Non-Invasive Ventilation in Patients with Heart Failure: A Systematic Review and Meta-Analysis
Abstract Non-invasive ventilation (NIV) may perfect respiratory and cardiac performance in patients with heart failure (HF). The objective of the study to establish, through systematic review and meta-analysis, NIV influence on functional capacity of HF patients. A systematic review with meta-analys...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cardiologia (SBC)
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| Series: | Arquivos Brasileiros de Cardiologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2017005002103&lng=en&tlng=en |
| _version_ | 1818849468329492480 |
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| author | Hugo Souza Bittencourt Helena França Correia dos Reis Melissa Santos Lima Mansueto Gomes Neto |
| author_facet | Hugo Souza Bittencourt Helena França Correia dos Reis Melissa Santos Lima Mansueto Gomes Neto |
| author_sort | Hugo Souza Bittencourt |
| collection | DOAJ |
| description | Abstract Non-invasive ventilation (NIV) may perfect respiratory and cardiac performance in patients with heart failure (HF). The objective of the study to establish, through systematic review and meta-analysis, NIV influence on functional capacity of HF patients. A systematic review with meta-analysis of randomized studies was carried out through research of databases of Cochrane Library, SciELO, Pubmed and PEDro, using the key-words: heart failure, non-invasive ventilation, exercise tolerance; and the free terms: bi-level positive airway pressure (BIPAP), continuous positive airway pressure (CPAP), and functional capacity (terms were searched for in English and Portuguese) using the Boolean operators AND and OR. Methodological quality was ensured through PEDro scale. Weighted averages and a 95% confidence interval (CI) were calculated. The meta-analysis was done thorugh the software Review Manager, version 5.3 (Cochrane Collaboration). Four randomized clinical trials were included. Individual studies suggest NIV improved functional capacity. NIV resulted in improvement in the distance of the six-minute walk test (6MWT) (68.7m 95%CI: 52.6 to 84.9) in comparison to the control group. We conclude that the NIV is an intervention that promotes important effects in the improvement of functional capacity of HF patients. However, there is a gap in literature on which are the most adequate parameters for the application of this technique. |
| first_indexed | 2024-12-19T06:33:43Z |
| format | Article |
| id | doaj.art-c316c09d8c114bbba2b23bfb705e081e |
| institution | Directory Open Access Journal |
| issn | 1678-4170 |
| language | English |
| last_indexed | 2024-12-19T06:33:43Z |
| publisher | Sociedade Brasileira de Cardiologia (SBC) |
| record_format | Article |
| series | Arquivos Brasileiros de Cardiologia |
| spelling | doaj.art-c316c09d8c114bbba2b23bfb705e081e2022-12-21T20:32:18ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia1678-4170010.5935/abc.20170001S0066-782X2017005002103Non-Invasive Ventilation in Patients with Heart Failure: A Systematic Review and Meta-AnalysisHugo Souza BittencourtHelena França Correia dos ReisMelissa Santos LimaMansueto Gomes NetoAbstract Non-invasive ventilation (NIV) may perfect respiratory and cardiac performance in patients with heart failure (HF). The objective of the study to establish, through systematic review and meta-analysis, NIV influence on functional capacity of HF patients. A systematic review with meta-analysis of randomized studies was carried out through research of databases of Cochrane Library, SciELO, Pubmed and PEDro, using the key-words: heart failure, non-invasive ventilation, exercise tolerance; and the free terms: bi-level positive airway pressure (BIPAP), continuous positive airway pressure (CPAP), and functional capacity (terms were searched for in English and Portuguese) using the Boolean operators AND and OR. Methodological quality was ensured through PEDro scale. Weighted averages and a 95% confidence interval (CI) were calculated. The meta-analysis was done thorugh the software Review Manager, version 5.3 (Cochrane Collaboration). Four randomized clinical trials were included. Individual studies suggest NIV improved functional capacity. NIV resulted in improvement in the distance of the six-minute walk test (6MWT) (68.7m 95%CI: 52.6 to 84.9) in comparison to the control group. We conclude that the NIV is an intervention that promotes important effects in the improvement of functional capacity of HF patients. However, there is a gap in literature on which are the most adequate parameters for the application of this technique.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2017005002103&lng=en&tlng=enInsuficiência CardíacaVentilação não InvasivaTolerância ao ExercícioRevisãoMetanálise |
| spellingShingle | Hugo Souza Bittencourt Helena França Correia dos Reis Melissa Santos Lima Mansueto Gomes Neto Non-Invasive Ventilation in Patients with Heart Failure: A Systematic Review and Meta-Analysis Arquivos Brasileiros de Cardiologia Insuficiência Cardíaca Ventilação não Invasiva Tolerância ao Exercício Revisão Metanálise |
| title | Non-Invasive Ventilation in Patients with Heart Failure: A Systematic Review and Meta-Analysis |
| title_full | Non-Invasive Ventilation in Patients with Heart Failure: A Systematic Review and Meta-Analysis |
| title_fullStr | Non-Invasive Ventilation in Patients with Heart Failure: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Non-Invasive Ventilation in Patients with Heart Failure: A Systematic Review and Meta-Analysis |
| title_short | Non-Invasive Ventilation in Patients with Heart Failure: A Systematic Review and Meta-Analysis |
| title_sort | non invasive ventilation in patients with heart failure a systematic review and meta analysis |
| topic | Insuficiência Cardíaca Ventilação não Invasiva Tolerância ao Exercício Revisão Metanálise |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2017005002103&lng=en&tlng=en |
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