Mechanisms of improvement in exercise capacity using a rollator in patients with COPD.

Abstract:

STUDY OBJECTIVE:We analyzed the effects of the use of a rollator on walking distance and physiologic variables: pulmonary gas exchange, heart rate, minute ventilation (Ve), oxygen saturation, and symptoms during the 6-min walk test (6MWT) in patients with COPD. SETTING:Outpatient clinic at university hospital. PATIENTS:Fourteen patients with COPD in stable clinical condition. One patient had mild COPD, five patients had moderate COPD, six patients had severe COPD, and two patients had very severe COPD. INTERVENTIONS:Two 6MWTs were performed with a portable metabolic system (VmaxST 1.0; Viasys Healthcare; MEDA; Aartselaar, Belgium) with a rollator and without a rollator, in random order. In addition, maximal voluntary ventilation (MVV) was measured with and without a rollator, randomly. RESULTS:The median 6MWT distance increased significantly with a rollator: 416 m without a rollator (interquartile range [IQR], 396 to 435 m), vs 462 m with a rollator (IQR, 424 to 477 m) [p = 0.04]. Significant increases were also seen in oxygen uptake (0.04 L/min [IQR, - 0.002 to 0.09 L/min]); tidal volume (0.06 L/min [IQR, - 0.001 to 0.11 L/min]); and Ve (0.95 L/min [IQR, - 0.67 to 7.1 L/min]), recorded in the last minute of the 6MWT; as well as in MVV (3 L/min [IQR, 0 to 12 L/min]) [p < 0.05 for all]. Borg dyspnea scores tended to be lower with a rollator: 6 (IQR, 4 to 7) without a rollator, vs 5 (IQR, 4 to 7) with a rollator (p = 0.10). The variation in the 6MWT was explained by individual changes in walking efficiency (partial R(2) = 0.31) and changes in Ve (partial R(2) = 0.36) [p model < 0.04]. CONCLUSION:The use of a rollator improves walking distance of patients with COPD through an increased ventilatory capacity and/or better walking efficiency.

journal_name

Chest

journal_title

Chest

authors

Probst VS,Troosters T,Coosemans I,Spruit MA,Pitta Fde O,Decramer M,Gosselink R

doi

10.1378/chest.126.4.1102

subject

Has Abstract

pub_date

2004-10-01 00:00:00

pages

1102-7

issue

4

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)31284-8

journal_volume

126

pub_type

临床试验,杂志文章,随机对照试验

相关文献

CHEST文献大全
  • Accuracy of an infrared tympanic thermometer.

    abstract:BACKGROUND:The use of infrared thermometry to measure temperatures in hospitalized patients is increasing. Although infrared thermometers have been proven to be accurate when they are used by well-trained personnel, no previous studies have examined their accuracy during routine hospital use. OBJECTIVE:To determine th...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.115.4.1002

    authors: Amoateng-Adjepong Y,Del Mundo J,Manthous CA

    更新日期:1999-04-01 00:00:00

  • Neural network prediction of obstructive sleep apnea from clinical criteria.

    abstract:STUDY OBJECTIVES:Clinical prediction models for the diagnosis of obstructive sleep apnea (OSA) have lacked the accuracy necessary to confidently replace polysomnography (PSG). Artificial neural networks are computer programs that can be trained to predict outcomes based on experience. This study was conducted to test t...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.116.2.409

    authors: Kirby SD,Eng P,Danter W,George CF,Francovic T,Ruby RR,Ferguson KA

    更新日期:1999-08-01 00:00:00

  • When is a biopsy-proven diagnosis necessary before stereotactic ablative radiotherapy for lung cancer?: A decision analysis.

    abstract:BACKGROUND:The practice of treating a solitary pulmonary nodule (SPN) suspicious for stage I non-small cell lung cancer (NSCLC) with stereotactic ablative radiotherapy (SABR) in the absence of pathology is growing. In the absence of randomized evidence, the appropriate prior probability threshold of lung cancer of when...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.13-2924

    authors: Louie AV,Senan S,Patel P,Ferket BS,Lagerwaard FJ,Rodrigues GB,Salama JK,Kelsey C,Palma DA,Hunink MG

    更新日期:2014-10-01 00:00:00

  • Semiquantitative measurement of cytomegalovirus DNA in lung and heart-lung transplant patients by in vitro DNA amplification.

    abstract::We report the cases of two lung transplant recipients (one heart-lung and one single lung) who eventually developed cytomegalovirus (CMV) pneumonitis after documentation of increasing CMV DNA titers in sequential bronchoalveolar lavage (BAL) specimens by polymerase chain reaction (PCR) amplification. To our knowledge,...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.101.1.93

    authors: Cagle PT,Buffone G,Holland VA,Samo T,Demmler GJ,Noon GP,Lawrence EC

    更新日期:1992-01-01 00:00:00

  • Cardiac disease in the wheezing child.

    abstract::Cardiac and pulmonary disease are so closely interrelated that it is often difficult to determine in young infants which is the primary offender. As illustrated in these case reports, failure to recognize the true nature of the disease process may lead to unnecessary procedures and delays which can be life-threatening...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.71.2.187

    authors: Moss AJ,McDonald LV

    更新日期:1977-02-01 00:00:00

  • Deep vein thrombosis among patients entering cardiac rehabilitation after coronary artery bypass surgery.

    abstract:BACKGROUND:Little information is available about the prevalence of deep vein thrombosis (DVT) after discharge from cardiac surgery units and its impact on rehabilitation programs. OBJECTIVES:To estimate the rate of DVT, in relation to different thromboprophylaxis strategies, in patients with a recent coronary artery b...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.125.1.191

    authors: Ambrosetti M,Salerno M,Zambelli M,Mastropasqua F,Tramarin R,Pedretti RF

    更新日期:2004-01-01 00:00:00

  • Dynamic respiratory patterns after laparoscopic cholecystectomy.

    abstract::Important alterations in respiratory function have been observed after open cholecystectomy. These include a decrease in the abdominal tidal volume, forced vital capacity, and forced expiratory volume at 1 s. Laparoscopic cholecystectomy is a new procedure allowing removal of the gallbladder without a subcostal or mid...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.4.1173

    authors: Shulman SM,Chuter T,Weissman C

    更新日期:1993-04-01 00:00:00

  • Cardiac cachexia: a syndrome with impaired survival and immune and neuroendocrine activation.

    abstract::Chronic heart failure (CHF) is a complex syndrome affecting many body systems. Body wasting (ie, cardiac cachexia) is a serious complication of CHF long known but little investigated. Although no specific diagnostic criteria have been established, we have suggested that cardiac cachexia be defined on the basis of the ...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.115.3.836

    authors: Anker SD,Coats AJ

    更新日期:1999-03-01 00:00:00

  • Significance of the magnitude of a QS wave deflection in evaluating the uninvolved muscle in anterior wall myocardial infarction.

    abstract::The significance of dynamic changes of the QS wave magnitude, as demonstrated in the precordial leads, within the natural evolution of acute anterior wall myocardial infarction (AAMI) was assessed in 25 patients within two weeks of their admission to the intensive cardiac care unit. Two sets of tests, including 12-lea...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.94.5.1002

    authors: Klainman E,Sclarovsky S,Zafrir N,Lewin RF,Farbstein H,Agmon J

    更新日期:1988-11-01 00:00:00

  • Accuracy of BAL galactomannan in diagnosing invasive aspergillosis: a bivariate metaanalysis and systematic review.

    abstract:BACKGROUND:A serum galactomannan (GM) assay has been approved for diagnosing invasive aspergillosis (IA). However, the role of the BAL-GM assay has not been well established. Therefore, we conducted a metaanalysis to determine the overall accuracy of BAL-GM in the diagnosis of IA. METHODS:After a systematic review of ...

    journal_title:Chest

    pub_type: 杂志文章,meta分析

    doi:10.1378/chest.10-0488

    authors: Guo YL,Chen YQ,Wang K,Qin SM,Wu C,Kong JL

    更新日期:2010-10-01 00:00:00

  • The effectiveness of cardiology consultation. Concordance with diagnostic and drug recommendations.

    abstract::In an effort to characterize the effectiveness of cardiology consultation, the outcomes of consultants' recommendations for diagnostic actions and cardiac drugs were quantitatively examined in 394 cases. Drug recommendations were made more frequently (49 percent) than diagnostic recommendations (38 percent) and were a...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.79.1.16

    authors: Mackenzie TB,Popkin MK,Callies AL,Jorgensen CR,Cohn JN

    更新日期:1981-01-01 00:00:00

  • Discontinuing mechanical ventilatory support.

    abstract::The ventilator discontinuation process is a critical component of ICU care. Ongoing ventilator dependency is caused by both disease factors (eg, respiratory, cardiac, metabolic, and neuromuscular) and clinician management factors (eg, failing to recognize discontinuation potential and inappropriate ventilator settings...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.06-2862

    authors: MacIntyre N

    更新日期:2007-09-01 00:00:00

  • Preoperative spirometry and laparotomy: blowing away dollars.

    abstract:STUDY OBJECTIVE:Increasing evidence indicates that routine preoperative diagnostic spirometry (pulmonary function tests [PFTs]) before elective abdominal surgery does not predict individual risk of postoperative pulmonary complications and is overutilized. This economic evaluation estimates potential savings from reduc...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.111.6.1536

    authors: De Nino LA,Lawrence VA,Averyt EC,Hilsenbeck SG,Dhanda R,Page CP

    更新日期:1997-06-01 00:00:00

  • Pulmonary reaction to upper mantle radiation therapy for Hodgkin's disease.

    abstract::To study the effects of upper mantle radiation therapy on pulmonary function, forced expiratory volume in one second (FEV1), vital capacity (VC), inspiratory capacity (IC), diffusing capacity for CO (DLCO) and diffusion per unit of alveolar volume (DL/VA were determined in 28 patients with Hodgkin's disease, stages 1-...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.75.6.688

    authors: do Pico GA,Wiley AL Jr,Rao P,Dickie HA

    更新日期:1979-06-01 00:00:00

  • An unusual presentation of metastatic colon cancer to the lung.

    abstract::A 75-year-old man with a history of resected colon carcinoma presented to his primary care physician because of a new onset of coughing. The patient had expectorated a small piece of solid tissue; pathologic examination of the tissue found it to be consistent with metastatic colon adenocarcinoma. After further work-up...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.113.1.244

    authors: Zias EA,Owen RP,Borczuk A,Reichel J,Frater RW

    更新日期:1998-01-01 00:00:00

  • Questionnaires and pocket spirometers provide an alternative approach for COPD screening in the general population.

    abstract:BACKGROUND:In response to the Agency for Healthcare Research and Quality statement questioning the usefulness of “screening spirometry,” the National Heart, Lung, and Blood Institute and the COPD Foundation held a consensus conference in June 2008 to establish a procedure to detect cases of COPD in the general populati...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1378/chest.11-1474

    authors: Nelson SB,LaVange LM,Nie Y,Walsh JW,Enright PL,Martinez FJ,Mannino DM,Thomashow BM

    更新日期:2012-08-01 00:00:00

  • Congenital intrathoracic left ventricular diverticulum in an adult.

    abstract::A 53-year-old woman without any risk factors for coronary artery disease was found to have a congenital intrathoracic left ventricular diverticulum with a narrow long connection to the left ventricular cavity. Coronary angiography revealed normal coronary arteries. The diverticulum was resected and showed three normal...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.98.3.750

    authors: Suilen C,Friedli B,Rutishauser W

    更新日期:1990-09-01 00:00:00

  • Re-evaluation of bone marrow aspiration in the diagnosis of miliary tuberculosis.

    abstract::We studied eight patients with miliary tuberculosis (TB). In all instances, tuberculomatous lesions were demonstrated in the aspirated bone marrow. We conclude that the bone marrow aspiration has great value in diagnosing miliary TB because it provides sufficient material to permit examination of serial sections as ne...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.106.3.690

    authors: Kinoshita M,Ichikawa Y,Koga H,Sumita S,Oizumi K

    更新日期:1994-09-01 00:00:00

  • Minimal effect of alcohol ingestion on breathing during the sleep of postmenopausal women.

    abstract::Eighteen asymptomatic postmenopausal women volunteered to ingest 2 ml of 100-proof vodka per kg of body weight in orange juice on one night and a placebo on another. Overnight sleep monitoring was performed immediately thereafter. Alcohol ingestion caused reduction in total sleep time from 329 to 281 minutes and a dec...

    journal_title:Chest

    pub_type: 临床试验,杂志文章

    doi:10.1378/chest.88.2.181

    authors: Block AJ,Hellard DW,Slayton PC

    更新日期:1985-08-01 00:00:00

  • Clinical evaluation of pulmonary hypertension in systemic sclerosis and related disorders. A Doppler echocardiographic study of 135 Japanese patients.

    abstract:BACKGROUND:Previous studies on pulmonary hypertension (PH) in systemic sclerosis and related disorders used differing patient populations, and defined PH according to different criteria. We have attempted to determine the prevalence and cause of PH in these disorders using a mainly noninvasive cardiopulmonary evaluatio...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.111.1.36

    authors: Murata I,Takenaka K,Yoshinoya S,Kikuchi K,Kiuchi T,Tanigawa T,Ito K

    更新日期:1997-01-01 00:00:00

  • Telescoping plugged catheter. An unusual way of diagnosing Pasteurella multocida pneumonia.

    abstract::We report a case of Pasteurella multocida pneumonia and its unusual clinical presentation. We also discuss the rarity of its diagnosis by TPC specimens and the delay in both an adequate diagnosis and treatment. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.99.6.1517

    authors: Ruiz-Santana S,Antunez IA,Armas M,Rodriguez de Castro F,Manzano JL

    更新日期:1991-06-01 00:00:00

  • Frequency spectra of normal breath sounds in childhood.

    abstract::Clinicians who auscultate the chest of normal children note that the frequency content of their breath sounds appears to vary with age. Because these changes have not been systematically documented before, we recorded and analyzed inspiratory breath sounds in 35 children (0 to 13 years) and five adults (34 to 43 years...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.100.4.999

    authors: Hidalgo HA,Wegmann MJ,Waring WW

    更新日期:1991-10-01 00:00:00

  • Bilateral diaphragmatic paralysis in the newborn infant: treatment with nasal continous positive airway pressure.

    abstract::A newborn infant with severe respiratory distress from bilateral diaphragmatic paralysis caused by birth injury was successfully treated with nasal continuous positive airway pressure (CPAP). Improvement gradually occurred, and CPAP was discontinued after he was 23 days of age. This therapy has advantages over alterna...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.75.3.392

    authors: Zajkowski EJ,Kravath RE

    更新日期:1979-03-01 00:00:00

  • Distinct characteristics of pleuroparenchymal fibroelastosis with usual interstitial pneumonia compared with idiopathic pulmonary fibrosis.

    abstract:BACKGROUND:Pleuroparenchymal fibroelastosis (PPFE) is a rare form of interstitial pneumonia and sometimes coexists with a histologic usual interstitial pneumonia (UIP) pattern. This study aimed to describe the distinct clinical features of PPFE with UIP pattern compared with idiopathic pulmonary fibrosis (IPF). METHOD...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.13-2866

    authors: Oda T,Ogura T,Kitamura H,Hagiwara E,Baba T,Enomoto Y,Iwasawa T,Okudela K,Takemura T,Sakai F,Hasegawa Y

    更新日期:2014-11-01 00:00:00

  • Use of small-bore vs large-bore chest tubes for treatment of malignant pleural effusions.

    abstract:STUDY OBJECTIVE:To evaluate the efficacy of small-bore (12 French vanSonnenberg) catheters compared with standard large-bore chest tubes in the drainage and sclerotherapy of malignant pleural effusions. DESIGN:Retrospective review. SETTING:An academic tertiary care hospital. PATIENTS:Adult patients with documented n...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.120.1.19

    authors: Parulekar W,Di Primio G,Matzinger F,Dennie C,Bociek G

    更新日期:2001-07-01 00:00:00

  • Variation in Patient Smoking Cessation Rates Among Health-Care Providers: An Observational Study.

    abstract:BACKGROUND:Physicians play a crucial role in providing smoking cessation counseling and medications. However, it is unknown whether individual physicians' approaches affect whether patients quit. RESEARCH QUESTION:This study assessed patient quit rates within a national quality-improvement learning collaborative to do...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2020.05.599

    authors: Almaaitah S,Ciemins EL,Joshi V,Arora A,Meskow C,Rothberg MB

    更新日期:2020-11-01 00:00:00

  • The recrudescent epidemic of retrolental fibroplasia.

    abstract::We are probably observing a recrudescent epidemic of RLF which has elicited surprisingly little attention from the medical community. Given present data, it is not unreasonable to conclude that there is a true epidemic and that its etiologic basis involves a population of infants with high susceptibility to oxygen tox...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.89.4.576

    authors: Robin ED,Burke CM

    更新日期:1986-04-01 00:00:00

  • Occupational exposure to aerosolized pentamidine.

    abstract::Occupational exposure to aerosolized pentamidine has raised questions regarding transmission of tuberculosis and the effect of the drug itself. To estimate the exposure of a health care worker, we measured the ambient concentration of aerosolized pentamidine in field conditions in 36 m3 unventilated treatment room. Th...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.98.2.386

    authors: Montgomery AB,Corkery KJ,Brunette ER,Leoung GS,Waskin H,Debs RJ

    更新日期:1990-08-01 00:00:00

  • Alternatively activated macrophages and airway disease.

    abstract::Macrophages are the most abundant immune cell population in normal lung tissue and serve critical roles in innate and adaptive immune responses as well as the development of inflammatory airway disease. Studies in a mouse model of chronic obstructive lung disease and translational studies of humans with asthma and COP...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.10-2132

    authors: Byers DE,Holtzman MJ

    更新日期:2011-09-01 00:00:00

  • Acceptance of CPAP therapy for sleep apnea.

    abstract::Although NCPAP is the most efficient nonsurgical treatment for patients with OSA, many patients do not accept sleeping with a nose mask. To determine the factors influencing acceptance, treatment with NCPAP was offered to 95 patients with an AHI greater than 15. After the first night on NCPAP, 47 of 65 patients decide...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.100.4.1019

    authors: Rauscher H,Popp W,Wanke T,Zwick H

    更新日期:1991-10-01 00:00:00