Spirometry Assessment and Correlation With Postoperative Pulmonary Complications in Cardiac Surgery Patients

Alam, Masood; Shehzad, Muhammad Imran; Hussain, Shafqat; Paras, Iftikhar; Kanwal, Masooma; Mushtaq, Azam

doi:10.7759/cureus.11105

Cited by 8 publications

(7 citation statements)

References 21 publications

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“…Coronary artery disease (CAD) and the occurrence of a woman's first acute myocardial infarction occur several years later in women than in men, before menopause, the well-known biological defense that women have against CAD can postpone the onset of CAD symptoms by more than ten years. 14 The study findings showed that half of the study sample was overweight with a BMI of ≥25 to 29.9 kg/m 2 , which is similar to the results of the study conducted by Alam et al 15 . These results are not surprising, because being overweight and obese are closely associated to both known and emerging risk factors for cardiovascular disease.…”

Section: Discussionsupporting

confidence: 86%

Preoperative Incentive Spirometer to Prevent Postoperative Pulmonary Complications following Open Heart Surgeries: A Randomized Single Blinded Multi-Centric Clinical Trial

Faleh

AL-Fayyadh

2022

J. Contemp. Med. Sci.

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Objectives: To determine the effect preoperative use of an Incentive Spirometer (IS) has on preventing postoperative pulmonary complications among patients undergoing open heart surgeries. Methods: A prospective, randomized, controlled single-blinded parallel-group design. Data were collected from January 9th 2022 to April 1st 2022. A total of n = 64 eligible patients were equally randomized to either intervention or control group. Patients in the intervention group performed preoperative IS training for two days before the scheduled surgery. The primary endpoint was the incidence of in-hospital PPCs. The secondary endpoints were postoperative Peak Expiratory Flow Rate (PEFR), Intensive Care Unit (ICU) stay, Hospital Length of Stay (HLOS). Results: Patients in the intervention group had a lower incidence of postoperative pulmonary complications compared to the control group (12.5% and 21.8%). There was a statistical significant difference between the two groups regarding postoperative PEFR, HLOS and intensive care unit stay. Conclusions: Preoperative rehabilitation (involving incentive spirometer is related to a lower incidence of postoperative pulmonary complications for the group that received the intervention. Training with preoperative incentive spirometer resulted in a shortening of hospital length of stay and Intensive Care Unit (ICU) stay. Trial registration: The study was registered in the Iranian Clinical Trial Registry, this at https://www.irct.ir/ reference number (IRCT20211224053503N1).

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Section: Discussionsupporting

confidence: 86%

Preoperative Incentive Spirometer to Prevent Postoperative Pulmonary Complications following Open Heart Surgeries: A Randomized Single Blinded Multi-Centric Clinical Trial

Faleh

AL-Fayyadh

2022

J. Contemp. Med. Sci.

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“…Emotional support can build a platform for patients to communicate with the outside world and improve their ability to utilize social resources, which is conducive to their physical and mental health and improves their quality of life [31].…”

Section: Discussionmentioning

confidence: 99%

Effects of “Timing It Right” nursing on clinical outcome and psychological resilience for lung cancer patients undergoing radical thoracoscopic surgery

2024

Am J Transl Res

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Aim: To investigate the effects of "Timing It Right (TIR)" nursing on clinical outcome and psychological resilience in lung cancer patients undergoing radical thoracoscopic surgery. Methods: In this retrospective study, 60 patients from January 2022 to June 2023 were studied. Among them, observation group received TIR intervention (n = 34), while control group received routine nursing intervention (n = 26). The self-care ability, psychological resilience, quality of life (QoL), postoperative recovery, postoperative complications, and postoperative pulmonary function recovery were compared between the two groups. Results: The scores of ESCA (Exercise of Self-Care Agency) and CD-RISC (Connor-Davidson Resilience Scale), lung function, and QoL-C30 in observation group were significantly higher than those in control group after discharge, while the incidence of postoperative complications in observation group was significantly lower than that in the control group (all P<0.05). Furthermore, time to first bedtime activity and chest drain removal, and the length of postoperative hospitalization in the observation group were obviously shorter than those in the control group (all P<0.05). Conclusion: TIR nursing can effectively enhance the self-care ability of lung cancer patients undergoing radical thoracoscopic surgery, improve their psychological elasticity, enhance their quality of life, shorten the hospitalization time, and reduce the incidence of adverse reactions.

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“…Adicionalmente, Dias et al 13 identificaron que la técnica breath stacking o de máscara facial promueve una recuperación rápida de la CVF. Lo anterior es relevante teniendo en cuenta que esta variable se deteriora significativamente después de la cirugía, a causa del dolor, del efecto de la anestesia y la analgesia, y de la inserción de drenajes torácicos, evidenciándose un patrón restrictivo que predispone a complicaciones posoperatorias, a una estancia hospitalaria más larga y a mayores costos sanitarios 13,[21][22][23] . Existen aproximaciones que dan una idea de la gravedad de la limitación de la CVF en algunas enfermedades pulmonares, lo que indica que una pérdida mayor del 10% se considera un alto predictor de mortalidad y que un cambio entre un 2 y un 6% después de una intervención se considera clínicamente importante para este tipo de pacientes 24 .…”

Section: Discussionunclassified

Efectos de la rehabilitación cardíaca de fase I. Revisión sistemática

Jácome-Hortúa¹,

Vega-Capacho²,

Martínez-Fontecha³

et al. 2022

RCCAR

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Introducción: La rehabilitación cardíaca de fase I es un programa hospitalario que tiene como objetivo reducir los efectos que se pueden derivar del reposo prolongado en cama e instruir al paciente para el ingreso a la fase ambulatoria de rehabilitación. Objetivo: Analizar los efectos de la rehabilitación cardíaca de fase I en pacientes sometidos a revascularización miocárdica y cambios valvulares, mediante una revisión sistemática de la literatura. Método: La revisión incluyó ensayos clínicos controlados aleatorizados que analizaran los efectos de la rehabilitación cardíaca de fase I. Se emplearon las bases de datos Scopus, ScienceDirect, Embase y Embase classic OVID. La búsqueda se limitó a los artículos publicados entre los años 2000 y 2017, en inglés, portugués y español. Los estudios que cumplieron los criterios de inclusión recibieron un análisis de la calidad metodológica, el nivel de evidencia y el grado de recomendación según las escalas PEDro y Scottish. Resultados: Fueron elegibles 298 artículos, de los cuales cuatro fueron seleccionados y analizados; todos estos incluyeron población que había sido sometida a revascularización quirúrgica cardíaca y dos a población con reparación o reemplazo valvular quirúrgico. En cuanto a la calidad metodológica, dos fueron categorizados como de buena calidad con un nivel de evidencia 1+ y 1++ y un grado de recomendación A y B. Los protocolos de tratamiento utilizados fueron las técnicas respiratorias, los ejercicios activos de extremidades y la deambulación. Conclusiones: La literatura analizada sugiere incluir los procesos de rehabilitación cardíaca de fase I, lo cual puede mejorar la función pulmonar y disminuir la ansiedad, variable que se asoció de manera directa con la estancia hospitalaria en los pacientes posquirúrgicos cardíacos.

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Spirometry Assessment and Correlation With Postoperative Pulmonary Complications in Cardiac Surgery Patients

Abstract: To observe spirometry and its correlation with postoperative pulmonary complications in cardiac surgery patients.

Cited by 8 publications

References 21 publications

Preoperative Incentive Spirometer to Prevent Postoperative Pulmonary Complications following Open Heart Surgeries: A Randomized Single Blinded Multi-Centric Clinical Trial

Preoperative Incentive Spirometer to Prevent Postoperative Pulmonary Complications following Open Heart Surgeries: A Randomized Single Blinded Multi-Centric Clinical Trial

Effects of “Timing It Right” nursing on clinical outcome and psychological resilience for lung cancer patients undergoing radical thoracoscopic surgery

Efectos de la rehabilitación cardíaca de fase I. Revisión sistemática

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