Fisioterapia torácica para la neumonía en adultos
Información
- DOI:
- https://doi.org/10.1002/14651858.CD006338.pub3Copiar DOI
- Base de datos:
-
- Cochrane Database of Systematic Reviews
- Versión publicada:
-
- 28 febrero 2013see what's new
- Tipo:
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- Intervention
- Etapa:
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- Review
- Grupo Editorial Cochrane:
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Grupo Cochrane de Infecciones respiratorias agudas
- Copyright:
-
- Copyright © 2013 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Cifras del artículo
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Citado por:
Autores
Contributions of authors
All authors have contributed to this review.
XL Yin (XLY) and BY Wang (BYW) searched the databases, extracted the data and reformed the tables.
BYW and YP Yan (YPY) screened trials.
M Yang (MY) and YPY appraised the quality of included trials and drafted the full text.
BR Dong (BRD) and TX Wu (TXW) were responsible for editing.
BRD also acted as an arbitrator.
GJ Liu (HGJL) was the consultant for data analysis.
Sources of support
Internal sources
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Chinese Cochrane Center, Chinese Centre of Evidence‐Based Medicine, West China Hospital of Sichuan University, China.
External sources
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No sources of support supplied
Declarations of interest
None.
Acknowledgements
We thank Elizabeth Dooley, the Managing Editor of the ARI Group, for her help with drafting the review; and Sarah Thorning, ARI Group Trials Search Co‐ordinator, for her useful comments on the search strategy. We also wish to thank the following people for commenting on the draft review: Sai Janani Sivashankar, George Ntoumenopoulos, Jan Poelaert, Teresa Neeman, and Johannes van der Wouden.
For this 2012 update, we deeply appreciate Sarah Thorning, ARI Group Trials Search Co‐ordinator, for her hard work updating database searches.
Version history
| Published | Title | Stage | Authors | Version |
| 2022 Sep 06 | Chest physiotherapy for pneumonia in adults | Review | Xiaomei Chen, Jiaojiao Jiang, Renjie Wang, Hongbo Fu, Jing Lu, Ming Yang | |
| 2013 Feb 28 | Chest physiotherapy for pneumonia in adults | Review | Ming Yang, Yuping Yan, Xiangli Yin, Bin Y Wang, Taixiang Wu, Guan J Liu, Bi Rong Dong | |
| 2010 Feb 17 | Chest physiotherapy for pneumonia in adults | Review | Ming Yang, Yuping Yan, Xiangli Yin, Bin Y Wang, Taixiang Wu, Guan J Liu, Bi Rong Dong | |
| 2007 Jan 24 | Chest physiotherapy for pneumonia in adults | Protocol | Yuping Yan, Taixiang Wu, Xiangli Yin, Bin Y Wang, Guan Jian Liu, Bi Rong Dong | |
Differences between protocol and review
Some secondary outcomes (duration of antibiotic therapy, duration of sputum production, in‐patient sputum weight, duration of leukocytosis, change in leukocyte count and mean leukocyte count), which were not included in the protocol, were assessed in the review.
Keywords
MeSH
Medical Subject Headings (MeSH) Keywords
Medical Subject Headings Check Words
Adult; Humans;
PICO
'Risk of bias' graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
'Risk of bias' summary: review authors' judgements about each risk of bias item for each included study.
Forest plot of comparison: 1 Chest physiotherapy plus routine treatment versus routine treatment alone, outcome: 1.1 Mortality.
Forest plot of comparison: 1 Chest physiotherapy plus routine treatment versus routine treatment alone, outcome: 1.2 Cure rate.
Forest plot of comparison: 3 OMT plus routine treatment versus placebo plus routine treatment, outcome: 3.1 Mortality.
Forest plot of comparison: 3 OMT plus routine treatment versus placebo plus routine treatment, outcome: 3.2 Cure rate.
Comparison 1 Chest physiotherapy plus routine treatment versus routine treatment alone, Outcome 1 Mortality.
Comparison 1 Chest physiotherapy plus routine treatment versus routine treatment alone, Outcome 2 Cure rate.
Comparison 1 Chest physiotherapy plus routine treatment versus routine treatment alone, Outcome 3 Duration of hospital stay.
Comparison 1 Chest physiotherapy plus routine treatment versus routine treatment alone, Outcome 4 Duration of fever.
Comparison 1 Chest physiotherapy plus routine treatment versus routine treatment alone, Outcome 5 Rate of improvement of chest X‐ray.
Comparison 2 Active cycle of breathing techniques plus routine treatment versus routine treatment alone, Outcome 1 Cure rate.
Comparison 2 Active cycle of breathing techniques plus routine treatment versus routine treatment alone, Outcome 2 Duration of hospital stay.
Comparison 2 Active cycle of breathing techniques plus routine treatment versus routine treatment alone, Outcome 3 Rate of improvement of chest X‐ray.
Comparison 2 Active cycle of breathing techniques plus routine treatment versus routine treatment alone, Outcome 4 Duration of antibiotic therapy.
Comparison 2 Active cycle of breathing techniques plus routine treatment versus routine treatment alone, Outcome 5 Duration of sputum production.
Comparison 2 Active cycle of breathing techniques plus routine treatment versus routine treatment alone, Outcome 6 In‐patient sputum weight.
Comparison 3 Osteopathic manipulative treatment plus routine treatment versus placebo plus routine treatment, Outcome 1 Mortality.
Comparison 3 Osteopathic manipulative treatment plus routine treatment versus placebo plus routine treatment, Outcome 2 Cure rate.
Comparison 3 Osteopathic manipulative treatment plus routine treatment versus placebo plus routine treatment, Outcome 3 Duration of hospital stay.
Comparison 3 Osteopathic manipulative treatment plus routine treatment versus placebo plus routine treatment, Outcome 4 Duration of fever.
Comparison 3 Osteopathic manipulative treatment plus routine treatment versus placebo plus routine treatment, Outcome 5 Rate of improvement of chest X‐ray.
Comparison 3 Osteopathic manipulative treatment plus routine treatment versus placebo plus routine treatment, Outcome 6 Duration of oral antibiotic therapy.
Comparison 3 Osteopathic manipulative treatment plus routine treatment versus placebo plus routine treatment, Outcome 7 Duration of intervenous therapy.
Comparison 3 Osteopathic manipulative treatment plus routine treatment versus placebo plus routine treatment, Outcome 8 Duration of total antibiotic therapy.
Comparison 3 Osteopathic manipulative treatment plus routine treatment versus placebo plus routine treatment, Outcome 9 Duration of leukocytosis.
Comparison 3 Osteopathic manipulative treatment plus routine treatment versus placebo plus routine treatment, Outcome 10 Change in leukocyte count.
Comparison 3 Osteopathic manipulative treatment plus routine treatment versus placebo plus routine treatment, Outcome 11 Mean leukocyte count.
Comparison 4 Positive expiratory pressure plus routine treatment versus routine treatment alone, Outcome 1 Duration of hospital stay.
Comparison 4 Positive expiratory pressure plus routine treatment versus routine treatment alone, Outcome 2 Duration of fever.
| Outcome or subgroup title | No. of studies | No. of participants | Statistical method | Effect size |
| 1 Mortality Show forest plot | 2 | 225 | Risk Ratio (M‐H, Fixed, 95% CI) | 1.03 [0.15, 7.13] |
| 2 Cure rate Show forest plot | 2 | 225 | Risk Ratio (M‐H, Fixed, 95% CI) | 0.97 [0.91, 1.04] |
| 3 Duration of hospital stay Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| 4 Duration of fever Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| 5 Rate of improvement of chest X‐ray Show forest plot | 1 | Risk Ratio (M‐H, Fixed, 95% CI) | Totals not selected | |
| Outcome or subgroup title | No. of studies | No. of participants | Statistical method | Effect size |
| 1 Cure rate Show forest plot | 1 | Risk Ratio (M‐H, Fixed, 95% CI) | Totals not selected | |
| 2 Duration of hospital stay Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| 3 Rate of improvement of chest X‐ray Show forest plot | 1 | Risk Ratio (M‐H, Fixed, 95% CI) | Totals not selected | |
| 4 Duration of antibiotic therapy Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| 5 Duration of sputum production Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| 5.1 In‐patient | 1 | Mean Difference (IV, Fixed, 95% CI) | 0.0 [0.0, 0.0] | |
| 5.2 Out‐patient | 1 | Mean Difference (IV, Fixed, 95% CI) | 0.0 [0.0, 0.0] | |
| 5.3 Total | 1 | Mean Difference (IV, Fixed, 95% CI) | 0.0 [0.0, 0.0] | |
| 6 In‐patient sputum weight Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| Outcome or subgroup title | No. of studies | No. of participants | Statistical method | Effect size |
| 1 Mortality Show forest plot | 2 | 79 | Risk Ratio (M‐H, Fixed, 95% CI) | 0.27 [0.05, 1.57] |
| 2 Cure rate Show forest plot | 2 | 79 | Risk Ratio (M‐H, Fixed, 95% CI) | 1.54 [0.97, 2.46] |
| 3 Duration of hospital stay Show forest plot | 2 | 79 | Mean Difference (IV, Fixed, 95% CI) | ‐2.02 [‐3.46, ‐0.58] |
| 4 Duration of fever Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| 5 Rate of improvement of chest X‐ray Show forest plot | 2 | 75 | Risk Ratio (M‐H, Fixed, 95% CI) | 1.16 [0.77, 1.73] |
| 6 Duration of oral antibiotic therapy Show forest plot | 2 | 79 | Mean Difference (IV, Random, 95% CI) | 0.97 [‐1.25, 3.20] |
| 7 Duration of intervenous therapy Show forest plot | 2 | 79 | Mean Difference (IV, Fixed, 95% CI) | ‐2.11 [‐3.36, ‐0.87] |
| 8 Duration of total antibiotic therapy Show forest plot | 2 | 79 | Mean Difference (IV, Fixed, 95% CI) | ‐1.93 [‐3.12, ‐0.74] |
| 9 Duration of leukocytosis Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| 10 Change in leukocyte count Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| 10.1 Change between Day 3 and 1 from admission | 1 | Mean Difference (IV, Fixed, 95% CI) | 0.0 [0.0, 0.0] | |
| 10.2 Change between Day 5 and 1 from admission | 1 | Mean Difference (IV, Fixed, 95% CI) | 0.0 [0.0, 0.0] | |
| 11 Mean leukocyte count Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| 11.1 Day 3 from admission | 1 | Mean Difference (IV, Fixed, 95% CI) | 0.0 [0.0, 0.0] | |
| 11.2 Day 5 from admission | 1 | Mean Difference (IV, Fixed, 95% CI) | 0.0 [0.0, 0.0] | |
| Outcome or subgroup title | No. of studies | No. of participants | Statistical method | Effect size |
| 1 Duration of hospital stay Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| 2 Duration of fever Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
