TOPIC

Cardiopulmonary research

Everything we have read on cardiopulmonary. Each paper is summarised from the full article rather than its abstract, so the limitations are in there too, and the funding wherever the paper declares it.

1,018 PAPERS · PAGE 1 OF 21 · NEWEST FIRST

• PTCohort2016Cognitive Function Does Not Impact Self-reported Health-Related Quality of Life in Heart Failure Patients.The Journal of cardiovascular nursingObjective cognitive testing showed little link to self-reported quality of life in heart failure patients. Depression and disease severity were the strong predictors. Executive function had a tiny, weak association, but overall, cognitive deficits did not explain poor quality of life.
• PTRNSystematic Review2016An integrative review of physical activity/exercise intervention effects on function and health-related quality of life in older adults with heart failure.Geriatric nursing (New York, N.Y.)Older adults with heart failure in 12 exercise trials had mixed physical-function and quality-of-life results. Five improved both, one improved function only, one improved quality of life only, five showed no difference, and no trial reported adverse events.
• PTOTQualitative2016Interprofessional Perspectives on ABCDE Bundle Implementation: A Focus Group Study.Dimensions of critical care nursing : DCCNICU staff said early mobility was the hardest part of the ABCDE bundle to carry out. Unclear roles, missing protocols, equipment problems, staffing gaps and fear of dislodging tubes blocked coordination.
• PTRCT2017Slow-paced respiration therapy to treat symptoms in pulmonary arterial hypertension.Heart & lung : the journal of critical careTen women with pulmonary hypertension on PAH medicines used a guided slow-breathing device daily before bed for eight weeks. All completed the study and used it often. Some sleep measures and a blood inflammation marker showed small favorable changes, but the study cannot show benefit.
• PTRNSurvey2017Cardiac rehabilitation knowledge in patients with coronary heart disease in Baoding city of China: A cross-sectional study.International journal of nursing sciences500 hospitalized patients with coronary heart disease had a cardiac rehabilitation awareness rate of 47.31%; only 10.2% had heard of it, and 6.6% knew optimal medication for secondary prevention.
• PTRNCohort2017Homecare and Healthcare Utilization Errors Post-Neonatal Intensive Care Unit Discharge.Advances in neonatal care : official journal of the National Association of Neonatal NursesMost high-risk NICU graduates had at least one homecare or follow-up error after discharge; home visits found 63.1% of infants affected, and most errors appeared at the first visit.
• PTOTSystematic Review2017Mobilization of prolonged mechanical ventilation patients: An integrative review.Heart & lung : the journal of critical careMost studies in prolonged mechanical ventilation patients found mobilization improved function and ventilation time, but protocols and outcome definitions varied, and low-quality evidence means benefit is not proven. No harms were reported.
• PTOTCohort2017Perceptions of Workload Burden and Adherence to ABCDE Bundle Among Intensive Care Providers.American journal of critical care : an official publication, American Association of Critical-Care NursesUnits whose providers reported more workload burden were less likely to complete the ABCDE bundle. Units whose providers found it harder to carry out were less likely to do early mobility. Attitudes about safety, confidence and evidence were not linked.
• PTOTRNSystematic Review2018Multicomponent Palliative Care Interventions in Advanced Chronic Diseases: A Systematic Review.The American journal of hospice & palliative careAcross 64 palliative care programs for cancer, heart, lung or kidney disease, nurses were involved in 88%, but few delivered all 7 components. More disciplines or components were not clearly linked to better outcomes.
• PTOther2017Implementation evaluation and refinement of an intervention to improve blunt chest injury management-A mixed-methods study.Journal of clinical nursingOnly 290 of 424 eligible blunt chest injury patients received the early protocol. Those who did were more likely to receive several protocol care components. Staff barriers included complexity and after-hours response. Post-relaunch monitoring reported uptake rising to 91%.
• PTRNOther2018Identifying a Relationship Between Physical Frailty and Heart Failure Symptoms.The Journal of cardiovascular nursingHalf of 49 adults with heart failure were physically frail. After accounting for projected one-year survival, frailty was associated with more than two times as much breathlessness, 75% worse wake disturbance, and 76% more depression. Pain and anxiety did not differ.
• PTOTCohort2017The Relationships Among Pain, Depression, and Physical Activity in Patients With Heart Failure.The Journal of cardiovascular nursingDepressed heart failure patients spent a median of 60 minutes per week in light activity and 210 minutes in moderate activity. Sitting time was the only significant predictor linked to depression levels, though the model did not reach statistical significance.
• PTRNRCT2017Dose-Response Relationship Between Exercise Intensity, Mood States, and Quality of Life in Patients With Heart Failure.The Journal of cardiovascular nursingAmong heart failure patients in the exercise group whose exercise capacity improved had better mood and some quality-of-life outcomes than those whose capacity fell. The parent randomized trial did not show a difference between exercise and control groups, so this is association, not proof.
• PTCohort2017Associations Between Hormonal Biomarkers and Cognitive, Motor, and Language Developmental Status in Very Low Birth Weight Infants.Nursing researchHigher salivary cortisol was linked to lower motor scores at 6 months in very low birth weight infants. Testosterone was not linked to development overall. A boy subgroup showed higher testosterone with better language, but this was not the main finding.
• PTRCT2017The Yale Fitness Intervention Trial in female cancer survivors: Cardiovascular and physiological outcomes.Heart & lung : the journal of critical careIn 139 female cancer survivors, supervised aerobic-resistance exercise at a fitness center improved treadmill time and heart-rate recovery more than home physical activity, while blood pressure did not differ.
• PTRCT2018The Influence of Exercise on Cardiovascular Health in Sedentary Adults With Human Immunodeficiency Virus.The Journal of cardiovascular nursingSedentary adults with HIV had less moderate activity and less efficient breathing than matched controls. Step counts were associated with lower inflammation, better fitness, and lower insulin resistance, but exercise was not proven to cause these changes.
• PTOTSLPRNQualitative2017Patients' Outcomes After Acute Respiratory Failure: A Qualitative Study With the PROMIS Framework.American journal of critical care : an official publication, American Association of Critical-Care NursesAfter acute respiratory failure, survivors described fatigue, breathlessness, fear of illness, memory and word-finding difficulty, and changed work and relationships. Some reported gratitude and closer relationships, while others felt isolated or wished they had died.
• PTOTRNOther2018Self-efficacy Mediates the Relationship Between Motivation and Physical Activity in Patients With Heart Failure.The Journal of cardiovascular nursingSelf-efficacy, not motivation, predicted physical activity in heart failure patients. High motivation did not increase activity when self-efficacy was low. Clinicians should assess and address barriers to exercise to build confidence, rather than only emphasizing the benefits of being active.
• PTOTRNCohort2017Examining the Effects of Age on Health Outcomes of Chronic Obstructive Pulmonary Disease: Results From the Genetic Epidemiology of Chronic Obstructive Pulmonary Disease Study and Evaluation of Chronic Obstructive Pulmonary Disease Longitudinally to Identify Predictive Surrogate Endpoints Cohorts.Journal of the American Medical Directors AssociationOlder adults with COPD reported better quality of life despite worse lung function. Frequent exacerbations were lower after accounting for other factors, but severe exacerbation findings differed.
• PTRNOther2018A mixed methods study of Tai Chi exercise for patients with chronic heart failure aged 70 years and older.Nursing openFor older patients with chronic heart failure, Tai Chi training did not significantly improve fatigue, quality of life, physical performance or NTproBNP versus control. Participants found it feasible and meaningful.
• PTOTRNCohort2018Octogenarians' post-acute care use after cardiac valve surgery and recovery: clinical implications.Geriatric nursing (New York, N.Y.)Most Medicare patients aged 80 and older used post-acute care after cardiac valve surgery: 68%. Skilled nursing and home health were common; inpatient rehabilitation was rare. Patients and families may need early planning for discharge.
• PTOTSLPRNCohort2018Functional Status Is Associated With 30-Day Potentially Preventable Readmissions Following Skilled Nursing Facility Discharge Among Medicare Beneficiaries.Journal of the American Medical Directors AssociationPatients discharged from skilled nursing facilities with greater dependence in self-care, mobility, or cognition had higher odds of 30-day potentially preventable readmissions. Mobility and self-care dependence showed stronger associations than severe cognitive impairment alone.
• PTRNCohort2018Effect of symptoms on physical performance in COPD.Heart & lung : the journal of critical careIn adults with COPD, breathlessness was strongly linked to worse physical performance and to more anxiety, depression, and fatigue. Anxiety appeared linked to better performance, but authors warn this may reflect restlessness, not improvement.
• PTRNNarrative Review2018Chronic Obstructive Pulmonary Disease: Clinical Implications for Patients With Lung Cancer.Clinical journal of oncology nursingPatients with lung cancer and COPD need nursing care that checks inhaler technique, supports smoking cessation, confirms low blood oxygen before oxygen therapy, promotes pulmonary rehabilitation, and monitors symptoms and quality of life.
• PTRNOther2018Accelerometer-Measured Daily Activity Levels and Related Factors in Patients With Heart Failure.The Journal of cardiovascular nursingHeart failure patients averaged 10.2 minutes of moderate-to-vigorous activity daily; only 12.6% met 150 minutes weekly. Lower activity was linked to anxiety, worse symptoms, and poorer function.
• PTOTSLPRNSurvey2018Burden, resilience and coping in caregivers of patients with interstitial lung disease.Heart & lung : the journal of critical careCaregivers of patients with interstitial lung disease report significantly lower mental quality of life than the general population, driven by emotional strain. Those caring for patients on oxygen report higher burden and worse physical health. Caregivers need inclusion in visits, practical home advice, and specific support groups.
• PTOTOther2018Identifying Barriers to Nurse-Facilitated Patient Mobility in the Intensive Care Unit.American journal of critical care : an official publication, American Association of Critical-Care NursesNurses and a technician had little free time; 79% of observed minutes were not possible for mobility, mostly documentation and provider communication. Potential mobility appeared during patient care and downtime.
• PTCohort2019Examination of clinical and psychosocial determinants of exercise capacity change in cardiac rehabilitation.Heart & lung : the journal of critical careCardiac rehabilitation completers improved exercise capacity by 1.91 METs on average. Older age, diabetes, higher BMI or weight predicted smaller gains. Better self-reported physical function, less pain, and percentage weight loss tracked with larger gains; depression and social support did not.
• PTOTPilot2018The Influence of Active Gaming on Cardiorespiratory Fitness in Black and Hispanic Youth.The Journal of school healthAdolescents in a summer camp playing Wii Fit for 30 minutes weekly for six weeks showed increased sit-ups, step-ups, and self-efficacy. However, without a control group, it is impossible to know if the games caused these changes or if natural growth or other camp activities did.
• PTRNOther2019Restrictive Ventilatory Patterns in Residents of Continuing Care Retirement Communities.Western journal of nursing research52% of older residents in continuing care retirement communities had restrictive breathing patterns. Dementia, kyphosis, lower muscle strength, and breathing distress were linked to these patterns. The study cannot show whether these factors cause or result from restrictive breathing.
• PTOther2019Incorporating intervention fidelity components into randomized controlled trials promoting exercise adherence in heart failure patients.Research in nursing & healthExercise coaching and group education for heart failure patients were delivered as intended, with high coach and session adherence. The paper describes trial monitoring, not whether the program improved exercise adherence.
• PTOTRNOther2019Analysis of two questionnaires on quality of life of Chronic Obstructive Pulmonary Disease patients.Revista latino-americana de enfermagemA short COPD quality-of-life questionnaire (CAT) matched the longer SGRQ in hospitalized exacerbations and caught cough and sputum more clearly. It can be used for patient assessment, but it does not show better outcomes.
• PTOTRNQualitative2020Trapped in my lungs and fighting a losing battle. A phenomenological study of patients living with chronic obstructive and pulmonary disease.Scandinavian journal of caring sciencesNine people with COPD described breathlessness as the centre of daily life. They monitored oxygen levels, avoided triggers, and cut back showering, outings and exercise. Staying active felt necessary but like fighting a losing battle.
• PTRNRCT2020The influence of the HEART Camp intervention on physical function, health-related quality of life, depression, anxiety and fatigue in patients with heart failure.European journal of cardiovascular nursingHeart failure patients given coaching, weekly meetings, goal setting, log review, relapse management, facility access, staff, diaries and heart-rate monitors walked farther and had less depression and fatigue than those given access, staff, diaries and monitors; quality of life did not differ.
• PTRNOther2019The Relationship Between Physical Activity and Cardiorespiratory Fitness Among People Living With Human Immunodeficiency Virus Throughout the Life Span.The Journal of cardiovascular nursingWomen living with HIV who reported any vigorous activity achieved a higher share of expected six-minute walk distance; men did not show this association.
• PTOTRNCohort2019Heart Rate Variability and Cardiorespiratory Fitness in Non-Hispanic Black Versus Non-Hispanic White Adolescents With Type 1 Diabetes.The Journal of cardiovascular nursingNon-Hispanic Black adolescents with type 1 diabetes had lower heart rate variability and fitness than White peers, linked to poorer glucose control. Female adolescents also showed lower values. These markers suggest higher cardiovascular risk in these groups.
• PTRNPilot2020Feasibility and acceptability of active for life with COPD, an intervention to increase light physical activity in people with COPD.Heart & lung : the journal of critical careIn 13 COPD patients, light activity did not increase significantly, though walking distance improved. The program was feasible and acceptable, but high attrition limits confidence.
• PTRNOther2020Identifying Targets to Improve Heart Failure Outcomes for Patients Receiving Home Healthcare Services: The Relationship of Functional Status and Pain.Home healthcare nowIn home healthcare patients with heart failure, self-care and home tasks improved by discharge. Patients whose pain interfered daily, but not consistently, improved least in self-care tasks.
• PTRNOther2020Sleep Quality Associated With Motor Function Among Older Adult Survivors of Critical Illness.Nursing researchAmong 29 older adults 24 to 48 hours after ICU discharge, longer measured nighttime sleep was linked to weaker grip strength. Those with OSA history also had weaker grip strength. This was a link, not proof that sleep causes weakness.
• PTRNCohort2020Use of actigraphy to characterize inactivity and activity in patients in a medical ICU.Heart & lung : the journal of critical careMedical ICU patients were profoundly inactive: 65% of 30-second recording periods showed no movement, and when they moved activity was low. Inactivity did not differ significantly by age, continuous sedative infusions, or restraints.
• PTOTRNRCT2020Effect of Delirium on Physical Function in Noncardiac Thoracic Surgery Patients.American journal of critical care : an official publication, American Association of Critical-Care NursesDelirium after major noncardiac thoracic surgery did not significantly change muscle strength scores. Patients with delirium had lower self-reported independence at discharge, but this was a secondary outcome in a small analysis.
• PTRCT2020Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study.Complementary therapies in clinical practiceSix weeks of respiratory rehabilitation improved lung function, walking distance, quality of life, and anxiety in older adults without COPD discharged after COVID-19. It did not improve daily living independence or depression.
• PTRNSystematic Review2020Benefits of Qigong as an integrative and complementary practice for health: a systematic review.Revista latino-americana de enfermagemQigong trials reported improvements in fatigue, pain, sleep, mood, function and quality of life in adults and older adults, but several trials found no benefit, so it does not prove it works for every condition.
• PTMeta-Analysis2020Intervention effect of neuromuscular electrical stimulation on ICU acquired weakness: A meta-analysis.International journal of nursing sciencesIn ventilated ICU patients, neuromuscular electrical stimulation plus routine treatment and nursing care improved muscle strength, shortened ventilation and hospital stay, and increased walking distance, but did not reduce mortality or improve functional independence.
• PTRNCohort2020Subjective reports of physical activity levels and sedentary time prior to hospital admission can predict utilization of hospital care and all-cause mortality among patients with cardiovascular disease.European journal of cardiovascular nursingCardiac ward patients who reported more everyday activity or less sitting before admission had shorter stays, fewer readmissions and lower mortality risk. Asking these habits may help flag risk. It does not prove activity change improves outcomes.
• PTOTRNOther2020Identifying unique profiles of perceived dyspnea burden in heart failure.Heart & lung : the journal of critical careHeart failure patients fall into four distinct groups based on how much dyspnea bothers them, not just if they have it. Older patients were less likely to report severe bother despite similar symptoms. Anxiety and depression predicted higher burden. Assessing what activities trigger breathlessness helps tailor care.
• PTOther2020Impact of Weight Status on the Cardiopulmonary Fitness Outcome of a School-Based Physical Activity Program.The Journal of school healthA school-based physical activity program did not improve fourth-graders' BMI or aerobic fitness compared with control schools. Overweight and obese children improved less in fitness than normal-weight peers, regardless of program.
• PTOTRNPilot2020An evidence-based structured one-year programme to sustain physical activity in patients with heart failure in primary care: A non-randomized longitudinal feasibility study.Nursing openSeven patients with heart failure completed a one-year nurse-led programme combining group education and individual activity plans. Self-reported activity and walking distance improved, and participants found the group sessions and personalized goals most helpful. Feasibility was confirmed, but efficacy remains unproven.
• PTRNMeta-Analysis2021Effect of Angiotensin System Inhibitors on Physical Performance in Older People - A Systematic Review and Meta-Analysis.Journal of the American Medical Directors AssociationAcross 8 trials of 952 older people, ACE inhibitors and ARBs did not improve strength, walking endurance, or physical performance. Do not use these blood pressure medicines to enhance mobility or function.
• PTQualitative2020Long-term exercise adherence in patients with heart failure: A qualitative study.Heart & lung : the journal of critical careHeart failure patients in an exercise program said feeling stronger, having a routine, support, and learning helped them keep exercising. Some still reported no benefit or health problems.