8/8/2019 Respiratory Physiotherapy and Incidence of Pulmonary
Complications in Off
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Respiratory physiotherapy and incidence
of pulmonary complications in off-
pump coronary artery bypass graftsurgery: an observational
follow-up
study.
Ynez-Brage I,Pita-Fernndez S,Juff-Stein A, Martnez-Gonzlez
U,Prtega-Daz S,
Maulen-Garca A.
Physiotherapy Department, University of A Corua, A Corua, Spain.
[email protected]
Abstract
BACKGROUND: Heart surgery is associated with an occurrence of
pulmonary
complications. The aim of this study was to determine whether
pre-surgery respiratoryphysiotherapy reduces the incidence of
post-surgery pulmonary complications.
METHODS: Observational study of 263 patients submitted to
off-pump coronary artery
bypass grafting (CABG) surgery at the A Corua University
Hospital (Spain). 159
(60.5%) patients received preoperative physiotherapy. The fact
that patients receivedpreoperative physiotherapy or not was related
to whether they were admitted to the
cardiac surgery unit or to an alternative unit due to a lack of
beds. A physiotherapist
provided a daily session involving incentive spirometry, deep
breathing exercises,coughing and early ambulation. A logistic
regression analysis was carried out in order to
identify variables associated with pulmonary complications.
RESULTS: Both groups of patients (those that received
physiotherapy and those that did
not) were similar in age, sex, body mass index, creatinine,
ejection fraction, number ofaffected vessels, O2 basal saturation,
prevalence of diabetes, dyslipidemia, exposure to
tobacco, age at smoking initiation, number of cigarettes/day and
number of years as a
smoker. The most frequent postoperative complications were
hypoventilation (90.7%),pleural effusion (47.5%) and atelectasis
(24.7%). In the univariate analysis, prophylactic
physiotherapy was associated with a lower incidence of
atelectasis (17% compared to
36%, p = 0.01). After taking into account age, sex, ejection
fraction and whether thepatients received physiotherapy or not, we
observed that receiving physiotherapy is the
variable with an independent effect on predicting
atelectasis.
CONCLUSION: Preoperative respiratory physiotherapy is related to
a lower incidence of
atelectasis.
http://www.ncbi.nlm.nih.gov/pubmed?term=%22Y%C3%A1nez-Brage%20I%22%5BAuthor%5Dhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Y%C3%A1nez-Brage%20I%22%5BAuthor%5Dhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Pita-Fern%C3%A1ndez%20S%22%5BAuthor%5Dhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Juff%C3%A9-Stein%20A%22%5BAuthor%5Dhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Juff%C3%A9-Stein%20A%22%5BAuthor%5Dhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Mart%C3%ADnez-Gonz%C3%A1lez%20U%22%5BAuthor%5Dhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Mart%C3%ADnez-Gonz%C3%A1lez%20U%22%5BAuthor%5Dhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22P%C3%A9rtega-D%C3%ADaz%20S%22%5BAuthor%5Dhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Maule%C3%B3n-Garc%C3%ADa%20A%22%5BAuthor%5Dhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Maule%C3%B3n-Garc%C3%ADa%20A%22%5BAuthor%5Dhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Y%C3%A1nez-Brage%20I%22%5BAuthor%5Dhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Pita-Fern%C3%A1ndez%20S%22%5BAuthor%5Dhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Juff%C3%A9-Stein%20A%22%5BAuthor%5Dhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Mart%C3%ADnez-Gonz%C3%A1lez%20U%22%5BAuthor%5Dhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22P%C3%A9rtega-D%C3%ADaz%20S%22%5BAuthor%5Dhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Maule%C3%B3n-Garc%C3%ADa%20A%22%5BAuthor%5D
8/8/2019 Respiratory Physiotherapy and Incidence of Pulmonary
Complications in Off
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PMID: 19638209 [PubMed - indexed for MEDLINE]PMCID:
PMC2727489Free PMC
Article
Publication Types, MeSH Terms
Publication Types:
Research Support, Non-U.S. Gov't
MeSH Terms:
Adult
Aged
Aged, 80 and over
Coronary Artery Bypass/adverse effects*
Female
Follow-Up Studies
Humans
Incidence
Male
Middle Aged
Physical Therapy Modalities*
Preoperative Care/methods* Pulmonary
Atelectasis/epidemiology
Pulmonary Atelectasis/etiology*
Pulmonary Atelectasis/prevention & control*
Respiration, Artificial
Respiratory Physiological Phenomena
Respiratory System/physiopathology
Treatment Outcome
LinkOut - more resources
http://www.ncbi.nlm.nih.gov/pubmed/19638209http://al_get%28this%2C%20%27mesh%27%2C%20%27coronary%20artery%20bypass/adverse%20effects*');http://al_get%28this%2C%20%27mesh%27%2C%20%27preoperative%20care/methods*');http://al_get%28this%2C%20%27mesh%27%2C%20%27pulmonary%20atelectasis/epidemiology');http://al_get%28this%2C%20%27mesh%27%2C%20%27pulmonary%20atelectasis/etiology*');http://al_get%28this%2C%20%27mesh%27%2C%20%27pulmonary%20atelectasis/prevention%20&%20control*');http://al_get%28this%2C%20%27mesh%27%2C%20%27respiratory%20system/physiopathology');http://www.ncbi.nlm.nih.gov/pubmed/19638209http://www.ncbi.nlm.nih.gov/pubmed/19638209http://al_get%28this%2C%20%27mesh%27%2C%20%27coronary%20artery%20bypass/adverse%20effects*');http://al_get%28this%2C%20%27mesh%27%2C%20%27preoperative%20care/methods*');http://al_get%28this%2C%20%27mesh%27%2C%20%27pulmonary%20atelectasis/epidemiology');http://al_get%28this%2C%20%27mesh%27%2C%20%27pulmonary%20atelectasis/etiology*');http://al_get%28this%2C%20%27mesh%27%2C%20%27pulmonary%20atelectasis/prevention%20&%20control*');http://al_get%28this%2C%20%27mesh%27%2C%20%27respiratory%20system/physiopathology');http://www.ncbi.nlm.nih.gov/pubmed/19638209
