RT info:eu-repo/semantics/article
T1 Los ejercicios respiratorios postoperatorios reducen el riesgo de complicaciones pulmonares en pacientes sometidos a lobectomía
A1 Seco Calvo, Jesús Ángel
A1 Rodriguez Larrad, Ana
A1 Vellosillo Ortega, Juan Manuel
A1 Ruiz Muneta, Carlos
A1 Abecia Inchaurregui, Luis Carlos
A2 Fisioterapia
K1 Fisioterapia
K1 Physiotherapy
K1 Lobectomy
K1 Postoperative Complications
K1 Physiotherapy
K1 Lobectomy
K1 Postoperative Complications
AB [ES] ObjectiveTo evaluate the effects of an intensive postoperative physiotherapy program focused on respiratory exercises in patients undergoing lobectomy by open thoracotomy.DesignQuasi-experimental study.SettingTertiary referral academic hospital.Participants208 patients undergoing lobectomy by open thoracotomy.InterventionsControl 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.OutcomesAnalyzed outcomes were the frequency of postoperative pulmonary complications (PPCs) more amenable to physiotherapy (pneumonia, atelectasis and respiratory insufficiency) and length of hospital stay (LOS).ResultsBoth 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.ConclusionsImplementing a postoperative intensive physiotherapy program focused on respiratory exercises reduces the risk of PPCs and resultant LOS on patients undergoing lobectomy.
PB Elsevier
SN 0300-2896
LK https://hdl.handle.net/10612/19671
UL https://hdl.handle.net/10612/19671
NO 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
DS BULERIA. Repositorio Institucional de la Universidad de León
RD Jul 12, 2024