Cochrane · systematic review · CD006338
Chest physiotherapy for pneumonia in adults
Chen, X, Jiang, J, Wang, R, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library
Acute Respiratory InfectionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
35
current version
GRADE rated
19
No studies
16
Included studies
NR
No studies 16 · 45.7%Ungraded 0 · 0%Very low 19 · 54.3%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Conventional chest physiotherapy plus routine treatment compared to routine treatment alone for pneumonia
Population: people with pneumonia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Conventional chest physiotherapy plus routine treatment vs routine treatment alone | RR 1.03 [0.15, 7.13] | 2 studies · 225 participants | Very low Downgraded: risk of bias |
Cure rate Conventional chest physiotherapy plus routine treatment vs routine treatment alone | RR 0.93 [0.56, 1.55] | 2 studies · 225 participants | Very low Downgraded: risk of bias |
Duration of hospital stay Conventional chest physiotherapy plus routine treatment vs routine treatment alone | no estimate extracted | 1 study · 54 participants | Very low Downgraded: risk of bias, imprecision |
Duration of fever Conventional chest physiotherapy plus routine treatment vs routine treatment alone | no estimate extracted | 1 study · 54 participants | Very low Downgraded: risk of bias, imprecision |
Duration of total antibiotic therapy ‐ not reported Conventional chest physiotherapy plus routine treatment vs routine treatment alone | no estimate extracted | NR | No studies |
Duration of ICU stay ‐ not reported Conventional chest physiotherapy plus routine treatment vs routine treatment alone | no estimate extracted | NR | No studies |
Duration of mechanical ventilation ‐ not reported Conventional chest physiotherapy plus routine treatment vs routine treatment alone | no estimate extracted | NR | No studies |
Active cycle of breathing techniques plus routine treatment compared to routine treatment alone for pneumonia
Population: people with pneumonia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Active cycle of breathing techniques plus routine treatment vs routine treatment alone | no estimate extracted | 1 study · 32 participants | Very low Downgraded: risk of bias, imprecision |
Cure rate Active cycle of breathing techniques plus routine treatment vs routine treatment alone | RR 0.6 [0.29, 1.23] | 1 study · 32 participants | Very low Downgraded: risk of bias, imprecision |
Duration of hospital stay Active cycle of breathing techniques plus routine treatment vs routine treatment alone | no estimate extracted | 1 study · 32 participants | Very low Downgraded: risk of bias, imprecision |
Duration of fever ‐ not reported Active cycle of breathing techniques plus routine treatment vs routine treatment alone | no estimate extracted | NR | No studies |
Duration of total antibiotic therapy Active cycle of breathing techniques plus routine treatment vs routine treatment alone | no estimate extracted | 1 study · 32 participants | Very low Downgraded: risk of bias, imprecision |
Duration of ICU stay ‐ not reported Active cycle of breathing techniques plus routine treatment vs routine treatment alone | no estimate extracted | NR | No studies |
Duration of mechanical ventilation ‐ not reported Active cycle of breathing techniques plus routine treatment vs routine treatment alone | no estimate extracted | NR | No studies |
Osteopathic manipulative treatment (OMT) plus routine treatment compared to placebo plus routine treatment for pneumonia
Population: people with pneumonia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Osteopathic manipulative treatment (OMT) plus routine treatment vs placebo plus routine treatment | RR 0.43 [0.12, 1.5] | 3 studies · 327 participants | Very low Downgraded: imprecision |
Cure rate Osteopathic manipulative treatment (OMT) plus routine treatment vs placebo plus routine treatment | RR 1.59 [1.01, 2.51] | 2 studies · 79 participants | Very low Downgraded: imprecision |
Duration of hospital stay Osteopathic manipulative treatment (OMT) plus routine treatment vs placebo plus routine treatment | no estimate extracted | 3 studies · 333 participants | Very low Downgraded: imprecision |
Duration of fever Osteopathic manipulative treatment (OMT) plus routine treatment vs placebo plus routine treatment | no estimate extracted | 1 study · 21 participants | Very low Downgraded: imprecision |
Duration of total antibiotic therapy Osteopathic manipulative treatment (OMT) plus routine treatment vs placebo plus routine treatment | no estimate extracted | 3 studies · 333 participants | Very low Downgraded: imprecision |
Duration of ICU stay ‐ not reported Osteopathic manipulative treatment (OMT) plus routine treatment vs placebo plus routine treatment | no estimate extracted | NR | No studies |
Duration of mechanical ventilation ‐ not reported Osteopathic manipulative treatment (OMT) plus routine treatment vs placebo plus routine treatment | no estimate extracted | NR | No studies |
Positive expiratory pressure plus routine treatment compared to routine treatment alone for pneumonia
Population: people with pneumonia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Positive expiratory pressure plus routine treatment vs routine treatment alone | no estimate extracted | 1 study · 98 participants | Very low Downgraded: risk of bias |
Cure rate ‐ not reported Positive expiratory pressure plus routine treatment vs routine treatment alone | no estimate extracted | NR | No studies |
Duration of hospital stay Positive expiratory pressure plus routine treatment vs routine treatment alone | no estimate extracted | 1 study · 98 participants | Very low Downgraded: risk of bias, imprecision |
Duration of fever Positive expiratory pressure plus routine treatment vs routine treatment alone | no estimate extracted | 1 study · 98 participants | Very low Downgraded: risk of bias, imprecision |
Duration of total antibiotic therapy ‐ not reported Positive expiratory pressure plus routine treatment vs routine treatment alone | no estimate extracted | NR | No studies |
Duration of ICU stay ‐ not reported Positive expiratory pressure plus routine treatment vs routine treatment alone | no estimate extracted | NR | No studies |
Duration of mechanical ventilation ‐ not reported Positive expiratory pressure plus routine treatment vs routine treatment alone | no estimate extracted | NR | No studies |
High‐frequency chest wall oscillation plus fibrobronchoscope alveolar lavage compared to fibrobronchoscope alveolar lavage alone for severe pneumonia and receiving mechanical ventilation
Population: people with severe pneumonia and receiving mechanical ventilation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality High‐frequency chest wall oscillation plus fibrobronchoscope alveolar lavage vs fibrobronchoscope alveolar lavage alone | RR 0.75 [0.17, 3.29] | 1 study · 286 participants | Very low Downgraded: risk of bias, imprecision |
Cure rate ‐ not reported High‐frequency chest wall oscillation plus fibrobronchoscope alveolar lavage vs fibrobronchoscope alveolar lavage alone | no estimate extracted | NR | No studies |
Duration of hospital stay ‐ not reported High‐frequency chest wall oscillation plus fibrobronchoscope alveolar lavage vs fibrobronchoscope alveolar lavage alone | no estimate extracted | NR | No studies |
Duration of fever ‐ not reported High‐frequency chest wall oscillation plus fibrobronchoscope alveolar lavage vs fibrobronchoscope alveolar lavage alone | no estimate extracted | NR | No studies |
Duration of total antibiotic therapy ‐ not reported High‐frequency chest wall oscillation plus fibrobronchoscope alveolar lavage vs fibrobronchoscope alveolar lavage alone | no estimate extracted | NR | No studies |
Duration of ICU stay High‐frequency chest wall oscillation plus fibrobronchoscope alveolar lavage vs fibrobronchoscope alveolar lavage alone | no estimate extracted | 1 study · 286 participants | Very low Downgraded: risk of bias, imprecision |
Duration of mechanical ventilation High‐frequency chest wall oscillation plus fibrobronchoscope alveolar lavage vs fibrobronchoscope alveolar lavage alone | no estimate extracted | 1 study · 286 participants | Very low Downgraded: risk of bias, imprecision |