Key result
Incentive spirometry significantly improved postoperative FEV1 compared to standard care (1.21 vs 1.09, p=0.040) and reduced the incidence of postoperative pulmonary complications from 20% to 8% in elderly urology patients.
Why the study?
Incentive spirometry was postulated to prevent and treat postoperative pulmonary complications, but more research-based information on its effectiveness in elderly urologic surgery patients was needed.
Does incentive spirometry improve pulmonary function and reduce postoperative pulmonary complications in elderly patients undergoing urologic surgery?
Population
150 elderly patients following urologic surgery at a hospital in Bangladesh
Comparison
Incentive spirometry plus deep breathing, coughing, and early ambulation vs standard care without incentive spirometry
Design
Comparative study
Authors
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IS use was associated with fewer postoperative pulmonary complications in this cohort; leaves open need for RCTs before changing practice.
Cohort (n=150)
No
Does incentive spirometry improve pulmonary function and reduce postoperative pulmonary complications in elderly patients undergoing urologic surgery?
Absolute Event Rate: 1.21% vs 1.09%
p-value: p=0.040
Incentive spirometry added to standard postoperative care significantly improves forced expiratory volume and reduces postoperative pulmonary complications in elderly patients undergoing urologic surgery.
Haque et al. (2023) conducted a cohort in Postoperative pulmonary complications following urologic surgery (n=150). Incentive spirometry vs. Standard care (deep breathing, coughing, early ambulation) was evaluated on Postoperative Forced Expiratory Volume (FEV1) (p=0.040). Incentive spirometry significantly improved postoperative FEV1 compared to standard care (1.21 vs 1.09, p=0.040) and reduced the incidence of postoperative pulmonary complications from 20% to 8% in elderly urology patients.
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