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

dc.article.number100108
dc.catalogadorgrr
dc.contributor.authorGutierrez-Arias, Ruvistay
dc.contributor.authorJalil Contreras, Yorschua Frederick
dc.contributor.authorFuentes-Aspe, Rocío
dc.contributor.authorSeron, Pamela
dc.date.accessioned2024-10-21T21:15:38Z
dc.date.available2024-10-21T21:15:38Z
dc.date.issued2022
dc.description.abstractOBJECTIVE: 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.
dc.fechaingreso.objetodigital2024-21-10
dc.format.extent9 páginas
dc.fuente.origenScopus
dc.fuente.origenORCID
dc.identifier.doi10.1016/j.clinsp.2022.100108
dc.identifier.eissn1980-05322
dc.identifier.issn1980-5322
dc.identifier.pubmedid36166993
dc.identifier.scopusidSCOPUS_ID:2-s2.0-85139379909
dc.identifier.urihttps://doi.org/10.1016/j.clinsp.2022.100108
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/88313
dc.identifier.wosidWOS:000875233600022
dc.information.autorucEscuela de Medicina; Jalil Contreras, Yorschua Frederick; 0000-0002-4993-7158; 1079709
dc.language.isoen
dc.nota.accesocontenido completo
dc.revistaClinics (Sao Paulo, Brazil)
dc.rightsacceso abierto
dc.rights.licenseCC BY 4.0 ATTRIBUTION 4.0 INTERNATIONAL
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/deed.en
dc.subjectCOPD
dc.subjectCritical illness
dc.subjectMechanical ventilation
dc.subjectMeta-analysis
dc.subjectNeuromuscular electrostimulation
dc.subjectSystematic review
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleEffectiveness of neuromuscular electrostimulation in COPD subjects on mechanical ventilation. A systematic review and meta-analysis
dc.typeartículo
dc.volumen77
sipa.codpersvinculados1079709
sipa.trazabilidadSCOPUS;10-11-2022
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