High flow nasal therapy during early pulmonary rehabilitation in patients with acute severe exacerbation of COPD: beneficial or illusory?

Prieur, Guillaume;Combret, Yann;Medrinal, Clement
(2020) Respiratory Research — Vol. 21, n° 1, p. 150 (2020)

Files

2020_Prieur_Respir_Res.pdf
  • Open Access
  • Adobe PDF
  • 438.16 KB

Details

Authors
  • Prieur, GuillaumeUCLouvain
    Author
  • Combret, YannUCLouvain
    Author
  • Medrinal, Clement
    Author
Abstract
In study "Effect of high-flow nasal therapy during early pulmonary rehabilitation in patients with severe AECOPD: a randomized controlled study" by Tung et al., authors concluded HFNT utilization led to enhanced exercise tolerance and a reduction of systemic inflammation. Nevertheless, some points requires additional discussion, the conclusion of the trial seems overstated. The baseline differences between groups induces substantial modifications in the conclusions of this trial. HFNT does not seem to add any benefit on exercise tolerance or systemic inflammation, nor on pulmonary function. The only difference that remained significant in homogenous statistical significance is dyspnea on the mMRC scale but clinical significance is highly questionable.
Affiliations

Citations

Prieur, G., Combret, Y., & Medrinal, C. (2020). High flow nasal therapy during early pulmonary rehabilitation in patients with acute severe exacerbation of COPD: beneficial or illusory? Respiratory Research, 21(1), 150. https://doi.org/10.1186/s12931-020-01415-y (Original work published 2020)