Key result
Two-day preoperative incentive spirometry cuts postoperative pulmonary complications by ~43% in open heart surgery.
Why the study?
To determine the effect of preoperative use of an incentive spirometer on preventing postoperative pulmonary complications among patients undergoing open heart surgeries.
Does preoperative incentive spirometer training reduce postoperative pulmonary complications in patients undergoing open heart surgeries?
Population
64 patients undergoing open heart surgeries
Comparison
Preoperative incentive spirometer training for two days vs control
Design
Prospective, randomized, controlled single-blinded parallel-group multicentre trial
Authors
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Supports preoperative incentive spirometer training before open heart surgery; extends RCT evidence for reducing postoperative pulmonary complications.
RCT (n=64)
Single-blinded
Simple randomization (flipping a coin)
Yes
Does preoperative incentive spirometer training reduce postoperative pulmonary complications in patients undergoing open heart surgeries?
Absolute Event Rate: 12.5% vs 21.8%
Preoperative incentive spirometry training for two days before open heart surgery reduces postoperative pulmonary complications and shortens ICU and hospital length of stay.
Faleh et al. (2022) conducted an RCT in Open heart surgery (CABG or valve procedures) (n=64). Preoperative Incentive Spirometer training vs. Standard care (no preoperative incentive spirometer training) was evaluated on Incidence of in-hospital postoperative pulmonary complications (PPCs). Preoperative training with an incentive spirometer for two days reduced the incidence of postoperative pulmonary complications to 12.5% compared to 21.8% in the control group among patients undergoing open heart surgery.
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