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Airway clearance techniques for patients with acute exacerbations of chronic obstructive pulmonary disease: Physical therapy practice in Sweden
Orebro Univ, Fac Med & Hlth, Dept Physiotherapy, Orebro, Sweden;Uppsala Univ, Dept Med Sci, Uppsala, Sweden.
Monash Univ, Dept Physiotherapy, Melbourne, Vic, Australia;Monash Hlth, Monash Lung & Sleep, Melbourne, Vic, Australia.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Lung- allergy- and sleep research.ORCID iD: 0000-0003-1308-105x
2019 (English)In: Chronic Respiratory Disease, ISSN 1479-9723, E-ISSN 1479-9731, Vol. 16, article id UNSP 1479973119855868Article in journal (Refereed) Published
Abstract [en]

There is considerable global variability in clinical practice regarding the prescription of airway clearance techniques (ACTs) for patients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD). Little is known about the physical therapy practice, and no international guidelines are available. The aim of this survey was to identify current physical therapy practice regarding ACT prescription for patients with AECOPD in Sweden. A cross-sectional, descriptive study was conducted via a Web-based questionnaire, sent to all (n = 70) hospitals that offer physical therapy service for patients with AECOPD in Sweden. Responses were received from 117 physical therapists (76%) across all sites. ACTs were prescribed for more than half of all patients with an AECOPD by 75% of physical therapists. The most frequently used ACTs were positive expiratory pressure (PEP) devices (90%), directed huffing (88%) and cough (71%). Most physical therapists (89%) perceived sputum clearance to be an important aspect of the overall management of patients with AECOPD. The main factors influencing choice of ACT were the 'degree of dyspnoea or work of breathing' and 'access to resources/equipment'. Physical therapists prescribe predominantly PEP-based ACTs for patients with AECOPD in Sweden. Several factors come into consideration that influences the choice of treatment technique.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS LTD , 2019. Vol. 16, article id UNSP 1479973119855868
Keywords [en]
Airway clearance techniques, acute exacerbation, chronic obstructive pulmonary disease, healthcare surveys, mucociliary clearance, physical therapy modalities
National Category
Respiratory Medicine and Allergy
Identifiers
URN: urn:nbn:se:uu:diva-395559DOI: 10.1177/1479973119855868ISI: 000487094900001PubMedID: 31220934OAI: oai:DiVA.org:uu-395559DiVA, id: diva2:1362823
Available from: 2019-10-21 Created: 2019-10-21 Last updated: 2019-10-21Bibliographically approved

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