Is respiratory physiotherapy effective on pulmonary complications after lobectomy for lung cancer?
| Autor: | Cengizhan Doğan, Hüseyin Ulaş Çınar, Hale Kefeli Çelik, Burçin Çelik |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
lobectomy medicine.medical_specialty medicine.medical_treatment 030204 cardiovascular system & hematology Logistic regression 03 medical and health sciences 0302 clinical medicine cost medicine Thoracotomy Respiratory physiotherapy Respiratory system Lung cancer business.industry Drug cost Odds ratio medicine.disease Confidence interval Surgery lung cancer 030228 respiratory system respiratory physiotherapy Original Article Cardiology and Cardiovascular Medicine business Complication |
| Zdroj: | Turkish Journal of Thoracic and Cardiovascular Surgery |
| ISSN: | 2149-8156 1301-5680 |
| DOI: | 10.5606/tgkdc.dergisi.2020.19693 |
| Popis: | Background: The aim of this study was to investigate the effects of a postoperative respiratory physiotherapy program on pulmonary complications, length of hospital stay, and hospital cost after lobectomy for lung cancer. Methods: A total of 90 patients (75 males, 15 females; mean age 63.1±10.4 years; range, 30 to 82 years) who underwent elective lobectomy through thoracotomy due to lung cancer between June 2014 and December 2019 were retrospectively analyzed. The patients were divided into two groups as Group S who received standard postoperative care (n=50) and Group P who received postoperative respiratory physiotherapy in addition to standard care (n=40). Both groups were compared in terms of postoperative pulmonary complications, 30-day mortality, length of hospital stay, and hospital cost. Results: The preoperative and surgical characteristics of the groups were similar. Group P had a lower incidence of postoperative pulmonary complications (10% vs. 38%, respectively; p=0.002) than Group S. The median length of stay in the hospital was six (range, 4 to 12) days in Group P and seven (range, 4 to 40) days in Group S (p=0.001). The drug cost (639.70 vs. 1,211.46 Turkish Liras, respectively; p=0.001) and the total hospital cost (2,031.10 vs. 3,778.68 Turkish Liras, respectively; p=0.001) of the patients in Group P were significantly lower. The multivariate logistic regression analysis showed that respiratory physiotherapy had a protective effect on the development of postoperative pulmonary complications (odds ratio =0.063, 95% confidence interval: 0.010-0.401, p=0.003). Conclusion: An intensive physiotherapy program focusing on respiratory exercises is a cost-effective practice which reduces the risk of development of postoperative pulmonary complications in patients undergoing lobectomy for lung cancer. |
| Databáze: | OpenAIRE |
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