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Perception and clinical practice regarding mucus clearance devices with chronic obstructive pulmonary disease: a cross-sectional study of healthcare providers in Saudi Arabia.


ABSTRACT:

Objectives

Clearing secretions from the airway can be difficult for people with chronic obstructive pulmonary disease (COPD). Mucus clearance devices (MCDs) are an option in disease management to help with this, but healthcare provider awareness and knowledge about them as well as current clinical practice in Saudi Arabia are not known.

Design

A cross-sectional online survey consisting of four themes; demographics, awareness, recommendations and clinical practice, for MCDs with COPD patients.

Setting

Saudi Arabia.

Participants

1188 healthcare providers including general practitioners, family physicians, pulmonologists, nursing staff, respiratory therapists and physiotherapists.

Primary outcome measures

Healthcare providers' level of awareness about MCDs, and the identification of current clinical practices of COPD care in Saudi Arabia.

Results

1188 healthcare providers (44.4% female) completed the survey. Regarding devices, 54.2% were aware of the Flutter, 23.8% the Acapella and 5.4% the positive expiratory pressure mask. 40.7% of the respondents identified the Acapella, and 22.3% the Flutter as first choice for COPD management. 75% would usually or always consider their use in COPD patients reporting daily difficulty clearing mucus, whereas 55.9% would sometimes or usually consider the use of MCDs with COPD patients who produced and were able to clear mucus with cough. In clinical practice, 380 (32%) of the respondents would prescribe MCDs, 378 (31.8%) would give MCDs without prescriptions, 314 (26.4%) would not provide them at all and 116 (9.8%) would only advise patients about them.

Conclusion

Healthcare providers are aware of the existence of MCDs and their benefits for sputum clearance and believe that MCDs are beneficial for sputum clearance in some COPD patients.

Trial registration number

ISRCTN44651852.

SUBMITTER: Alghamdi SM 

PROVIDER: S-EPMC10503362 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature

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Publications

Perception and clinical practice regarding mucus clearance devices with chronic obstructive pulmonary disease: a cross-sectional study of healthcare providers in Saudi Arabia.

Alghamdi Saeed Mardy SM   Alzahrani Abdulaziz A   Alshahrani Yousef M YM   Al Ruwaithi Abdulhadi A AA   Aldhahir Abdulelah Mastour AM   Alsulayyim Abdullah S AS   Siraj Rayan A RA   Almansour Abdulelah H AH   Alasmari Ali M AM   Alqahtani Jaber S JS   Alanazi Abdullah M AM   Jaishi Siraj T ST   Allehyani Bader A BA   Hopkinson Nicholas S NS  

BMJ open 20230914 9


<h4>Objectives</h4>Clearing secretions from the airway can be difficult for people with chronic obstructive pulmonary disease (COPD). Mucus clearance devices (MCDs) are an option in disease management to help with this, but healthcare provider awareness and knowledge about them as well as current clinical practice in Saudi Arabia are not known.<h4>Design</h4>A cross-sectional online survey consisting of four themes; demographics, awareness, recommendations and clinical practice, for MCDs with CO  ...[more]

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