The Effect of Physical Therapy on Respiratory Complications Following Cardiac Valve Surgery
| Autor: | David Johnson, I. Mayers, Dorothy Thomson, Brian Burbridge, Cheryle Kelm |
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| Rok vydání: | 1996 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine Pulmonary Atelectasis medicine.medical_specialty Atelectasis Critical Care and Intensive Care Medicine law.invention FEV1/FVC ratio Postoperative Complications Randomized controlled trial law medicine Humans Cardiac Surgical Procedures Medical prescription Physical Therapy Modalities Aged business.industry Respiratory disease Middle Aged medicine.disease Heart Valves Respiratory Function Tests Surgery Clinical trial Pneumonia Treatment Outcome Physical therapy Female Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | Chest. 109:638-644 |
| ISSN: | 0012-3692 |
| Popis: | Study objective To determine whether higher personnel intensive chest physical therapy can prevent the atelectasis that routinely follows cardiac valve surgery. Design Randomized, controlled trial. Setting Tertiary care hospital. Patients Seventy-eight patients undergoing elective cardiac valve surgery between October 1991 and April 1993 were enrolled. Interventions Patients were randomized in an unmasked fashion to receive early mobilization and sustained maximal inflations (lower-intensity treatment) or to receive early mobilization, sustained maximal inflations, and single-handed percussions (higher-intensity treatment). Measurements and results Clinical efficacy was determined by extent of atelectasis, length of ICU stay, total length of hospital stay, and personnel costs. The extent of postoperative atelectasis was similar in both groups on the fifth postoperative day. Postoperative values of FVC and FEV 1 were reduced to a similar extent in both groups. Hospital stays and ICU stays were similar regardless of treatment. Physical therapy costs were highest in the higher-intensity therapy group. Conclusions Postoperative respiratory dysfunction is common but does not usually cause significant morbidity or prolong hospital stay. The routine prescription of high-intensity physical therapy does not improve patient outcomes but does add significantly to patient costs. |
| Databáze: | OpenAIRE |
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