High flow nasal therapy during early pulmonary rehabilitation in patients with acute severe exacerbation of COPD: beneficial or illusory?

Abstract In study “Effect of high-flow nasal therapy during early pulmonary rehabilitation in patients with severe AECOPD: a randomized controlled study” by Tung et al., authors concluded HFNT utilization led to enhanced exercise tolerance and a reduction of systemic inflammation. Nevertheless, some...

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Main Authors: Guillaume Prieur, Yann Combret, Clement Medrinal
Format: Article
Language:English
Published: BMC 2020-06-01
Series:Respiratory Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12931-020-01415-y
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author Guillaume Prieur
Yann Combret
Clement Medrinal
author_facet Guillaume Prieur
Yann Combret
Clement Medrinal
author_sort Guillaume Prieur
collection DOAJ
description Abstract In study “Effect of high-flow nasal therapy during early pulmonary rehabilitation in patients with severe AECOPD: a randomized controlled study” by Tung et al., authors concluded HFNT utilization led to enhanced exercise tolerance and a reduction of systemic inflammation. Nevertheless, some points requires additional discussion, the conclusion of the trial seems overstated. The baseline differences between groups induces substantial modifications in the conclusions of this trial. HFNT does not seem to add any benefit on exercise tolerance or systemic inflammation, nor on pulmonary function. The only difference that remained significant in homogenous statistical significance is dyspnea on the mMRC scale but clinical significance is highly questionable.
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spelling doaj.art-cabf3f15b5944ac2b0acd94909ba9f632022-12-22T03:05:46ZengBMCRespiratory Research1465-993X2020-06-012111210.1186/s12931-020-01415-yHigh flow nasal therapy during early pulmonary rehabilitation in patients with acute severe exacerbation of COPD: beneficial or illusory?Guillaume Prieur0Yann Combret1Clement Medrinal2Institut de Recherche Expérimentale et Clinique (IREC), Pôle de Pneumologie, ORL & Dermatologie, Groupe de Recherche en Kinésithérapie Respiratoire, Université Catholique de LouvainInstitut de Recherche Expérimentale et Clinique (IREC), Pôle de Pneumologie, ORL & Dermatologie, Groupe de Recherche en Kinésithérapie Respiratoire, Université Catholique de LouvainInstitute for Research and Innovation in Biomedicine (IRIB), Normandie Univ, UNIROUEN, EA3830-GRHVAbstract In study “Effect of high-flow nasal therapy during early pulmonary rehabilitation in patients with severe AECOPD: a randomized controlled study” by Tung et al., authors concluded HFNT utilization led to enhanced exercise tolerance and a reduction of systemic inflammation. Nevertheless, some points requires additional discussion, the conclusion of the trial seems overstated. The baseline differences between groups induces substantial modifications in the conclusions of this trial. HFNT does not seem to add any benefit on exercise tolerance or systemic inflammation, nor on pulmonary function. The only difference that remained significant in homogenous statistical significance is dyspnea on the mMRC scale but clinical significance is highly questionable.http://link.springer.com/article/10.1186/s12931-020-01415-yCOPDExacerbationHigh flow nasalPulmonary rehabilitation
spellingShingle Guillaume Prieur
Yann Combret
Clement Medrinal
High flow nasal therapy during early pulmonary rehabilitation in patients with acute severe exacerbation of COPD: beneficial or illusory?
Respiratory Research
COPD
Exacerbation
High flow nasal
Pulmonary rehabilitation
title High flow nasal therapy during early pulmonary rehabilitation in patients with acute severe exacerbation of COPD: beneficial or illusory?
title_full High flow nasal therapy during early pulmonary rehabilitation in patients with acute severe exacerbation of COPD: beneficial or illusory?
title_fullStr High flow nasal therapy during early pulmonary rehabilitation in patients with acute severe exacerbation of COPD: beneficial or illusory?
title_full_unstemmed High flow nasal therapy during early pulmonary rehabilitation in patients with acute severe exacerbation of COPD: beneficial or illusory?
title_short High flow nasal therapy during early pulmonary rehabilitation in patients with acute severe exacerbation of COPD: beneficial or illusory?
title_sort high flow nasal therapy during early pulmonary rehabilitation in patients with acute severe exacerbation of copd beneficial or illusory
topic COPD
Exacerbation
High flow nasal
Pulmonary rehabilitation
url http://link.springer.com/article/10.1186/s12931-020-01415-y
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