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January 1, 2020Acta Clinica CroaticaOpen Access

Effect of Preoperative Respiratory Rehabilitation in Patients Undergoing Cardiac Surgery

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Key result

Preoperative respiratory rehabilitation significantly reduced the duration of mechanical ventilation and total hospitalization (p<0.05 both) in patients undergoing cardiac surgery.

Why the study?

The study evaluated the effects of preoperative respiratory rehabilitation on functional capacity, ICU length of stay, duration of mechanical ventilation, total hospitalization, and ABG values in patients undergoing cardiac surgery.

Does preoperative respiratory rehabilitation improve functional capacity and reduce hospitalization duration in patients undergoing cardiac surgery?

Comparison

Preoperative plus postoperative rehabilitation vs postoperative rehabilitation alone

Design

Randomized observational study

Authors

SNSonja NejkovUniversity of Montenegro

Discussion

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Overview

May reduce post-cardiac surgery ventilation time and stay; hypothesis-generating, needs RCTs before practice change.

Study Design

Type

RCT (n=19)

Randomization

Randomized

Structured PICO

Does preoperative respiratory rehabilitation improve functional capacity and reduce hospitalization duration in patients undergoing cardiac surgery?

P
Population
19 patients undergoing cardiac surgery.
I
Intervention
Preoperative and postoperative respiratory rehabilitation according to a predefined protocol
C
Comparator
Only postoperative respiratory rehabilitation
O
Outcome
Functional capacity, length of stay in intensive care unit (ICU), duration of mechanical ventilation (MV), total hospitalization, and arterial blood gas (ABG) values

Main Result

p-value: p=<0.05

Preoperative respiratory rehabilitation in cardiac surgery patients reduces mechanical ventilation duration and total hospital stay while improving functional capacity.

Cite This Study

Sonja Nejkov (2020) conducted an RCT in Cardiac surgery (n=19). Preoperative and postoperative respiratory rehabilitation vs. Postoperative respiratory rehabilitation only was evaluated on Length of total hospitalization and duration of mechanical ventilation (p=<0.05). Preoperative respiratory rehabilitation significantly reduced the duration of mechanical ventilation and total hospitalization (p<0.05 both) in patients undergoing cardiac surgery.

synapsesocial.com/papers/6aa01cdc6e77178a3bd56351https://doi.org/10.20471/acc.2020.59.04.05
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effect of respiratory rehabilitation before open cardiac surgery on respiratory function: a randomized clinical trial.2015 · 40 citations
  2. 2Preoperative Intensive Inspiratory Muscle Training to Prevent Postoperative Pulmonary Complications in High-Risk Patients Undergoing CABG Surgery2006 · 697 citations
  3. 3Exercise-based cardiac rehabilitation in patients with coronary heart disease: a practice guideline2013 · 110 citations
  4. 4Preoperative inspiratory muscle training for postoperative pulmonary complications in adults undergoing cardiac and major abdominal surgery2015 · 289 citations
  5. 5Influence of diabetes and bilateral internal thoracic artery grafts on long-term outcome for multivessel coronary artery bypass grafting☆2004 · 72 citations