The effect of preoperative chest physiotherapy on oxygenation and lung function in cardiac surgery patients: a randomized controlled study.

IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Annals of Saudi Medicine Pub Date : 2022-01-01 Epub Date: 2022-02-03 DOI:10.5144/0256-4947.2022.8
Hadel Shahood, Annamaria Pakai, Kiss Rudolf, Eva Bory, Noemi Szilagyi, Adrienn Sandor, Verzar Zsofia
{"title":"The effect of preoperative chest physiotherapy on oxygenation and lung function in cardiac surgery patients: a randomized controlled study.","authors":"Hadel Shahood,&nbsp;Annamaria Pakai,&nbsp;Kiss Rudolf,&nbsp;Eva Bory,&nbsp;Noemi Szilagyi,&nbsp;Adrienn Sandor,&nbsp;Verzar Zsofia","doi":"10.5144/0256-4947.2022.8","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Postoperative pulmonary complications in patients who undergo open heart surgery are serious life-threatening conditions. Few studies have investigated the potentially beneficial effects of preoperative physiotherapy in patients undergoing cardiac surgery.</p><p><strong>Objectives: </strong>Assess the effects of preoperative chest physiotherapy on oxygenation and lung function in patients undergoing open heart surgery.</p><p><strong>Design: </strong>Randomized, controlled.</p><p><strong>Setting: </strong>University hospital.</p><p><strong>Patients and methods: </strong>Patients with planned open heart surgery were randomly allocated into an intervention group of patients who underwent a preoperative home chest physiotherapy program for one week in addition to the traditional postoperative program and a control group who underwent only the traditional postoperative program. Lung function was assessed daily from the day before surgery until the seventh postoperative day.</p><p><strong>Main outcome measures: </strong>Differences in measures of respiratory function and oxygen saturation. Length of postoperative hospital stay was a secondary outcome.</p><p><strong>Sample size: </strong>100 patients (46 in intervention group, 54 in control group).</p><p><strong>Results: </strong>Postoperative improvements in lung function and oxygen saturation in the intervention group were statistically significant compared with the control group. The intervention group also had a statistically significant shorter hospital stay (<i>P</i><.01).</p><p><strong>Conclusion: </strong>Preoperative chest physiotherapy is effective in improving respiratory function following open heart surgery.</p><p><strong>Limitations: </strong>Relatively small number of patients.</p><p><strong>Conflict of interest: </strong>None.</p><p><strong>Registration: </strong>ClinicalTrials.gov (NCT04665024).</p>","PeriodicalId":8016,"journal":{"name":"Annals of Saudi Medicine","volume":"42 1","pages":"8-16"},"PeriodicalIF":1.5000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8c/3a/0256-4947.2022.8.PMC8812159.pdf","citationCount":"5","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Saudi Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5144/0256-4947.2022.8","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/2/3 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 5

Abstract

Background: Postoperative pulmonary complications in patients who undergo open heart surgery are serious life-threatening conditions. Few studies have investigated the potentially beneficial effects of preoperative physiotherapy in patients undergoing cardiac surgery.

Objectives: Assess the effects of preoperative chest physiotherapy on oxygenation and lung function in patients undergoing open heart surgery.

Design: Randomized, controlled.

Setting: University hospital.

Patients and methods: Patients with planned open heart surgery were randomly allocated into an intervention group of patients who underwent a preoperative home chest physiotherapy program for one week in addition to the traditional postoperative program and a control group who underwent only the traditional postoperative program. Lung function was assessed daily from the day before surgery until the seventh postoperative day.

Main outcome measures: Differences in measures of respiratory function and oxygen saturation. Length of postoperative hospital stay was a secondary outcome.

Sample size: 100 patients (46 in intervention group, 54 in control group).

Results: Postoperative improvements in lung function and oxygen saturation in the intervention group were statistically significant compared with the control group. The intervention group also had a statistically significant shorter hospital stay (P<.01).

Conclusion: Preoperative chest physiotherapy is effective in improving respiratory function following open heart surgery.

Limitations: Relatively small number of patients.

Conflict of interest: None.

Registration: ClinicalTrials.gov (NCT04665024).

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
术前胸部物理治疗对心脏手术患者氧合和肺功能的影响:一项随机对照研究。
背景:心脏直视手术患者的术后肺部并发症是严重危及生命的疾病。很少有研究调查术前物理治疗对心脏手术患者的潜在有益影响。目的:探讨术前胸部物理治疗对心内直视手术患者氧合及肺功能的影响。设计:随机、受控。单位:大学医院。患者和方法:将计划行心内直视手术的患者随机分为干预组和对照组,干预组患者术前在传统术后治疗的基础上进行为期一周的家庭胸部物理治疗,对照组患者仅进行传统术后治疗。从术前到术后第7天每天评估肺功能。主要观察指标:呼吸功能和血氧饱和度指标的差异。术后住院时间是次要观察指标。样本量:100例(干预组46例,对照组54例)。结果:干预组术后肺功能、血氧饱和度改善情况与对照组比较,差异均有统计学意义。干预组患者住院时间明显缩短(p)。结论:术前胸部物理治疗可有效改善心内直视手术后患者的呼吸功能。局限性:患者数量相对较少。利益冲突:无。注册:ClinicalTrials.gov (NCT04665024)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Annals of Saudi Medicine
Annals of Saudi Medicine 医学-医学:内科
CiteScore
2.80
自引率
0.00%
发文量
44
审稿时长
4-8 weeks
期刊介绍: The Annals of Saudi Medicine (ASM) is published bimonthly by King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. We publish scientific reports of clinical interest in English. All submissions are subject to peer review by the editorial board and by reviewers in appropriate specialties. The journal will consider for publication manuscripts from any part of the world, but particularly reports that would be of interest to readers in the Middle East or other parts of Asia and Africa. Please go to the Author Resource Center for additional information.
期刊最新文献
Prevalence of secondary infections and association with mortality rates of hospitalized COVID-19 patients. Management of twin reversed arterial perfusion sequence: eight cases over 13 years. Effect of atmospheric pressure changes on the development of pulmonary embolism: a retrospective analysis of 8 years of data. Placenta accreta spectrum in major placenta previa diagnosed only by MRI: incidence, risk factors, and maternal morbidity. Effect of infection with severe acute respiratory syndrome coronavirus 2 on the fetus in pregnant women who recovered from infection.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1