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Título
Los ejercicios respiratorios postoperatorios reducen el riesgo de complicaciones pulmonares en pacientes sometidos a lobectomía
Autor
Facultad/Centro
Área de conocimiento
Título de la revista
Archivos de Bronconeumología
Número de la revista
7
Datos de la obra
Seco Calvo, J. Á.; Rodriguez Larrad, A.; Vellosillo Ortega, J. M.; Ruiz Muneta, C.; Abecia Inchaurregui, L. C. (2016). Los ejercicios respiratorios postoperatorios reducen el riesgo de complicaciones pulmonares en pacientes sometidos a lobectomía. Archivos de Bronconeumología, 52, 347-353(7), https://doi.org/10.1016/J.ARBRES.2015.11.017
Editor
Elsevier
Fecha
2016
ISSN
0300-2896
Abstract
[ES] 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 % FEV1 (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.
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