European Respiratory Society statement on airway clearance techniques in adults with bronchiectasis

Airway clearance techniques (ACTs) are part of the main management strategy for patients with bronchiectasis. Despite being a priority for patients, accessibility, implementation and reporting of ACTs are variable in clinical settings and research studies. This European Respiratory Society statement...

Descripción completa

Detalles Bibliográficos
Autores: Herrero-Cortina, Beatriz, Lee, Annemarie, Oliveira, Ana, O'Neill, Brenda, Jácome, Cristina, Dal Corso, Simone, Poncin, William, Muñoz, Gerard, Inal-Ince, Deniz, Alcaraz-Serrano, Victoria, Reychler, Gregory, Bellofiore, Angela, Posthumus, Annette, Tonia, Thomy, Chalmers, James D., Spinou, Arietta
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Ramon Llull (URL)
Repositorio:DAU Arxiu Digital de la Universitat Ramon Llull
OAI Identifier:oai:dau.url.edu:20.500.14342/4053
Acceso en línea:http://hdl.handle.net/20.500.14342/4053
https://doi.org/10.1183/13993003.02053-2022
Access Level:acceso abierto
Palabra clave:Bronquièctasi -- Fisioteràpia
Bronquis -- Malalties -- Fisioteràpia
ACTs
616.2
id ES_129c40341eca5d32a2a0ff092d3b81c2
oai_identifier_str oai:dau.url.edu:20.500.14342/4053
network_acronym_str ES
network_name_str España
repository_id_str
spelling European Respiratory Society statement on airway clearance techniques in adults with bronchiectasisHerrero-Cortina, BeatrizLee, AnnemarieOliveira, AnaO'Neill, BrendaJácome, CristinaDal Corso, SimonePoncin, WilliamMuñoz, GerardInal-Ince, DenizAlcaraz-Serrano, VictoriaReychler, GregoryBellofiore, AngelaPosthumus, AnnetteTonia, ThomyChalmers, James D.Spinou, AriettaBronquièctasi -- FisioteràpiaBronquis -- Malalties -- FisioteràpiaACTs616.2Airway clearance techniques (ACTs) are part of the main management strategy for patients with bronchiectasis. Despite being a priority for patients, accessibility, implementation and reporting of ACTs are variable in clinical settings and research studies. This European Respiratory Society statement summarises current knowledge about ACTs in adults with bronchiectasis and makes recommendations to improve the future evidence base. A task force of 14 experts and two patient representatives (10 countries) determined the scope of this statement through consensus and defined six questions. The questions were answered based on systematic searches of the literature. The statement provides a comprehensive review of the physiological rationale for ACTs in adults with bronchiectasis, and the mechanisms of action along with the advantages and disadvantages of each ACT. Evidence on ACTs in clinical practice indicates that the most frequently used techniques are active cycle of breathing techniques, positive expiratory pressure devices and gravity-assisted drainage, although there is limited evidence on the type of ACTs used in specific countries. A review of 30 randomised trials for the effectiveness of ACTs shows that these interventions increase sputum clearance during or after treatment, reduce the impact of cough and the risk of exacerbations, and improve health-related quality of life. Furthermore, strategies for reducing the risk of bias in future studies are proposed. Finally, an exploration of patients’ perceptions, barriers and enablers related to this treatment is also included to facilitate implementation and adherence to ACTs.info:eu-repo/semantics/acceptedVersionEuropean Respiratory SocietyUniversitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna2024202420222023info:eu-repo/semantics/article37 p.application/pdfhttp://hdl.handle.net/20.500.14342/4053https://doi.org/10.1183/13993003.02053-2022reponame:DAU Arxiu Digital de la Universitat Ramon Llullinstname:Universitat Ramon Llull (URL)InglésEuropean Respiratory Journal, 2023, 62(1): 2202053© European Respiratory SocietyAttribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:dau.url.edu:20.500.14342/40532026-06-21T06:40:37Z
dc.title.none.fl_str_mv European Respiratory Society statement on airway clearance techniques in adults with bronchiectasis
title European Respiratory Society statement on airway clearance techniques in adults with bronchiectasis
spellingShingle European Respiratory Society statement on airway clearance techniques in adults with bronchiectasis
Herrero-Cortina, Beatriz
Bronquièctasi -- Fisioteràpia
Bronquis -- Malalties -- Fisioteràpia
ACTs
616.2
title_short European Respiratory Society statement on airway clearance techniques in adults with bronchiectasis
title_full European Respiratory Society statement on airway clearance techniques in adults with bronchiectasis
title_fullStr European Respiratory Society statement on airway clearance techniques in adults with bronchiectasis
title_full_unstemmed European Respiratory Society statement on airway clearance techniques in adults with bronchiectasis
title_sort European Respiratory Society statement on airway clearance techniques in adults with bronchiectasis
dc.creator.none.fl_str_mv Herrero-Cortina, Beatriz
Lee, Annemarie
Oliveira, Ana
O'Neill, Brenda
Jácome, Cristina
Dal Corso, Simone
Poncin, William
Muñoz, Gerard
Inal-Ince, Deniz
Alcaraz-Serrano, Victoria
Reychler, Gregory
Bellofiore, Angela
Posthumus, Annette
Tonia, Thomy
Chalmers, James D.
Spinou, Arietta
author Herrero-Cortina, Beatriz
author_facet Herrero-Cortina, Beatriz
Lee, Annemarie
Oliveira, Ana
O'Neill, Brenda
Jácome, Cristina
Dal Corso, Simone
Poncin, William
Muñoz, Gerard
Inal-Ince, Deniz
Alcaraz-Serrano, Victoria
Reychler, Gregory
Bellofiore, Angela
Posthumus, Annette
Tonia, Thomy
Chalmers, James D.
Spinou, Arietta
author_role author
author2 Lee, Annemarie
Oliveira, Ana
O'Neill, Brenda
Jácome, Cristina
Dal Corso, Simone
Poncin, William
Muñoz, Gerard
Inal-Ince, Deniz
Alcaraz-Serrano, Victoria
Reychler, Gregory
Bellofiore, Angela
Posthumus, Annette
Tonia, Thomy
Chalmers, James D.
Spinou, Arietta
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna
dc.subject.none.fl_str_mv Bronquièctasi -- Fisioteràpia
Bronquis -- Malalties -- Fisioteràpia
ACTs
616.2
topic Bronquièctasi -- Fisioteràpia
Bronquis -- Malalties -- Fisioteràpia
ACTs
616.2
description Airway clearance techniques (ACTs) are part of the main management strategy for patients with bronchiectasis. Despite being a priority for patients, accessibility, implementation and reporting of ACTs are variable in clinical settings and research studies. This European Respiratory Society statement summarises current knowledge about ACTs in adults with bronchiectasis and makes recommendations to improve the future evidence base. A task force of 14 experts and two patient representatives (10 countries) determined the scope of this statement through consensus and defined six questions. The questions were answered based on systematic searches of the literature. The statement provides a comprehensive review of the physiological rationale for ACTs in adults with bronchiectasis, and the mechanisms of action along with the advantages and disadvantages of each ACT. Evidence on ACTs in clinical practice indicates that the most frequently used techniques are active cycle of breathing techniques, positive expiratory pressure devices and gravity-assisted drainage, although there is limited evidence on the type of ACTs used in specific countries. A review of 30 randomised trials for the effectiveness of ACTs shows that these interventions increase sputum clearance during or after treatment, reduce the impact of cough and the risk of exacerbations, and improve health-related quality of life. Furthermore, strategies for reducing the risk of bias in future studies are proposed. Finally, an exploration of patients’ perceptions, barriers and enablers related to this treatment is also included to facilitate implementation and adherence to ACTs.
publishDate 2022
dc.date.none.fl_str_mv 2022
2023
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.14342/4053
https://doi.org/10.1183/13993003.02053-2022
url http://hdl.handle.net/20.500.14342/4053
https://doi.org/10.1183/13993003.02053-2022
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv European Respiratory Journal, 2023, 62(1): 2202053
dc.rights.none.fl_str_mv © European Respiratory Society
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv © European Respiratory Society
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 37 p.
application/pdf
dc.publisher.none.fl_str_mv European Respiratory Society
publisher.none.fl_str_mv European Respiratory Society
dc.source.none.fl_str_mv reponame:DAU Arxiu Digital de la Universitat Ramon Llull
instname:Universitat Ramon Llull (URL)
instname_str Universitat Ramon Llull (URL)
reponame_str DAU Arxiu Digital de la Universitat Ramon Llull
collection DAU Arxiu Digital de la Universitat Ramon Llull
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869403628123455488
score 15,301603

Similares en LA Referencia