Postoperative Respiratory Exercises Reduce the Risk of Developing Pulmonary Complications in Patients Undergoing Lobectomy
| Autor: | Juan Manuel Vellosillo-Ortega, Carlos Ruiz-Muneta, Luis Carlos Abecia-Inchaurregui, Jesús Seco, Ana Rodriguez-Larrad |
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| Rok vydání: | 2015 |
| Předmět: |
Spirometry
Male medicine.medical_specialty Pulmonary Atelectasis medicine.medical_treatment Atelectasis 030204 cardiovascular system & hematology Breathing Exercises Hospitals University Tertiary Care Centers 03 medical and health sciences Nursing care Pneumonectomy 0302 clinical medicine Clinical pathway Postoperative Complications medicine Humans Thoracotomy Aged Postoperative Care medicine.diagnostic_test business.industry Incidence (epidemiology) Incidence General Medicine Pneumonia Length of Stay Middle Aged medicine.disease 030228 respiratory system Anesthesia Female Radiology business Respiratory Insufficiency |
| Zdroj: | Archivos de bronconeumologia. 52(7) |
| ISSN: | 1579-2129 |
| Popis: | Objective To evaluate the effects of an intensive postoperative physiotherapy program focused on respiratory exercises in patients undergoing lobectomy by open thoracotomy. Design Quasi-experimental study. Setting Tertiary referral academic hospital. Participants 208 patients undergoing lobectomy by open thoracotomy. Interventions Control group patients ( n =102) received standard medical/nursing care, and experimental group patients ( n =106) added to the standard clinical pathway a daily physiotherapy program focused on respiratory exercises until discharge. Outcomes Analyzed outcomes were the frequency of postoperative pulmonary complications (PPCs) more amenable to physiotherapy (pneumonia, atelectasis and respiratory insufficiency) and length of hospital stay (LOS). Results Both groups were comparable regarding preoperative and surgical characteristics. Incidence of PPCs was 20.6% in control and 6.6% in experimental group ( P =.003). Median (IQR) LOS in control group was 14 (7) days (Huber M estimator 14.21) and 12 (6) days (Huber M estimator 12.81) in experimental. Logistic regression model identified the evaluated physiotherapy program ( P =.017; EXP [B] 95% CI 0.081–0.780) and % FEV 1 ( P =.042; EXP [B] 95% CI 0.941–0.999) as protective factors for the development of PPCs in patients undergoing lobectomy. Conclusions Implementing a postoperative intensive physiotherapy program focused on respiratory exercises reduces the risk of PPCs and resultant LOS on patients undergoing lobectomy. |
| Databáze: | OpenAIRE |
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