Effectiveness of a perioperative pulmonary rehabilitation program following coronary artery bypass graft surgery in patients with and without COPD
Autor: | Yu-Mu Chen, Chiu-Chu Lin, Jui-Fang Liu, Meng-Chih Lin, Jui-O Chen, Mei-Lien Tu, Shih-Feng Liu, Yu-qi Liu, Hong-Ren Yu |
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Rok vydání: | 2018 |
Předmět: |
Male
Vital capacity Comparative Effectiveness Research Time Factors pulmonary rehabilitation program Vital Capacity pulmonary complications Peak Expiratory Flow Rate Coronary Artery Disease 030204 cardiovascular system & hematology Pulmonary function testing Pulmonary Disease Chronic Obstructive 0302 clinical medicine respiratory muscle strength Forced Expiratory Volume Medicine Coronary Artery Bypass Lung Original Research COPD pulmonary function General Medicine respiratory system Middle Aged Respiratory Muscles Cardiac surgery Treatment Outcome Female medicine.medical_specialty Respiratory Therapy Respiratory rate Maximal Midexpiratory Flow Rate International Journal of Chronic Obstructive Pulmonary Disease 03 medical and health sciences FEV1/FVC ratio coronary artery bypass graft Respiratory muscle Humans Muscle Strength Aged Retrospective Studies business.industry Perioperative Recovery of Function medicine.disease Surgery respiratory tract diseases 030228 respiratory system business |
Zdroj: | International Journal of Chronic Obstructive Pulmonary Disease |
ISSN: | 1178-2005 |
Popis: | Jui-O Chen,1,2,* Jui-Fang Liu,1,3–5,* Yu-qi Liu,6 Yu-Mu Chen,7 Mei-Lien Tu,4 Hong-Ren Yu,8 Meng-Chih Lin,3,7 Chiu-Chu Lin,2 Shih-Feng Liu3,7 1Department of Nursing, Tajen University, Pingtung, Taiwan; 2College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan; 3Department of Respiratory Therapy, Kaohsiung Chang Gung Memorial Hospital-Kaohsiung Medical Center and Chang Gung University College of Medicine, Kaohsiung, Taiwan; 4Respiratory Care, Chang Gung University of Science and Technology, Taoyuan, Taiwan; 5Department of Education, National Kaohsiung Normal University, Kaohsiung, Taiwan; 6Department of Intensive Care unit, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China; 7Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan; 8Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan *These authors contributed equally to this work Purpose: It is unclear whether the effectiveness of pulmonary rehabilitation program (PRP) after cardiac surgery differs between patients with and without COPD. This study aimed to compare the effectiveness of PRP between patients with and without COPD undergoing coronary artery bypass graft (CABG) surgery. Patients and methods: We retrospectively included patients who underwent CABG surgery and received 3-week PRP from January 2009 to December 2013. We excluded patients who underwent emergency surgery, had an unstable hemodynamic status, were ventilator dependent or did not complete the PRP. Demographics, muscle strength, degree of dyspnea, pulmonary function and postoperative complications were compared. Results: Seventy-eight patients were enrolled (COPD group, n=40; non-COPD group, n=38). Maximal inspiratory pressure (MIP; −34.52 cmH2O vs −43.25 cmH2O, P |
Databáze: | OpenAIRE |
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