Letter to the Editor
Response to the letter from Rodrigues M and Vaz IM regarding the article “Effectiveness of a preoperative breathing exercise intervention in patients undergoing cardiac surgery: a systematic review”
Resposta à Carta ao Editor sobre o artigo «Eficácia de uma intervenção baseada em exercícios respiratórios em pessoas a aguardar cirurgia cardíaca: uma revisão sistemática da literatura»
Lido
2512
Vezesque se leu este artigo
1048
Total PDF
1464
Total HTML
Compartilhar estatísticas
array:26 [ "pii" => "S0870255121003516" "issn" => "08702551" "doi" => "10.1016/j.repc.2021.08.001" "estado" => "S300" "fechaPublicacion" => "2021-10-01" "aid" => "1799" "copyright" => "Sociedade Portuguesa de Cardiologia" "copyrightAnyo" => "2021" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Rev Port Cardiol. 2021;40:809-10" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "en" => array:20 [ "pii" => "S2174204921003184" "issn" => "21742049" "doi" => "10.1016/j.repce.2021.10.016" "estado" => "S300" "fechaPublicacion" => "2021-10-01" "aid" => "1799" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Rev Port Cardiol. 2021;40:809-10" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Response to the letter from Rodrigues M and Vaz IM regarding the article “Effectiveness of a preoperative breathing exercise intervention in patients undergoing cardiac surgery: a systematic review”" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "809" "paginaFinal" => "810" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Resposta à Carta ao Editor sobre o artigo «Eficácia de uma intervenção baseada em exercícios respiratórios em pessoas a aguardar cirurgia cardíaca: uma revisão sistemática da literatura»" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Soraia Nicola Rodrigues, Helga Rafael Henriques, Maria Adriana Henriques" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Soraia Nicola" "apellidos" => "Rodrigues" ] 1 => array:2 [ "nombre" => "Helga Rafael" "apellidos" => "Henriques" ] 2 => array:2 [ "nombre" => "Maria Adriana" "apellidos" => "Henriques" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255121003516" "doi" => "10.1016/j.repc.2021.08.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255121003516?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204921003184?idApp=UINPBA00004E" "url" => "/21742049/0000004000000010/v1_202111300755/S2174204921003184/v1_202111300755/en/main.assets" ] ] "itemSiguiente" => array:20 [ "pii" => "S0870255121003486" "issn" => "08702551" "doi" => "10.1016/j.repc.2021.05.009" "estado" => "S300" "fechaPublicacion" => "2021-10-01" "aid" => "1796" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Rev Port Cardiol. 2021;40:811-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Beta-blockers in acute coronary syndrome patients: The concept of ‘gradient of benefit’" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "811" "paginaFinal" => "812" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Betabloqueadores no doente pós SCA: o conceito de gradiente de benefício" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 971 "Ancho" => 2167 "Tamanyo" => 180474 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Gradient of benefit for post-acute coronary syndrome patients. ACEi: angiotensin converting enzyme inhibitors; ACS: acute coronary syndrome; ARB: angiotensin receptor blockers; EF: ejection fraction; IH: in-hospital.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Fernando Montenegro Sá, João Morais" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Fernando Montenegro" "apellidos" => "Sá" ] 1 => array:2 [ "nombre" => "João" "apellidos" => "Morais" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2174204921003196" "doi" => "10.1016/j.repce.2021.10.017" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204921003196?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255121003486?idApp=UINPBA00004E" "url" => "/08702551/0000004000000010/v1_202110050607/S0870255121003486/v1_202110050607/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S0870255121003474" "issn" => "08702551" "doi" => "10.1016/j.repc.2021.05.008" "estado" => "S300" "fechaPublicacion" => "2021-10-01" "aid" => "1795" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Rev Port Cardiol. 2021;40:807-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Letter to the Editor regarding “Effectiveness of preoperative breathing exercise interventions in patients undergoing cardiac surgery: a systematic review”" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "807" "paginaFinal" => "808" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Carta ao editor relativa ao artigo «Eficácia de uma intervenção baseada em exercícios respiratórios em pessoas a aguardar cirurgia cardíaca: uma revisão sistemática da literatura»" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Margarida Rodrigues, Inês Machado Vaz" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Margarida" "apellidos" => "Rodrigues" ] 1 => array:2 [ "nombre" => "Inês Machado" "apellidos" => "Vaz" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2174204921003172" "doi" => "10.1016/j.repce.2021.10.015" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204921003172?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255121003474?idApp=UINPBA00004E" "url" => "/08702551/0000004000000010/v1_202110050607/S0870255121003474/v1_202110050607/en/main.assets" ] "asociados" => array:1 [ 0 => array:20 [ "pii" => "S0870255121003474" "issn" => "08702551" "doi" => "10.1016/j.repc.2021.05.008" "estado" => "S300" "fechaPublicacion" => "2021-10-01" "aid" => "1795" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Rev Port Cardiol. 2021;40:807-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Letter to the Editor regarding “Effectiveness of preoperative breathing exercise interventions in patients undergoing cardiac surgery: a systematic review”" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "807" "paginaFinal" => "808" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Carta ao editor relativa ao artigo «Eficácia de uma intervenção baseada em exercícios respiratórios em pessoas a aguardar cirurgia cardíaca: uma revisão sistemática da literatura»" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Margarida Rodrigues, Inês Machado Vaz" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Margarida" "apellidos" => "Rodrigues" ] 1 => array:2 [ "nombre" => "Inês Machado" "apellidos" => "Vaz" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2174204921003172" "doi" => "10.1016/j.repce.2021.10.015" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204921003172?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255121003474?idApp=UINPBA00004E" "url" => "/08702551/0000004000000010/v1_202110050607/S0870255121003474/v1_202110050607/en/main.assets" ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Response to the letter from Rodrigues M and Vaz IM regarding the article “Effectiveness of a preoperative breathing exercise intervention in patients undergoing cardiac surgery: a systematic review”" "tieneTextoCompleto" => true "saludo" => "To the Editor:" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "809" "paginaFinal" => "810" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Soraia Nicola Rodrigues, Helga Rafael Henriques, Maria Adriana Henriques" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Soraia Nicola" "apellidos" => "Rodrigues" "email" => array:1 [ 0 => "soraia.nicola@gmail.com" ] "referencia" => array:4 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Helga Rafael" "apellidos" => "Henriques" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Maria Adriana" "apellidos" => "Henriques" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Lisbon University, Lisbon, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Lisbon Nursing School, Lisbon, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Centro Hospitalar de Vila Nova de Gaia/Espinho, Oporto, Portugal" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "ISAMB, Lisbon Medical School, Lisbon, Portugal" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Resposta à Carta ao Editor sobre o artigo «Eficácia de uma intervenção baseada em exercícios respiratórios em pessoas a aguardar cirurgia cardíaca: uma revisão sistemática da literatura»" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We thank Drs. Rodrigues and Vaz for their interest in our paper recently published in the <span class="elsevierStyleItalic">Journal</span>,<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">1</span></a> in which we determined whether patients waiting for cardiac surgery who undergo preoperative breathing exercises have better postoperative outcomes, such as respiratory parameters, postoperative pulmonary complications, and length of hospital stay. However, we respectfully disagree with their arguments.</p><p id="par0010" class="elsevierStylePara elsevierViewall">We do not concur with the authors’ opinion that the terms used for the literature research, as well as some of those used in the text, are vague. As we pointed out in our article, the search strategy to perform the systematic review combined both indexed and free-text terms.<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Our intervention was accurately defined as “a preoperative breathing exercises intervention”.<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">1</span></a> We draw particular attention to the use of the indefinite article ‘a’ in our paper, which is of particular importance. In our work, we set out to understand the impact of <span class="elsevierStyleItalic">any</span> intervention that involves preoperative breathing exercises compared with interventions that do not. It should be remembered that ‘Preoperative Exercise’ is a MeSH term defined as “Various physical exercises implemented before a surgery designed for better treatment outcome”,<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">3</span></a> while ‘Breathing Exercises’ is also a MeSH term, defined as “Therapeutic exercises aimed to deepen inspiration or expiration or even to alter the rate and rhythm of respiration”.<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">4</span></a> Their entry terms are: Exercise, Breathing; Respiratory Muscle Training; Muscle Training, Respiratory; and Training, Respiratory Muscle.<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">4</span></a> These concepts have been used by other authors in various studies.<a class="elsevierStyleCrossRefs" href="#bib0105"><span class="elsevierStyleSup">5–7</span></a> Outcomes are also clearly defined as respiratory parameters, length of stay and postoperative pulmonary complications. As a fundamental concept, the authors considered ‘respiratory parameters’ to be a self-explanatory key-word,<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">1</span></a> as have other authors.<a class="elsevierStyleCrossRefs" href="#bib0120"><span class="elsevierStyleSup">8–10</span></a> However, we agree that not all readers may be familiar with the terms, so we take this opportunity to clarify: the Cambridge Dictionary defines ‘parameter’ as “a set of facts or a fixed limit that establishes or limits how something can or must happen or be done”.<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">11</span></a> Classic respiratory parameters, according to Vallverdú et al.,<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">12</span></a> are vital capacity, maximal inspiratory pressure and expired volume per minute.‘Length of stay’ is a MeSH term defined as “The period of confinement of a patient to a hospital or other health facility”<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">13</span></a> and ‘postoperative pulmonary complications’ is a free-text term derived from ‘Postoperative Complications’, a MeSH term defined as “Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery”.<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">14</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">The phrases ‘respiratory performance’ and ‘mobilization scheme’ are used in the Results and Discussion sections, linked to studies that are well referenced. We strongly recommend that anyone with a question related to the operationalization of these concepts should read the respective article.</p><p id="par0025" class="elsevierStylePara elsevierViewall">We would like to state that the questions posed at the end of the discussion, highlighted by the authors, were intended to promote reflection among researchers who may have an interest in this field. The results can only be understood by looking at the entire text, tables and figures. A piecemeal reading leads to an interpretation with a high risk of bias. Our conclusion is clear: “A preoperative breathing intervention on patients undergoing cardiac surgery may help improve respiratory performance after surgery, reduce postoperative pulmonary complications and hospital length of stay. However, more trials are needed to support and strengthen the evidence”.<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">1</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">We agree with the authors that breathing exercises include a wide range of interventions. In our article, we did not focus on a specific intervention, but we accept that future research on such interventions is important. In fact, we mentioned this in our conclusions and, on this point, we totally agree with the authors and with the studies they cite.<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">15,16</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:16 [ 0 => array:3 [ "identificador" => "bib0085" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effectiveness of preoperative breathing exercise interventions in patients undergoing cardiac surgery: a systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S.N. Rodrigues" 1 => "H.R. Henriques" 2 => "M.A. Henriques" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.repc.2020.08.013" "Revista" => array:6 [ "tituloSerie" => "Rev Port Cardiol" "fecha" => "2021" "volumen" => "40" "paginaInicial" => "229" "paginaFinal" => "244" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33707091" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0090" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cochrane handbook for systematic reviews of interventions" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "J.P. Higgins" 1 => "J. Thomas" 2 => "J. Chandler" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:2 [ "fecha" => "2019" "editorial" => "John Wiley & Sons" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0095" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Preoperative exercise [Internet]" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "MeSH" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:1 [ "fecha" => "2021" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0100" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "titulo" => "MeSH. Breathing exercises [Internet]" ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:1 [ "fecha" => "2021" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0105" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Respiratory performance of humans exposed to moderate levels of carbon dioxide" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "A.K. Mishra" 1 => "S. Schiavon" 2 => "P. Wargocki" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Indoor Air" "fecha" => "2021" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0110" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Relationships between respiratory parameters, exercise capacity and psychosocial factors in people with chronic obstructive pulmonary disease" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "T. Awotidebe" 1 => "O. Awopeju" 2 => "L. Bisiriyu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rehab.2017.06.005" "Revista" => array:6 [ "tituloSerie" => "Ann Phys Rehabil Med" "fecha" => "2017" "volumen" => "60" "paginaInicial" => "387" "paginaFinal" => "392" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28797622" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0115" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effect of eight-week aerobic, resistive, and interval exercise routines on respiratory parameters in non-athlete women" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "V. Moradians" 1 => "A. Rahimi" 2 => "S.A.J. Moosavi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Tanaffos" "fecha" => "2016" "volumen" => "15" "paginaInicial" => "96" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27904541" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0120" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Respiratory parameters predict poor outcome in COPD patients, category GOLD 2017 B" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "K. Brat" 1 => "M. Plutinsky" 2 => "K. Hejduk" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Int J Chron Obstruct Pulm Dis" "fecha" => "2018" "volumen" => "13" "paginaInicial" => "1037" "paginaFinal" => "1052" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0125" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Respiratory parameters and acute kidney injury in acute respiratory distress syndrome: a causal inference study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "T.T. Leite" 1 => "C.A.M. Gomes" 2 => "J.M.C. Valdivia" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.21037/atm.2019.11.92" "Revista" => array:6 [ "tituloSerie" => "Ann Transl Med" "fecha" => "2019" "volumen" => "7" "paginaInicial" => "742" "paginaFinal" => "750" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32042758" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0130" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Respiratory parameters in patients with COVID-19 after using noninvasive ventilation in the prone position outside the intensive care unit" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "C. Sartini" 1 => "M. Tresoldi" 2 => "P. Scarpellini" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1001/jama.2020.7861" "Revista" => array:6 [ "tituloSerie" => "JAMA" "fecha" => "2020" "volumen" => "323" "paginaInicial" => "2338" "paginaFinal" => "2340" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32412606" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0135" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "titulo" => "Cambridge dictionary parameter [Internet]" ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:1 [ "fecha" => "2021" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0140" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical characteristics respiratory functional parameters, and outcome of a two-hour T-piece trial in patients weaning from mechanical ventilation" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "I. Vallverdú" 1 => "N. Calaf" 2 => "M. Subirana" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.158.6.9712135" "Revista" => array:6 [ "tituloSerie" => "Am J Resp Crit Care Med" "fecha" => "1998" "volumen" => "158" "paginaInicial" => "1855" "paginaFinal" => "1862" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9847278" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0145" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "titulo" => "MeSH. Length of stay [Internet]" ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:1 [ "fecha" => "2021" ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0150" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "titulo" => "MeSH. Postoperative complications [Internet]" ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:1 [ "fecha" => "2021" ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0155" "etiqueta" => "15" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Current developments and future directions in respiratory physiotherapy" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "A. Rodrigues" 1 => "G. Muñoz Castro" 2 => "C. Jácome" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "Eur Resp Rev" "fecha" => "2020" "volumen" => "29" ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0160" "etiqueta" => "16" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fisioterapia respiratória no pré e pós-operatório de cirurgia de revascularização do miocárdio" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "S. Cavenaghi" 1 => "L.L. Ferreira" 2 => "L.H.C. Marino" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Brasil Cirurg Cardiovasc" "fecha" => "2011" "volumen" => "26" "paginaInicial" => "455" "paginaFinal" => "461" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000004000000010/v1_202110050607/S0870255121003516/v1_202110050607/en/main.assets" "Apartado" => array:4 [ "identificador" => "55963" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Carta ao Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/08702551/0000004000000010/v1_202110050607/S0870255121003516/v1_202110050607/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255121003516?idApp=UINPBA00004E" ]
| Ano/Mês | Html | Total | |
|---|---|---|---|
| 2024 Novembro | 6 | 2 | 8 |
| 2024 Outubro | 53 | 34 | 87 |
| 2024 Setembro | 45 | 24 | 69 |
| 2024 Agosto | 53 | 25 | 78 |
| 2024 Julho | 45 | 25 | 70 |
| 2024 Junho | 40 | 26 | 66 |
| 2024 Maio | 33 | 23 | 56 |
| 2024 Abril | 42 | 21 | 63 |
| 2024 Maro | 30 | 21 | 51 |
| 2024 Fevereiro | 33 | 20 | 53 |
| 2024 Janeiro | 27 | 25 | 52 |
| 2023 Dezembro | 28 | 14 | 42 |
| 2023 Novembro | 39 | 40 | 79 |
| 2023 Outubro | 21 | 17 | 38 |
| 2023 Setembro | 23 | 19 | 42 |
| 2023 Agosto | 21 | 15 | 36 |
| 2023 Julho | 26 | 13 | 39 |
| 2023 Junho | 28 | 8 | 36 |
| 2023 Maio | 38 | 26 | 64 |
| 2023 Abril | 22 | 10 | 32 |
| 2023 Maro | 48 | 21 | 69 |
| 2023 Fevereiro | 32 | 17 | 49 |
| 2023 Janeiro | 19 | 14 | 33 |
| 2022 Dezembro | 43 | 24 | 67 |
| 2022 Novembro | 34 | 28 | 62 |
| 2022 Outubro | 52 | 22 | 74 |
| 2022 Setembro | 25 | 34 | 59 |
| 2022 Agosto | 24 | 25 | 49 |
| 2022 Julho | 25 | 42 | 67 |
| 2022 Junho | 39 | 43 | 82 |
| 2022 Maio | 30 | 23 | 53 |
| 2022 Abril | 36 | 37 | 73 |
| 2022 Maro | 36 | 40 | 76 |
| 2022 Fevereiro | 27 | 37 | 64 |
| 2022 Janeiro | 24 | 26 | 50 |
| 2021 Dezembro | 39 | 30 | 69 |
| 2021 Novembro | 53 | 37 | 90 |
| 2021 Outubro | 160 | 94 | 254 |
| 2021 Setembro | 56 | 43 | 99 |
| 2021 Agosto | 9 | 3 | 12 |
Mostrar tudo
