2 settings in adults?

    abstract::Positive end-expiratory pressure (PEEP) and inspired oxygen fraction (F(IO(2))) are the primary means of improving P(aO(2)) during mechanical ventilation. Patients with acute respiratory distress syndrome (ARDS) typically present with a large intrapulmonary shunt, which makes even high F(IO(2)) ineffective in improvin...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Kallet RH,Branson RD

    更新日期:2007-04-01 00:00:00

  • Aerosolized medications for altering lung surface active properties.

    abstract::Surface active material is important in the function of both the infant and adult lung. In the premature infant, surfactant depletion results in the requirement for very high distending pressures to open alveoli. As a consequence, shunt, hypoxemia, and right ventricular dysfunction occur. Surfactant replacement, espec...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: MacIntyre NR

    更新日期:2000-06-01 00:00:00

  • Assessment of aspiration in patients with tracheostomies: comparison of the bedside colored dye assessment with videofluoroscopic examination.

    abstract:BACKGROUND:Aspiration is a serious clinical concern in patients with long-term artificial airways. The purpose of this study was to determine the reliability of a bedside colored dye assessment of aspiration in tracheostomized patients and to determine its comparability to a more sophisticated videofluoroscopic study. ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Peruzzi WT,Logemann JA,Currie D,Moen SG

    更新日期:2001-03-01 00:00:00

  • Comparison of Vibrating Mesh, Jet, and Breath-Enhanced Nebulizers During Mechanical Ventilation.

    abstract:BACKGROUND:This study compared 3 nebulizer technologies for inter- and intradevice reproducibility, humidification, and fill volume sensitivity during mechanical ventilation: a breath-enhanced jet nebulizer, a vibrating mesh nebulizer, and a jet nebulizer. The breath-enhanced jet nebulizer featured a new design located...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.07639

    authors: Ashraf S,McPeck M,Cuccia AD,Smaldone GC

    更新日期:2020-10-01 00:00:00

  • Diagnosis and management of post-traumatic pulmonary pseudocyst.

    abstract::Post-traumatic pulmonary pseudocyst is an uncommon cavitary lesion of the lung, which generally develops after blunt chest trauma. We saw a 22-year-old man with chest trauma, hemopneumothorax, and hemoptysis, on the day he fell from an electrical pylon. Intubation in the emergency department was followed by 4 days of ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Yazkan R,Ozpolat B,Sahinalp S

    更新日期:2009-04-01 00:00:00

  • Translating evidence into practice.

    abstract::Appropriately designed and conducted research is necessary for improving patient care and optimizing health outcomes, but access to best evidence is not enough to make these things happen. In respiratory care, as in other fields, patients do not benefit as much as they should from research findings and evidence-based ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Pierson DJ

    更新日期:2009-10-01 00:00:00

  • Care of the ventilator circuit and its relation to ventilator-associated pneumonia.

    abstract::Ventilator circuits should not be changed routinely for infection control purposes. The maximum duration of time that circuits can be used safely is unknown. Evidence is lacking related to ventilator-associated pneumonia (VAP) and issues of heated versus unheated circuits, type of heated humidifier, method for filling...

    journal_title:Respiratory care

    pub_type: 指南,杂志文章,实务指引

    doi:

    authors: Hess DR,Kallstrom TJ,Mottram CD,Myers TR,Sorenson HM,Vines DL,American Association for Respiratory Care.

    更新日期:2003-09-01 00:00:00

  • A new system for understanding modes of mechanical ventilation.

    abstract::Numerous ventilation modes and ventilation options have become available as new mechanical ventilators have reached the market. Ventilator manufacturers have no standardized terminology for ventilator modes and ventilation options, and ventilator operator's manuals do not help the clinician compare the modes of ventil...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Chatburn RL,Primiano FP Jr

    更新日期:2001-06-01 00:00:00

  • Serum Albumin and Disease Severity of Non-Cystic Fibrosis Bronchiectasis.

    abstract:BACKGROUND:A clinical classification system has been developed to define the severity and predict the prognosis of subjects with non-cystic fibrosis (CF) bronchiectasis. We aimed to identify laboratory parameters that are correlated with the bronchiectasis severity index (BSI) and FACED score. METHODS:The medical reco...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.05276

    authors: Lee SJ,Kim HJ,Kim JY,Ju S,Lim S,Yoo JW,Nam SJ,Lee GD,Cho HS,Kim RB,Cho YJ,Jeong YY,Kim HC,Lee JD

    更新日期:2017-08-01 00:00:00

  • Should PEEP Titration Be Based on Chest Mechanics in Patients With ARDS?

    abstract::Functional residual capacity (FRC) is essentially the alveolar volume and a determinant of both oxygenation and respiratory system compliance (CRS). ARDS decreases FRC, and sufficient PEEP restores FRC; thus, assessments of PEEP by its impact on oxygenation and CRS are intimately linked. PEEP also can ameliorate or ag...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:10.4187/respcare.04657

    authors: Kallet RH

    更新日期:2016-06-01 00:00:00

  • Evaluation of an oxygen mask-based capnometry device in subjects extubated after abdominal surgery.

    abstract:BACKGROUND:For early detection of respiratory and hemodynamic changes during anesthesia, continuous end-tidal carbon dioxide concentration (PETCO2) is monitored by capnometry. However, the accuracy of CO2 monitoring during spontaneous breathing in extubated patients remains undetermined. Therefore, we aimed to compare ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.03557

    authors: Takaki S,Mihara T,Mizutani K,Yamaguchi O,Goto T

    更新日期:2015-05-01 00:00:00

  • Endotracheal tubes: old and new.

    abstract::The development and evolution of the endotracheal tube (ETT) have been closely related to advances in surgery and anesthesia. Modifications were made to accomplish many tasks, including minimizing gross aspiration, isolating a lung, providing a clear facial surgical field during general anesthesia, monitoring laryngea...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:10.4187/respcare.02868

    authors: Haas CF,Eakin RM,Konkle MA,Blank R

    更新日期:2014-06-01 00:00:00

  • Year in Review 2018: Pediatric Mechanical Ventilation.

    abstract::Mechanical ventilation is frequently used in pediatric patients to ensure adequate gas exchange, ameliorate respiratory distress, and enable resolution of pulmonary or other disorders. However, a number of important challenges remain in the pediatric population because there is a paucity of large-scale randomized cont...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:10.4187/respcare.07029

    authors: Smallwood CD,Davis MD

    更新日期:2019-07-01 00:00:00

  • Perception of Exercise-Induced Bronchoconstriction in College Athletes.

    abstract:BACKGROUND:Exercise-induced bronchoconstriction (EIB) can lead to long-term respiratory illness and even death. EIB prevalence rates are both high and variable in college athletes. Also, prevalence rates may be underestimated due to ineffective screening. The purpose of this study is to investigate the prevalence of EI...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.04553

    authors: Burnett DM,Vardiman JP,Deckert JA,Ward JL,Sharpe MR

    更新日期:2016-07-01 00:00:00

  • Increased Accuracy After Adjustment of Spirometry Threshold for Diagnosing COPD Based on Pre-Bronchodilator FEV1/FVC.

    abstract:BACKGROUND:COPD is a leading cause of morbidity and mortality worldwide. Spirometry is the most common lung function test for diagnosing COPD with a post-bronchodilator FEV1/FVC < 0.70 confirming the presence of the disease. However, diagnosticians appear reluctant to use bronchodilators, which have been linked to the ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.06148

    authors: Kronborg T,Hangaard S,Cichosz SL,Hejlesen O

    更新日期:2019-01-01 00:00:00

  • Flow Decay: A Novel Spirometric Index to Quantify Dynamic Airway Resistance.

    abstract:BACKGROUND:Dynamic airway resistance from obstructive disease causes a concavity in the mid-expiratory portion of the spirometric flow-volume loop. We developed a simple model to measure the exponential decay in air flow during forced exhalation to quantify the extent of dynamic airway obstruction and facilitate the de...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.04850

    authors: Oh A,Morris TA,Yoshii IT,Morris TA

    更新日期:2017-07-01 00:00:00