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Pleural effusion and the complexity of diagnosis and treatment make planning and delivering care challenging. Respiratory physiotherapy is recommended, and should be applied during the first weeks of treatment.The aim of the present study is to demonstrate the effectiveness of a respiratory physiotherapy protocol in patients with Pleural Effusion who attended a University Hospital.
Approximately 1.5 million patients are diagnosed with pleural effusion each year in the United States . Pleural effusion (PE) is an accumulation of fluid in the pleural space that is classified as transudate or exudate according to its composition and underlying pathophysiology. The goal in the management of pleural effusion is to provide symptomatic relief by removing fluid from the pleural space and to allow the treatment of the underlying disease. While some authors (REF) propose respiratory physiotherapy, in the majority of the cases only the medical treatment combined with the pleural fluid removal by thoracentesis are the most common practice. The objective of this study is verify the effectiveness of respiratory physiotherapy in pleural effusion
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Respiratory physiotherapy | Experimental | 54 people according to the inclusion criteria were recruited to have a respiratory physiotherapy treatment added to their medical intervention. |
|
| Conservative treatment | Placebo Comparator | 49 people were recruited in this group. These participants received conservative medical treatment intervention |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Respiratory physiotherapy | Other | The respiratory physiotherapy intervention included:
|
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of the severity of respiratory disease | A spirometry is used to assess severity of individual patients respiratory disease and their response to therapy and is regarded as the gold standard measure of respiratory function. The following variables were recorded; forced vital capacity, forced expiratory volume achieved in 1 second, and the forced expiratory flow over the middle one half of the forced vital capacity. | baseline, 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Length of the hospital stay | Length of stay was defined as the number of days between admission and discharge. | baseline, 12 months |
| Severity in the pleural effusion repercussion | The chest radiograph has been the initial diagnostic tool for the detection and evaluation of pleural effusion. The severity was codified from 0(normal) to 10 (very severe) by a radiologist with more than 8 years of experience. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| M. Carmen Valenza, MD | Universidad de Granada | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universitary Hospital San Cecilio | Granada | Andalusia | 18012 | Spain |
| Type | Date | Date Unknown |
|---|---|---|
| Release | Dec 19, 2014 | |
| Reset | Jan 2, 2015 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Dec 19, 2014 | Jan 2, 2015 |
| ID | Term |
|---|---|
| D010996 | Pleural Effusion |
| ID | Term |
|---|---|
| D010995 | Pleural Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D000072700 | Conservative Treatment |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
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|
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| Conservative treatment | Other | Conservative medical treatment intervention for pleural effusion. |
|
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| baseline, 12 months. |