Performance-based outcome measures for assessing physical capacity in patients with pulmonary embolism : A scoping review

Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved..

INTRODUCTION: Up to 50 % of patients surviving a pulmonary embolism (PE) report persisting shortness of breath, reduced physical capacity and psychological distress. As the PE population is heterogeneous compared to other cardiovascular patient groups, outcome measures for assessing physical capacity traditionally used in cardiac populations may not be reliable for the PE population as a whole. This scoping review aims to 1) map performance-based outcome measures (PBOMs) used for assessing physical capacity in PE research, and 2) to report the psychometric properties of the identified PBOMs in a PE population.

METHODS: The review was conducted according to the Joanna Briggs Institute framework for scoping reviews and reported according to the PRISMA-Extension for Scoping Reviews guideline.

RESULTS: The systematic search of five databases identified 4585 studies, of which 243 studies met the inclusion criteria. Of these, 185 studies focused on a subgroup of patients with chronic thromboembolic pulmonary hypertension. Ten different PBOMs were identified in the included studies. The 6-minute walk test (6MWT) and cardiopulmonary exercise test (CPET) were the most commonly used, followed by the (Modified) Bruce protocol and Incremental Shuttle Walk test. No studies reported psychometric properties of any of the identified PBOMs in a PE population.

CONCLUSIONS: Publication of studies measuring physical capacity within PE populations has increased significantly over the past 5-10 years. Still, not one study was identified, reporting the validity, reliability, or responsiveness for any of the identified PBOMs in a PE population. This should be a priority for future research in the field.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:235

Enthalten in:

Thrombosis research - 235(2024) vom: 01. März, Seite 52-67

Sprache:

Englisch

Beteiligte Personen:

Caspersen, Christina Krogner [VerfasserIn]
Ingemann-Molden, Stian [VerfasserIn]
Grove, Erik Lerkevang [VerfasserIn]
Højen, Anette Arbjerg [VerfasserIn]
Andreasen, Jane [VerfasserIn]
Klok, Frederikus A [VerfasserIn]
Rolving, Nanna [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Outcome assessment
Physical fitness
Psychometrics
Pulmonary embolism
Rehabilitation research
Review
Systematic Review

Anmerkungen:

Date Completed 04.03.2024

Date Revised 04.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.thromres.2024.01.008

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367907402