Effectiveness of neuromuscular electrostimulation in COPD subjects on mechanical ventilation. A systematic review and meta-analysis

Primer Autor
Seron, Pamela
Co-autores
Gutierrez-Arias, Ruvistay
Jalil, Yorschua
Fuentes-Aspe, Rocio
Título
Effectiveness of neuromuscular electrostimulation in COPD subjects on mechanical ventilation. A systematic review and meta-analysis
Editorial
ELSEVIER ESPANA
Revista
CLINICS
Lenguaje
en
Resumen
Objective: To estimate the effectiveness of Neuromuscular Electrostimulation (NMES) in adults with COPD undergoing MV. Method: A sensitive search was performed in MEDLINE, Embase, CENTRAL, CINAHL and other resources. Randomized Controlled Clinical Trials (RCTs) or non-RCTs that enrolled adults with COPD on MV due to an exacerbation of their disease were included. Two independent reviewers screened, extracted information, and assessed the risk of bias (RoB 2 tool) and the certainty of evidence (GRADE approach) from the included studies. Results: Four RCTs (144 participants) were included. Subjects who underwent NMES were able to move from bed to chair independently in less time (MD = 4.98 days less, 95% CI -8.55 to -1.47, 2 RCTs, low certainty of the evidence) and they were fewer days on MV (MD = 2.89 days less, 95% CI -4.58 to -1.21), 3 RCTs, low certainty of the evidence) than the control group. However, the effect of NMES on muscle strength is unclear (very low certainty of the evidence). Conclusions: NMES may improve functional independence and decrease MV time in adults with COPD, however, its effectiveness on muscle strength is uncertain. More and better RCTs are needed to determine with greater certainty the effectiveness of NMES in this population.
Tipo de Recurso
artículo de revisión
doi
10.1016/j.clinsp.2022.100108
Formato Recurso
PDF
Palabras Claves
COPD
Neuromuscular electrostimulation
Mechanical ventilation
Critical illness
Systematic review
Meta-analysis
ELECTRICAL-STIMULATION
MUSCLE DYSFUNCTION
PHYSICAL-THERAPY
STRENGTH
MODERATE
REHABILITATION
MORTALITY
WEAKNESS
QUALITY
GRADE
Ubicación del archivo
http://dx.doi.org/10.1016/j.clinsp.2022.100108
Categoría OCDE
Medicina general e interna
Materias
EPOC
Electroestimulación neuromuscular
Ventilación mecánica
Enfermedad crítica
Revisión sistemática
Metanálisis
ESTIMULACIÓN ELÉCTRICA
DISFUNCIÓN MUSCULAR
TERAPIA FÍSICA
FORTALEZA
MODERADA
REHABILITACIÓN
MORTALIDAD
DEBILIDAD
CALIDAD
GRADO
Disciplinas de la OCDE
Sistema Respiratorio
Otros Temas de Medicina Clínica
Tecnología Médica
Título de la cita (Recomendado-único)
Effectiveness of neuromuscular electrostimulation in COPD subjects on mechanical ventilation. A systematic review and meta-analysis
Identificador del recurso (Mandatado-único)
artículo de revisión
Versión del recurso (Recomendado-único)
version publicada
License
CC BY 4.0
Condición de la licencia (Recomendado-repetible)
CC BY 4.0
Derechos de acceso
acceso abierto
Access Rights
acceso abierto
Id de Web of Science
WOS:000875233600022
Colecciones
Colección Publicaciones Científicas
Revisa las metricas alternativas de Almetrics
Revisa las citaciones de Dimensions