| Title |
Benefits of interventions for respiratory secretion management in adult palliative care patients—a systematic review
|
|---|---|
| Published in |
BMC Palliative Care, August 2016
|
| DOI | 10.1186/s12904-016-0147-y |
| Pubmed ID | |
| Authors |
Juliano Ferreira Arcuri, Ebun Abarshi, Nancy J. Preston, Jenny Brine, Valéria Amorim Pires Di Lorenzo |
| Abstract |
Respiratory secretions impact negatively on palliative patients. Unfortunately, a gold standard therapy is not yet available. The purpose of this study was to identify which interventions are in use to control respiratory secretions in patients with chronic disease with a poor prognosis and verify their effects on outcomes relevant for palliative care patients. A systematic review of the literature with narrative summary was conducted. We searched eight electronic databases in April (6th), 2016. Citation-tracking and reference list searches were conducted. We included randomized controlled trials, crossover trials, observational and qualitative studies regarding interventions for respiratory secretion management in adult patients with chronic diseases that met inclusion criteria indicating short prognosis. Six randomized controlled trials, 11 observational studies, ten crossover trials and one qualitative study were found. Interventions included mechanical insufflation-exsufflation (MIE), expiratory muscle training, manually-assisted cough, tracheotomy, chest physiotherapy, suctioning, air stacking, electrical stimulation of abdominal muscles, nebulized saline, positive expiratory pressure masks, percussive ventilation, high frequency chest wall oscillations. The interventions with most promising benefits to patients in palliative care were manually-assisted cough and mechanical insufflation-exsufflation to promote expectoration and percussive ventilation to improve mucous clearance. Therapies, such as manually assisted cough, mechanical insufflation-exsufflation and percussive ventilation, which aim to deal with respiratory secretion, were the most promising treatment for use in palliative care for specific diseases. Nevertheless, the evidence still needs to improve in order to identify which treatment is the best. |
X Demographics
The data shown below were collected from the profiles of 10 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Canada | 3 | 30% |
| United Kingdom | 3 | 30% |
| Korea, Democratic People's Republic of | 1 | 10% |
| Australia | 1 | 10% |
| Unknown | 2 | 20% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 7 | 70% |
| Scientists | 2 | 20% |
| Practitioners (doctors, other healthcare professionals) | 1 | 10% |
Mendeley readers
The data shown below were compiled from readership statistics for 238 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | <1% |
| Unknown | 237 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 33 | 14% |
| Student > Master | 32 | 13% |
| Student > Postgraduate | 29 | 12% |
| Other | 15 | 6% |
| Student > Doctoral Student | 12 | 5% |
| Other | 48 | 20% |
| Unknown | 69 | 29% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 79 | 33% |
| Medicine and Dentistry | 58 | 24% |
| Social Sciences | 6 | 3% |
| Sports and Recreations | 5 | 2% |
| Neuroscience | 4 | 2% |
| Other | 16 | 7% |
| Unknown | 70 | 29% |
Attention Score in Context
This research output has an Altmetric Attention Score of 8. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 November 2017.
All research outputs
#4,278,751
of 23,818,521 outputs
Outputs from BMC Palliative Care
#566
of 1,307 outputs
Outputs of similar age
#74,893
of 365,606 outputs
Outputs of similar age from BMC Palliative Care
#14
of 29 outputs
Altmetric has tracked 23,818,521 research outputs across all sources so far. Compared to these this one has done well and is in the 82nd percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,307 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.6. This one has gotten more attention than average, scoring higher than 56% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 365,606 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 79% of its contemporaries.
We're also able to compare this research output to 29 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 55% of its contemporaries.