Impacto de un programa de rehabilitación pulmonar preoperatoria sobre el rendimiento funcional de pacientes sometidos a cirugía torácica asistida por vídeo debido a neoplasia maligna pulmonar

Sebio, Raquel; Yáñez-Brage, Maria I.; Giménez-Moolhuyzen, Esther; Valenza, Maríe Carmen; Reychler, Grégory; Cahalin, Larry

doi:10.1016/j.arbres.2015.10.013

Cited by 10 publications

(5 citation statements)

References 5 publications

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“…After preliminary review of titles and abstracts, we excluded 461 studies because their main subject was not related to our research question, 68 because they did not meet inclusion criteria, 5 because they were already present in the review by Crandall et al 9 and 1 study because only protocol was published. 19 Of the remaining 21 studies, 2 were editorials 20 , 21 and 5 were published as abstracts 22 – 26 and therefore data were not complete. Regarding these abstracts, two 22 , 26 were excluded because they were already included as full texts 27 , 28 in our initial bibliographic research.…”

Section: Resultsmentioning

confidence: 99%

Perioperative physical exercise interventions for patients undergoing lung cancer surgery: What is the evidence?

et al. 2016

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Surgical resection appears to be the most effective treatment for early-stage non-small cell lung cancer. Recent studies suggest that perioperative pulmonary rehabilitation improves functional capacity, reduces mortality and postoperative complications and enhances recovery and quality of life in operated patients. Our aim is to analyse and identify the most recent evidence-based physical exercise interventions, performed before or after surgery. We searched in MEDLINE, EMBASE, CINAHL, Cochrane Library and PsycINFO. We included randomised controlled trials aimed at assessing efficacy of exercise-training programmes; physical therapy interventions had to be described in detail in order to be reproducible. Characteristics of studies and programmes, results and outcome data were extracted. Six studies were included, one describing preoperative rehabilitation and three assessing postoperative intervention. It seems that the best preoperative physical therapy training should include aerobic and strength training with a duration of 2–4 weeks. Although results showed improvement in exercise performance after preoperative pulmonary rehabilitation, it was not possible to identify the best preoperative intervention due to paucity of clinical trials in this area. Physical training programmes differed in every postoperative study with conflicting results, so comparison is difficult. Current literature shows inconsistent results regarding preoperative or postoperative physical exercise in patients undergoing lung resection. Even though few randomised trials were retrieved, treatment protocols were difficult to compare due to variability in design and implementation. Further studies with larger samples and better methodological quality are urgently needed to assess efficacy of both preoperative and postoperative exercise programmes.

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Section: Resultsmentioning

confidence: 99%

Perioperative physical exercise interventions for patients undergoing lung cancer surgery: What is the evidence?

et al. 2016

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“…There is also an increased risk of PAL in surgical resections such as a superior lobectomy and bilobectomies, and if the pleural fissures are mishandled during the intervention (Burt & Shrager, 2015; Flandes Aldeyturriaga, 2015; Sebio et al., 2016).…”

Section: Introductionmentioning

confidence: 99%

“…There is scientific evidence of the benefit of physical therapy in surgeries, both preoperative and postoperative, in order to reduce complications and the hospital stay (Ribeiro et al., 2016; Rivas‐Perez & Nana‐Sinkam, 2015; Sebio et al., 2016; Steffens et al., 2018; Vandenbos et al., 2017). Respiratory complications are the most frequent following thoracic interventions, which can be improved by respiratory therapy.…”

Section: Introductionmentioning

confidence: 99%

Preoperative respiratory therapy in patients undergoing surgery for lung cancer: A randomized controlled trial

Fernández-Blanco

Rincón-García

Valero-Alcaide

et al. 2022

Physiotherapy Res Intl

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Background: A preoperative respiratory therapy treatment was performed to analyze the effectiveness, with respect to postoperative air leak and pain, in patients undergoing surgery for lung cancer. Objectives:To analyze air leakage and postoperative pain.Material and Methods: Seventy one patients were studied, with a mean age of 62.58 years. Descriptive variables of gender, carcinogenic pathology, type of surgical incision and lung resection, use of glue and endostapler, and presence of adhesions were analyzed. Likewise, analysis of the quantitative variables of age, body mass index and forced expiratory volume in 1 s Two homogeneous groups resulted. Differentiated, experimental group (EG) that performed preoperative respiratory therapy and control group (CG).Results: There were statistically significant differences in favor of the EG with respect to postoperative air leak on days 1-2 during the performance of physiotherapy techniques, the food and during the performance of the exercises autonomously. Furthermore, differences in air leakage were observed on days 2-4 during gait. The number of patients decreased to a greater extent in the EG. Regarding pain, there were statistically significant differences in the sample on days 1-4, with

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“…It is provided to patients who have had any surgery that might jeopardize respiratory function. The IS is used for the prevention of atelectasis, hypoxemia, pneumonia, respiratory dysfunction, and pleural effusion [3,4]. However, IS utilization has remained the same since its initial development in the 1960s, and the usage protocol has not been standardized [5-8].…”

Section: Introductionmentioning

confidence: 99%

“…Although many mobile phone apps have been developed for self-management in various clinical settings, only a few cases showing their use in postoperative care were reported [9], even though subjective activity by patients can influence their clinical hospital outcomes. Therefore, with help from mobile information and communication technology (ICT), patients can be more engaged in behaviors that can lead to better clinical results [3,10,11].…”

Section: Introductionmentioning

confidence: 99%

A Mobile Phone–Based Self-Monitoring Tool for Perioperative Gastric Cancer Patients With Incentive Spirometer: Randomized Controlled Trial

Soh

Lee

Yoon³

et al. 2019

JMIR Mhealth Uhealth

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Background An incentive spirometer (IS) is a medical device used to help patients improve the functioning of their lungs. It is provided to patients who have had any surgery that might jeopardize respiratory function. An incentive spirometer plays a key role in the prevention of postoperative complications, and the appropriate use of an IS is especially well known for the prevention of respiratory complications. However, IS utilization depends on the patient’s engagement, and information and communication technology (ICT) can help in this area. Objective This study aimed to determine the effect of mobile ICT on the usage of an IS (Go-breath) app by postoperative patients after general anesthesia. Methods For this study, we recruited patients from April to May 2018, who used the Go-breath app at a single tertiary hospital in South Korea. The patients were randomly classified into either a test or control group. The main function of the Go-breath app was to allow for self-reporting and frequency monitoring of IS use, deep breathing, and active coughing in real time. The Go-breath app was identical for both the test and control groups, except for the presence of the alarm function. The test group heard an alarm every 60 min from 9 am to 9 pm for 2 days. For the test group alone, a dashboard was established in the nurse’s station through which a nurse could rapidly assess the performance of multiple patients. To evaluate the number of performances per group, we constructed an incentive spirometer index (ISI). Results A total of 44 patients were recruited, and 42 of them completed the study protocol. ISI in the test group was 20.2 points higher than that in the control group (113.5 points in the test group and 93.2 points in the control group, P =.22). The system usability scale generally showed almost the same score in the 2 groups (79.3 points in the test group and 79.4 points in the control group, P =.94). We observed that the performance rates of IS count, active coughing, and deep breathing were also higher in the test group but with no statistically significant difference between the groups. For the usefulness “yes or no” question, over 90% (38/42) of patients answered “yes” and wanted more functional options and information. Conclusions The use of the Go-breath app resulted in considerable differences between the test group and control group but with no statistically significant differences. Trial Registration ClinicalTrials.gov NCT03569332; https://clinicaltrials.gov/ct2/show/NCT03569332 (Archived by WebCite at http://www.webcitation.org/74ihKmQIX).

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Impacto de un programa de rehabilitación pulmonar preoperatoria sobre el rendimiento funcional de pacientes sometidos a cirugía torácica asistida por vídeo debido a neoplasia maligna pulmonar

Cited by 10 publications

References 5 publications

Perioperative physical exercise interventions for patients undergoing lung cancer surgery: What is the evidence?

Perioperative physical exercise interventions for patients undergoing lung cancer surgery: What is the evidence?

Preoperative respiratory therapy in patients undergoing surgery for lung cancer: A randomized controlled trial

A Mobile Phone–Based Self-Monitoring Tool for Perioperative Gastric Cancer Patients With Incentive Spirometer: Randomized Controlled Trial

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