Efficacy of Early and Enhanced Respiratory Physiotherapy and Mobilization after On-Pump Cardiac Surgery: A Prospective Randomized Controlled Trial
Background: This randomized controlled trial aimed to investigate the influence of physical activity and respiratory physiotherapy on zero postoperative day on clinical, hemodynamic and respiratory parameters of patients undergoing cardiac surgeries under extracorporeal circulation. Methods: 78 pati...
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MDPI AG
2021-12-01
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| Online Access: | https://www.mdpi.com/2227-9032/9/12/1735 |
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| author | Georgios Afxonidis Dimitrios V. Moysidis Andreas S. Papazoglou Christos Tsagkaris Anna Loudovikou Georgios Tagarakis Georgios T. Karapanagiotidis Ioannis A. Alexiou Christophoros Foroulis Kyriakos Anastasiadis |
| author_facet | Georgios Afxonidis Dimitrios V. Moysidis Andreas S. Papazoglou Christos Tsagkaris Anna Loudovikou Georgios Tagarakis Georgios T. Karapanagiotidis Ioannis A. Alexiou Christophoros Foroulis Kyriakos Anastasiadis |
| author_sort | Georgios Afxonidis |
| collection | DOAJ |
| description | Background: This randomized controlled trial aimed to investigate the influence of physical activity and respiratory physiotherapy on zero postoperative day on clinical, hemodynamic and respiratory parameters of patients undergoing cardiac surgeries under extracorporeal circulation. Methods: 78 patients undergoing coronary artery bypass graft (CABG) or/and valvular heart disease surgeries were randomly assigned into an early and enhanced physiotherapy care group (EEPC group; n = 39) and a conventional physiotherapy care group (CPC group; n = 39). Treatment protocol for the EEPC group included ≤3 Mets of physical activity and respiratory physiotherapy on zero post-operative day and an extra physiotherapy session during the first three post-operative days, whereas the CPC group was treated with usual physiotherapy care after the first post-operative day. The length of hospital and intensive care unit (ICU) stay were set as the primary study outcomes, while pre- and post-intervention measurements were also performed to assess the oxymetric and hemodynamic influence of early mobilization and physiotherapy. Results: Participants’ mean age was 51.9 ± 13.8 years. Of them 48 (61.5%) underwent CABG. Baseline and peri-procedural characteristics did not differ between the two groups. The total duration of hospital and ICU stay were significantly higher in the CPC group compared to the EEPC group (8.1 ± 0.4 days versus 8.9 ± 0.6 days and 25.4 ± 3 h versus 23.2 ± 0.6 h, <i>p</i> < 0.001, respectively). Statistically significant differences in pre-intervention oxygen saturation, and post-intervention PO2 and lactate levels were also observed between the two groups (<i>p</i> = 0.022, 0.027 and 0.001, respectively). Conclusion: In on-pump cardiac surgery, early and enhanced post-procedural physical activity (≤3 METS) can prevent a prolonged ICU stay and decrease the duration of hospitalization while ameliorating post-operative hemodynamic and oxymetric parameters. |
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| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T04:00:38Z |
| publishDate | 2021-12-01 |
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| spelling | doaj.art-958a43fa731c4d38811832010c3d1a952023-11-23T08:34:52ZengMDPI AGHealthcare2227-90322021-12-01912173510.3390/healthcare9121735Efficacy of Early and Enhanced Respiratory Physiotherapy and Mobilization after On-Pump Cardiac Surgery: A Prospective Randomized Controlled TrialGeorgios Afxonidis0Dimitrios V. Moysidis1Andreas S. Papazoglou2Christos Tsagkaris3Anna Loudovikou4Georgios Tagarakis5Georgios T. Karapanagiotidis6Ioannis A. Alexiou7Christophoros Foroulis8Kyriakos Anastasiadis9Cardiothoracic Surgery Department, General University Hospital of Larissa, University of Thessaly, 41110 Larissa, GreeceCardiothoracic Surgery Department, AHEPA University Hospital, 53636 Thessaloniki, GreeceSchool of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceSchool of Medicine, Faculty of Health Sciences, University of Crete, 71003 Heraklion, GreeceSchool of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceCardiothoracic Surgery Department, AHEPA University Hospital, 53636 Thessaloniki, GreeceCardiothoracic Surgery Department, AHEPA University Hospital, 53636 Thessaloniki, GreeceCardiothoracic Surgery Department, AHEPA University Hospital, 53636 Thessaloniki, GreeceCardiothoracic Surgery Department, AHEPA University Hospital, 53636 Thessaloniki, GreeceCardiothoracic Surgery Department, AHEPA University Hospital, 53636 Thessaloniki, GreeceBackground: This randomized controlled trial aimed to investigate the influence of physical activity and respiratory physiotherapy on zero postoperative day on clinical, hemodynamic and respiratory parameters of patients undergoing cardiac surgeries under extracorporeal circulation. Methods: 78 patients undergoing coronary artery bypass graft (CABG) or/and valvular heart disease surgeries were randomly assigned into an early and enhanced physiotherapy care group (EEPC group; n = 39) and a conventional physiotherapy care group (CPC group; n = 39). Treatment protocol for the EEPC group included ≤3 Mets of physical activity and respiratory physiotherapy on zero post-operative day and an extra physiotherapy session during the first three post-operative days, whereas the CPC group was treated with usual physiotherapy care after the first post-operative day. The length of hospital and intensive care unit (ICU) stay were set as the primary study outcomes, while pre- and post-intervention measurements were also performed to assess the oxymetric and hemodynamic influence of early mobilization and physiotherapy. Results: Participants’ mean age was 51.9 ± 13.8 years. Of them 48 (61.5%) underwent CABG. Baseline and peri-procedural characteristics did not differ between the two groups. The total duration of hospital and ICU stay were significantly higher in the CPC group compared to the EEPC group (8.1 ± 0.4 days versus 8.9 ± 0.6 days and 25.4 ± 3 h versus 23.2 ± 0.6 h, <i>p</i> < 0.001, respectively). Statistically significant differences in pre-intervention oxygen saturation, and post-intervention PO2 and lactate levels were also observed between the two groups (<i>p</i> = 0.022, 0.027 and 0.001, respectively). Conclusion: In on-pump cardiac surgery, early and enhanced post-procedural physical activity (≤3 METS) can prevent a prolonged ICU stay and decrease the duration of hospitalization while ameliorating post-operative hemodynamic and oxymetric parameters.https://www.mdpi.com/2227-9032/9/12/1735physiotherapyopen heart surgeryearly mobilizationenhanced physiotherapycoronary artery bypass graftingearly physiotherapy |
| spellingShingle | Georgios Afxonidis Dimitrios V. Moysidis Andreas S. Papazoglou Christos Tsagkaris Anna Loudovikou Georgios Tagarakis Georgios T. Karapanagiotidis Ioannis A. Alexiou Christophoros Foroulis Kyriakos Anastasiadis Efficacy of Early and Enhanced Respiratory Physiotherapy and Mobilization after On-Pump Cardiac Surgery: A Prospective Randomized Controlled Trial Healthcare physiotherapy open heart surgery early mobilization enhanced physiotherapy coronary artery bypass grafting early physiotherapy |
| title | Efficacy of Early and Enhanced Respiratory Physiotherapy and Mobilization after On-Pump Cardiac Surgery: A Prospective Randomized Controlled Trial |
| title_full | Efficacy of Early and Enhanced Respiratory Physiotherapy and Mobilization after On-Pump Cardiac Surgery: A Prospective Randomized Controlled Trial |
| title_fullStr | Efficacy of Early and Enhanced Respiratory Physiotherapy and Mobilization after On-Pump Cardiac Surgery: A Prospective Randomized Controlled Trial |
| title_full_unstemmed | Efficacy of Early and Enhanced Respiratory Physiotherapy and Mobilization after On-Pump Cardiac Surgery: A Prospective Randomized Controlled Trial |
| title_short | Efficacy of Early and Enhanced Respiratory Physiotherapy and Mobilization after On-Pump Cardiac Surgery: A Prospective Randomized Controlled Trial |
| title_sort | efficacy of early and enhanced respiratory physiotherapy and mobilization after on pump cardiac surgery a prospective randomized controlled trial |
| topic | physiotherapy open heart surgery early mobilization enhanced physiotherapy coronary artery bypass grafting early physiotherapy |
| url | https://www.mdpi.com/2227-9032/9/12/1735 |
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