Airway clearance techniques for people with acute exacerbation of COPD: a scoping review
Introduction Acute exacerbations of COPD (AECOPD) often involve mucus hypersecretion. Thus, management of sputum retention is critical. However, the use of airway clearance techniques (ACTs) in people with AECOPD across different healthcare settings and factors influencing their selection remain unc...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
European Respiratory Society
2025-01-01
|
| Series: | European Respiratory Review |
| Online Access: | http://err.ersjournals.com/content/34/175/240191.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850098031265841152 |
|---|---|
| author | William Poncin Christine Schrøder Ana Oliveira Beatriz Herrero Pierre Cnockaert Lucile Gely Christian Osadnik Gregory Reychler Inger Mechlenburg Arietta Spinou |
| author_facet | William Poncin Christine Schrøder Ana Oliveira Beatriz Herrero Pierre Cnockaert Lucile Gely Christian Osadnik Gregory Reychler Inger Mechlenburg Arietta Spinou |
| author_sort | William Poncin |
| collection | DOAJ |
| description | Introduction
Acute exacerbations of COPD (AECOPD) often involve mucus hypersecretion. Thus, management of sputum retention is critical. However, the use of airway clearance techniques (ACTs) in people with AECOPD across different healthcare settings and factors influencing their selection remain unclear.
Objective
To identify and map ACTs used for AECOPD in different healthcare settings and the factors influencing clinical decision-making worldwide.
Methods
Four electronic databases and grey literature were searched from 1995 to December 2023, with hand-searching of eligible records. The Joanna Briggs Institute methodology for scoping reviews was followed.
Results
25 articles were included: 14 clinical studies, five guidelines/statements and six surveys/audits. Clinical studies reported the use of a wide range of single or combined ACTs, with no clear pattern in using particular ACTs in different parts of the world. Recent guidelines advise using ACTs for certain patients with AECOPD, particularly those with hypersecretion, with most guidelines recommending positive expiratory pressure (PEP) therapy. According to surveys, the most used ACTs in Australia and Europe are active cycle of breathing techniques, PEP or forced expiratory technique, while vibrations are most frequently used in Canada. Factors influencing the selection of specific ACTs include the presence of contraindications, level of dyspnoea, access to resources/equipment and ease of learning/performing the technique. All information was derived from hospital settings.
Conclusions
This scoping review identified and mapped ACTs used for people with AECOPD worldwide and their decision-making factors. Future work should focus on community settings. |
| format | Article |
| id | doaj-art-906e469846804d8d90f92ee682bc228a |
| institution | DOAJ |
| issn | 0905-9180 1600-0617 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | European Respiratory Society |
| record_format | Article |
| series | European Respiratory Review |
| spelling | doaj-art-906e469846804d8d90f92ee682bc228a2025-08-20T02:40:48ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172025-01-013417510.1183/16000617.0191-20240191-2024Airway clearance techniques for people with acute exacerbation of COPD: a scoping reviewWilliam Poncin0Christine Schrøder1Ana Oliveira2Beatriz Herrero3Pierre Cnockaert4Lucile Gely5Christian Osadnik6Gregory Reychler7Inger Mechlenburg8Arietta Spinou9 Pole of Pulmonology, ENT and Dermatology (LUNS), Institute of Experimental and Clinical Research (IREC), Université Catholique de Louvain (UCLouvain), Brussels, Belgium Department of Orthopaedic Surgery, Aarhus University Hospital, Aarhus, Denmark Respiratory Research and Rehabilitation Laboratory (Lab3R), School of Health Sciences (ESSUA), University of Aveiro, Aveiro, Portugal Universidad San Jorge, Zaragoza, Spain Pole of Pulmonology, ENT and Dermatology (LUNS), Institute of Experimental and Clinical Research (IREC), Université Catholique de Louvain (UCLouvain), Brussels, Belgium Pole of Pulmonology, ENT and Dermatology (LUNS), Institute of Experimental and Clinical Research (IREC), Université Catholique de Louvain (UCLouvain), Brussels, Belgium Department of Physiotherapy, Monash University, Monash, Australia Pole of Pulmonology, ENT and Dermatology (LUNS), Institute of Experimental and Clinical Research (IREC), Université Catholique de Louvain (UCLouvain), Brussels, Belgium Department of Orthopaedic Surgery, Aarhus University Hospital, Aarhus, Denmark Population Health Sciences, King's College London, London, UK Introduction Acute exacerbations of COPD (AECOPD) often involve mucus hypersecretion. Thus, management of sputum retention is critical. However, the use of airway clearance techniques (ACTs) in people with AECOPD across different healthcare settings and factors influencing their selection remain unclear. Objective To identify and map ACTs used for AECOPD in different healthcare settings and the factors influencing clinical decision-making worldwide. Methods Four electronic databases and grey literature were searched from 1995 to December 2023, with hand-searching of eligible records. The Joanna Briggs Institute methodology for scoping reviews was followed. Results 25 articles were included: 14 clinical studies, five guidelines/statements and six surveys/audits. Clinical studies reported the use of a wide range of single or combined ACTs, with no clear pattern in using particular ACTs in different parts of the world. Recent guidelines advise using ACTs for certain patients with AECOPD, particularly those with hypersecretion, with most guidelines recommending positive expiratory pressure (PEP) therapy. According to surveys, the most used ACTs in Australia and Europe are active cycle of breathing techniques, PEP or forced expiratory technique, while vibrations are most frequently used in Canada. Factors influencing the selection of specific ACTs include the presence of contraindications, level of dyspnoea, access to resources/equipment and ease of learning/performing the technique. All information was derived from hospital settings. Conclusions This scoping review identified and mapped ACTs used for people with AECOPD worldwide and their decision-making factors. Future work should focus on community settings.http://err.ersjournals.com/content/34/175/240191.full |
| spellingShingle | William Poncin Christine Schrøder Ana Oliveira Beatriz Herrero Pierre Cnockaert Lucile Gely Christian Osadnik Gregory Reychler Inger Mechlenburg Arietta Spinou Airway clearance techniques for people with acute exacerbation of COPD: a scoping review European Respiratory Review |
| title | Airway clearance techniques for people with acute exacerbation of COPD: a scoping review |
| title_full | Airway clearance techniques for people with acute exacerbation of COPD: a scoping review |
| title_fullStr | Airway clearance techniques for people with acute exacerbation of COPD: a scoping review |
| title_full_unstemmed | Airway clearance techniques for people with acute exacerbation of COPD: a scoping review |
| title_short | Airway clearance techniques for people with acute exacerbation of COPD: a scoping review |
| title_sort | airway clearance techniques for people with acute exacerbation of copd a scoping review |
| url | http://err.ersjournals.com/content/34/175/240191.full |
| work_keys_str_mv | AT williamponcin airwayclearancetechniquesforpeoplewithacuteexacerbationofcopdascopingreview AT christineschrøder airwayclearancetechniquesforpeoplewithacuteexacerbationofcopdascopingreview AT anaoliveira airwayclearancetechniquesforpeoplewithacuteexacerbationofcopdascopingreview AT beatrizherrero airwayclearancetechniquesforpeoplewithacuteexacerbationofcopdascopingreview AT pierrecnockaert airwayclearancetechniquesforpeoplewithacuteexacerbationofcopdascopingreview AT lucilegely airwayclearancetechniquesforpeoplewithacuteexacerbationofcopdascopingreview AT christianosadnik airwayclearancetechniquesforpeoplewithacuteexacerbationofcopdascopingreview AT gregoryreychler airwayclearancetechniquesforpeoplewithacuteexacerbationofcopdascopingreview AT ingermechlenburg airwayclearancetechniquesforpeoplewithacuteexacerbationofcopdascopingreview AT ariettaspinou airwayclearancetechniquesforpeoplewithacuteexacerbationofcopdascopingreview |