Exercise testing to guide safe discharge from hospital in COVID-19: a scoping review to identify candidate tests

Gwenllian Rhys; Tara Wakeling; Jonathan Moore; Chris Subbe

doi:10.1136/bmjopen-2022-068169

Exercise testing to guide safe discharge from hospital in COVID-19: a scoping review to identify candidate tests

Gwenllian Rhys
, Tara Wakeling
, Jonathan Moore
, Chris Subbe

Ysbyty Gwynedd

Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid

75 Wedi eu Llwytho i Lawr (Pure)

Crynodeb

OBJECTIVES: We aimed to identify exercise tests that have been validated to support a safe discharge to home in patients with or without COVID-19.

STUDY DESIGN: Scoping review, using PRISMA-ScR reporting standards. Medline, PubMed, AMED, Embase, CINAHL and LitCovid databases were searched between 16 and 22 February 2021, with studies included from any publication date up to and including the search date.

INTERVENTION: Short exercise tests.

PRIMARY OUTCOME MEASURES: Safe discharge from hospital, readmission rate, length of hospital stay, mortality. Secondary outcomes measures: safety, feasibility and reliability.

RESULTS: Of 1612 original records screened, 19 studies were included in the analysis. These used a variety of exercise tests in patients with chronic obstructive pulmonary disease, suspected pulmonary embolism and pneumocystis carinii pneumonia, heart failure or critical illness. Only six studies had examined patients with COVID-19, of these two were still recruiting to evaluate the 1 min sit-to-stand test and the 40-steps test. There was heterogeneity in patient populations, tests used and outcome measures. Few exercise tests have been validated to support discharge decisions. There is currently no support for short exercise tests for triage of care in patients with COVID-19.

CONCLUSIONS: Further research is needed to aid clinical decision-making at discharge from hospital.

Iaith wreiddiol	Saesneg
Rhif yr erthygl	e068169
Cyfnodolyn	BMJ Open
Cyfrol	13
Rhif cyhoeddi	10
Dyddiad ar-lein cynnar	31 Hyd 2023
Dynodwyr Gwrthrych Digidol (DOIs)	https://doi.org/10.1136/bmjopen-2022-068169
Statws	Cyhoeddwyd - 31 Hyd 2023

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Exercise testing in the acute setting – the utility of exercise testing to predict safe discharge in acute cardiopulmonary disease including validation of the 40 steps desaturation test in the assessment of acute or suspected COVID-19
Rhys, G. (Awdur), Macdonald, J. (Goruchwylydd), Moore, J. (Goruchwylydd) & Subbe, C. (Goruchwylydd), 31 Hyd 2022
Traethawd ymchwil myfyriwr: Graddau Meistr trwy Ymchwil

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title = "Exercise testing to guide safe discharge from hospital in COVID-19: a scoping review to identify candidate tests",

abstract = "OBJECTIVES: We aimed to identify exercise tests that have been validated to support a safe discharge to home in patients with or without COVID-19.STUDY DESIGN: Scoping review, using PRISMA-ScR reporting standards. Medline, PubMed, AMED, Embase, CINAHL and LitCovid databases were searched between 16 and 22 February 2021, with studies included from any publication date up to and including the search date.INTERVENTION: Short exercise tests.PRIMARY OUTCOME MEASURES: Safe discharge from hospital, readmission rate, length of hospital stay, mortality. Secondary outcomes measures: safety, feasibility and reliability.RESULTS: Of 1612 original records screened, 19 studies were included in the analysis. These used a variety of exercise tests in patients with chronic obstructive pulmonary disease, suspected pulmonary embolism and pneumocystis carinii pneumonia, heart failure or critical illness. Only six studies had examined patients with COVID-19, of these two were still recruiting to evaluate the 1 min sit-to-stand test and the 40-steps test. There was heterogeneity in patient populations, tests used and outcome measures. Few exercise tests have been validated to support discharge decisions. There is currently no support for short exercise tests for triage of care in patients with COVID-19.CONCLUSIONS: Further research is needed to aid clinical decision-making at discharge from hospital.",

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author = "Gwenllian Rhys and Tara Wakeling and Jonathan Moore and Chris Subbe",

note = "{\textcopyright} Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.",

year = "2023",

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day = "31",

doi = "10.1136/bmjopen-2022-068169",

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T1 - Exercise testing to guide safe discharge from hospital in COVID-19: a scoping review to identify candidate tests

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AU - Moore, Jonathan

AU - Subbe, Chris

PY - 2023/10/31

Y1 - 2023/10/31

N2 - OBJECTIVES: We aimed to identify exercise tests that have been validated to support a safe discharge to home in patients with or without COVID-19.STUDY DESIGN: Scoping review, using PRISMA-ScR reporting standards. Medline, PubMed, AMED, Embase, CINAHL and LitCovid databases were searched between 16 and 22 February 2021, with studies included from any publication date up to and including the search date.INTERVENTION: Short exercise tests.PRIMARY OUTCOME MEASURES: Safe discharge from hospital, readmission rate, length of hospital stay, mortality. Secondary outcomes measures: safety, feasibility and reliability.RESULTS: Of 1612 original records screened, 19 studies were included in the analysis. These used a variety of exercise tests in patients with chronic obstructive pulmonary disease, suspected pulmonary embolism and pneumocystis carinii pneumonia, heart failure or critical illness. Only six studies had examined patients with COVID-19, of these two were still recruiting to evaluate the 1 min sit-to-stand test and the 40-steps test. There was heterogeneity in patient populations, tests used and outcome measures. Few exercise tests have been validated to support discharge decisions. There is currently no support for short exercise tests for triage of care in patients with COVID-19.CONCLUSIONS: Further research is needed to aid clinical decision-making at discharge from hospital.

AB - OBJECTIVES: We aimed to identify exercise tests that have been validated to support a safe discharge to home in patients with or without COVID-19.STUDY DESIGN: Scoping review, using PRISMA-ScR reporting standards. Medline, PubMed, AMED, Embase, CINAHL and LitCovid databases were searched between 16 and 22 February 2021, with studies included from any publication date up to and including the search date.INTERVENTION: Short exercise tests.PRIMARY OUTCOME MEASURES: Safe discharge from hospital, readmission rate, length of hospital stay, mortality. Secondary outcomes measures: safety, feasibility and reliability.RESULTS: Of 1612 original records screened, 19 studies were included in the analysis. These used a variety of exercise tests in patients with chronic obstructive pulmonary disease, suspected pulmonary embolism and pneumocystis carinii pneumonia, heart failure or critical illness. Only six studies had examined patients with COVID-19, of these two were still recruiting to evaluate the 1 min sit-to-stand test and the 40-steps test. There was heterogeneity in patient populations, tests used and outcome measures. Few exercise tests have been validated to support discharge decisions. There is currently no support for short exercise tests for triage of care in patients with COVID-19.CONCLUSIONS: Further research is needed to aid clinical decision-making at discharge from hospital.

KW - Exercise Test

KW - COVID-19

KW - Acute care

U2 - 10.1136/bmjopen-2022-068169

DO - 10.1136/bmjopen-2022-068169

M3 - Article

C2 - 37907292

SN - 2044-6055

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JO - BMJ Open

JF - BMJ Open

IS - 10

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ER -

Exercise testing to guide safe discharge from hospital in COVID-19: a scoping review to identify candidate tests

Crynodeb

NDC y CU

Mynediad at Ddogfen

Ôl bys

Traethodau Ymchwil Myfyriwr

Exercise testing in the acute setting – the utility of exercise testing to predict safe discharge in acute cardiopulmonary disease including validation of the 40 steps desaturation test in the assessment of acute or suspected COVID-19

Dyfynnu hyn