دورية أكاديمية

Impact of continuous positive airway pressure (CPAP) on the respiratory capacity of chronic kidney disease patients under hemodialysis treatment.

التفاصيل البيبلوغرافية
العنوان: Impact of continuous positive airway pressure (CPAP) on the respiratory capacity of chronic kidney disease patients under hemodialysis treatment.
المؤلفون: Xavier VB; Hospital Santa Isabel, Santa Casa de Sao Paulo, São Paulo, SP, Brazil, vivianbxavier@hotmail.com., Roxo RS, Miorin LA, Dos Santos Alves VL, Dos Santos Sens YA
المصدر: International urology and nephrology [Int Urol Nephrol] 2015 Jun; Vol. 47 (6), pp. 1011-6. Date of Electronic Publication: 2015 Apr 30.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: Netherlands NLM ID: 0262521 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-2584 (Electronic) Linking ISSN: 03011623 NLM ISO Abbreviation: Int Urol Nephrol Subsets: MEDLINE
أسماء مطبوعة: Publication: Amsterdam : Springer
Original Publication: Budapest, Akademiai Kiadó
مواضيع طبية MeSH: Continuous Positive Airway Pressure* , Renal Dialysis*, Renal Insufficiency, Chronic/*physiopathology , Renal Insufficiency, Chronic/*therapy , Respiration Disorders/*physiopathology , Respiration Disorders/*therapy, Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Prospective Studies ; Renal Insufficiency, Chronic/complications ; Respiration Disorders/etiology ; Respiratory Function Tests ; Young Adult
مستخلص: Purpose: Chronic kidney disease (CKD) patients on long-term dialysis present changes in pulmonary function and respiratory muscle strength, negatively influencing physical capacity.
Objective: To analyze the impact of a continuous positive airway pressure (CPAP) protocol on the respiratory capacity of CKD patients under hemodialysis.
Methods: A randomized clinical trial was conducted involving 40 CKD patients 19-83 years old divided into two groups: control (n = 20) and CPAP (n = 20). Subjects were assessed on the respiratory muscle function test, maximal respiratory pressures, peak flow and 6-min walk test, at baseline and again at the 2-month follow-up. CPAP group patients were submitted to CPAP protocol (PEEP: 5 cm H2O, flow: 15 L/min, FiO2: 33 %) three times per week during hemodialysis sessions.
Results: The CPAP group showed higher forced vital capacity, forced expiratory volume in one second, peak expiratory flow, maximal inspiratory pressure, peak flow, as well as lower systolic blood pressure, heart rate, respiratory rate and Borg scale, in addition to a longer distance travelled on the 6-min walk test, compared with the control group.
Conclusion: The introduction of a CPAP protocol during hemodialysis sessions had a positive impact on pulmonary function and physical capacity in CKD patients.
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تواريخ الأحداث: Date Created: 20150501 Date Completed: 20160225 Latest Revision: 20220331
رمز التحديث: 20231215
DOI: 10.1007/s11255-015-0988-y
PMID: 25924781
قاعدة البيانات: MEDLINE
الوصف
تدمد:1573-2584
DOI:10.1007/s11255-015-0988-y