Chest physiotherapy in paediatric patients hospitalised with community-acquired pneumonia: A randomised clinical trial

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dc.contributor.authorLukrafka, J.L.
dc.contributor.authorFuchs, S.C.
dc.contributor.authorFischer, G.B.
dc.contributor.authorFlores, J.A.
dc.contributor.authorFachel, J.M.
dc.contributor.authorCastro-Rodriguez, J.A.
dc.date.accessioned2023-05-19T20:46:03Z
dc.date.available2023-05-19T20:46:03Z
dc.date.issued2012
dc.description.abstractBackground Chest physiotherapy has been used to treat children hospitalised with pneumonia with no clear scientific evidence to support a beneficial effect. The objective of the current study was to evaluate the efficacy of chest physiotherapy as an adjuvant treatment in children hospitalised with acute community-acquired pneumonia.
dc.description.abstractMethods Children (aged 1-12 years) with a clinical and confirmed radiological diagnosis of pneumonia sequentially admitted to a tertiary children hospital were eligible for this study. Participants were randomly selected to receive a standardised respiratory physiotherapy (positioning, thoracic vibration, thoracic compression, positive expiratory pressure, breathing exercises and forced exhalation with the glottis open or 'huffing') three times daily in the 'intervention group' or a non-mandatory request to breathe deeply, expectorate the sputum and maintain a lateral body position once a day in the 'control group'. The primary outcomes were reduction in respiratory rate and severity score (respiratory rate, recession, fever, oxygen saturation and chest x-ray) from baseline to discharge. Secondary outcome was duration of hospitalisation.
dc.description.abstractResults In all, 72 patients were randomly allocated to the intervention (n = 35) or control (n = 37) groups. There were no differences at admission on severity of pneumonia between groups. Respiratory rate and severity score significant decreased between admission to discharge within each group; however, there were no differences when comparing groups. Also, there was no significant difference in duration of hospitalisation between the control and intervention groups (6 vs 8 days, p = 0.11, respectively).
dc.description.abstractConclusions This clinical trial suggests that, in children hospitalised with moderate community-acquired pneumonia, chest physiotherapy did not have clinical benefits in comparison to control group.
dc.fechaingreso.objetodigital2025-04-26
dc.fuente.origenORCID-mayo23
dc.identifier.doi10.1136/archdischild-2012-302279
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/69683
dc.identifier.urihttps://doi.org/10.1136/archdischild-2012-302279
dc.identifier.wosidWOS:000310566100010
dc.issue.numeroNo. 11
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final971
dc.pagina.inicio967
dc.revistaArchives of Disease in Childhood
dc.rightsacceso restringido
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleChest physiotherapy in paediatric patients hospitalised with community-acquired pneumonia: A randomised clinical triales_ES
dc.typeartículo
dc.volumenVol. 97
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