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
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