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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004601naa a2200397 4500
001oai:lup.lub.lu.se:ce9a1de1-792e-44a2-b4f6-e0fb0cefb72c
003SwePub
008230223s2023 | |||||||||||000 ||eng|
024a https://lup.lub.lu.se/record/ce9a1de1-792e-44a2-b4f6-e0fb0cefb72c2 URI
024a https://doi.org/10.4081/mrm.2023.8852 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Marforio, Sonja Anderssonu Lund University,Lunds universitet,Rehabilitering och hållbar hälsa,Forskargrupper vid Lunds universitet,Rehabilitation and Sustainable Health,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)med-sa10
2451 0a Frequent body position changes and physical activity as effective as standard care for infants hospitalised with acute respiratory infections - a randomised controlled trial
264 c 2023-01-17
264 1b PAGEPress Publications,c 2023
520 a Background: No definite consensus has been reached yet on the best treatment strategy for the large group of infants hospitalised with bronchiolitis or pneumonia. Minimal handling is often recommended, although not evaluated scientifically. There is a need to evaluate the management, as the infants often are critically affected, and the costs for society are high. The aim of this RCT was to evaluate the most common physiotherapy intervention in Sweden for this patient group, including frequent changes in body position and stimulation of physical activity, compared to standard care. Methods: Infants 0-24 months old, without previous cardiac or respiratory diagnoses and born in gestational week 35+, were recruited in two Swedish hospitals. The participants (n=109) were randomised to either interventions in addition to standard care (intervention group) or to standard care alone (control group). The primary outcome measure was time to improvement. The secondary outcomes were immediate changes in oxygen saturation, heart rate and respiratory rate, time to improved general condition (parents' assessment), and lung complications. Results: The median time to improvement was 6 hours in both groups (p=0.54). The result was similar when we adjusted for age in months, sex, tobacco smoke exposure, heredity for asthma/atopic disease, and early stage of the infection (for those with RSV), p=0.69. Analyses of the immediate changes showed no significant differences either (p=0.49-0.89). Time to improved general condition was median 3 hours in the intervention group and 6 hours in the control group, p=0.76. No lung complications occurred. Conclusions: No statistically significant differences in outcomes were detected between the intervention group and the control group. Both strategies were found to be equally effective and safe, indicating that the current recommendation of minimal handling for these infants should be reconsidered. Furthermore, the findings suggest that this treatment can be safely continued.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Pediatrik0 (SwePub)302212 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Pediatrics0 (SwePub)302212 hsv//eng
653 a bronchiolitis
653 a infants
653 a Physical therapy modalities
653 a pneumonia
653 a randomized controlled trial
653 a respiratory tract infections
700a Hansen, Christineu Skåne University Hospital4 aut
700a Hansson, Eva Ekvallu Lund University,Lunds universitet,Människan i rörelse: hälsa och rehabilitering,Forskargrupper vid Lunds universitet,LU profilområde: Proaktivt åldrande,Lunds universitets profilområden,Human Movement: health and rehabilitation,Lund University Research Groups,LU Profile Area: Proactive Ageing,Lund University Profile areas4 aut0 (Swepub:lu)smi-eek
700a Josenby, Annika Lundkvistu Lund University,Lunds universitet,Rehabilitering och hållbar hälsa,Forskargrupper vid Lunds universitet,Rehabilitation and Sustainable Health,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)med-akl
710a Rehabilitering och hållbar hälsab Forskargrupper vid Lunds universitet4 org
773t Multidisciplinary Respiratory Medicined : PAGEPress Publicationsg 18q 18x 1828-695Xx 2049-6958
856u http://dx.doi.org/10.4081/mrm.2023.885x freey FULLTEXT
8564 8u https://lup.lub.lu.se/record/ce9a1de1-792e-44a2-b4f6-e0fb0cefb72c
8564 8u https://doi.org/10.4081/mrm.2023.885

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