Effect of early stepwise cardiopulmonary rehabilitation on function and quality of life in sepsis patients

doi:10.12998/wjcc.v12.i4.729

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World Journal of Clinical Cases

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World J Clin Cases. Feb 6, 2024; 12(4): 729-736
Published online Feb 6, 2024. doi: 10.12998/wjcc.v12.i4.729

Effect of early stepwise cardiopulmonary rehabilitation on function and quality of life in sepsis patients

Ming-Hui Zheng, Wen-Jun Liu, Juan Yang

Ming-Hui Zheng, Division of Cardiovascular First Ward Departments of Internal Medicine, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430077, Hubei Province, China

Wen-Jun Liu, Department of Respiratory Medicine, PuRen Hospital Affiliated to Wuhan University of Science and Technology/Respiratory Medicine, Wuhan 430000, Hubei Province, China

Juan Yang, Department of Cardiology, Huanggang Central Hospital, Huanggang 438000, Hubei Province, China

Co-first authors: Ming-Hui Zheng and Wen-Jun Liu.

Author contributions: Zheng MH and Liu WJ designed the research; Yang J, Zheng MH, and Liu WJ contributed new reagents/analytical tools; Yang J, Zheng MH, and Liu WJ analyzed the data; Zheng MH and Liu WJ wrote the paper; All authors were involved in the critical review of the results and read and approved the final manuscript. Zheng MH and Liu WJ contributed equally to this work as co-first authors to this work. The reasons for designating Zheng MH and Liu WJ as co-first authors are threefold. First, the research was performed as a collaborative effort, and the designation of co-corresponding authorship accurately reflects the distribution of responsibilities and burdens associated with the time and effort required to complete the study and the resultant paper. This also ensures effective communication and management of post-submission matters, ultimately enhancing the paper’s quality and reliability. Second, the overall research team encompassed authors with a variety of expertise and skills from different fields, and the designation of co-first authors best reflects this diversity. This also promotes the most comprehensive and in-depth examination of the research topic, ultimately enriching readers’ understanding by offering various expert perspectives. Third, Zheng MH and Liu WJ contributed efforts of equal substance throughout the research process. The choice of these researchers as co-first authors acknowledges and respects this equal contribution, while recognizing the spirit of teamwork and collaboration of this study. In summary, we believe that designating Zheng MH and Liu WJ as co-first authors is fitting for our manuscript as it accurately reflects our team’s collaborative spirit, equal contributions, and diversity.

Institutional review board statement: This study protocol was approved by Huanggang Central hospital, and all the families have voluntarily participated in the study and have signed informed consent forms.

Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.

Conflict-of-interest statement: The authors declare having no conflicts of interest in relation to this paper.

Data sharing statement: Data generated from this investigation are available upon reasonable quest from the corresponding author.

Corresponding author: Juan Yang, MM, Attending Doctor, Department of Cardiology, Huanggang Central Hospital, No. 126 Qi’an Road, Huangzhou District, Huanggang 438000, Hubei Province, China. yang223332023@163.com

Received: November 6, 2023
Peer-review started: November 6, 2023
First decision: November 16, 2023
Revised: December 4, 2023
Accepted: January 8, 2024
Article in press: January 8, 2024
Published online: February 6, 2024
Processing time: 79 Days and 23.2 Hours

ARTICLE HIGHLIGHTS

Research background

Patients with sepsis often need mechanical ventilation to maintain respiratory function. However, mechanical ventilation itself will also cause some damage to the respiratory system, leading to respiratory muscle atrophy, lung function damage, etc. Therefore, early rehabilitation therapy such as aerobic exercise can effectively improve the respiratory function and quality of life in patients with sepsis.

Research motivation

Identifying methods to improve cardiopulmonary function and reduce mortality and disability rates will greatly benefit patients.

Research objectives

This study aimed to investigate the effect of early stepwise cardiopulmonary rehabilitation on cardiopulmonary function and quality of life in septic patients.

Research methods

Sepsis patients who met the inclusion criteria were randomized into the control and observation groups. Patients in the control group received conventional treatment, and patients in the observation group received early stepwise rehabilitation combined with conventional treatment.

Research results

The cardiopulmonary function and quality of life were significantly improved in the observation group, while the improvement was relatively small in the control patients.

Research conclusions

Early stepwise cardiopulmonary rehabilitation can effectively improve cardiopulmonary function and quality of life in septic patients after withdrawal.

Research perspectives

Future studies should include larger sample sizes and a longer follow-up period to identify long-term benefits of stepwise cardiopulmonary rehabilitation.