Effect of Preoperative Respiratory Rehabilitation in Patients Undergoing Cardiac Surgery
The aim of the study was to evaluate the effects of preoperative respiratory rehabilitation on functional capacity, length of stay in intensive care unit (ICU), duration of mechanical ventilation (MV) and total hospitalization, as well as to estimate arterial blood gas (ABG) values in patients un...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2020-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/368685 |
| _version_ | 1797207016603648000 |
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| author | Sonja Nejkov Vesna Bokan-Mirković Nataša Đukić-Macut Marina Vuković |
| author_facet | Sonja Nejkov Vesna Bokan-Mirković Nataša Đukić-Macut Marina Vuković |
| author_sort | Sonja Nejkov |
| collection | DOAJ |
| description | The aim of the study was to evaluate the effects of preoperative respiratory rehabilitation
on functional capacity, length of stay in intensive care unit (ICU), duration of mechanical
ventilation (MV) and total hospitalization, as well as to estimate arterial blood gas (ABG) values in
patients undergoing cardiac surgery. Nineteen patients were included in the randomized observational
study, divided into two groups: group A (intervention) and B (control). Preoperative and postoperative
rehabilitation was performed in group A, and only postoperative rehabilitation in group B.
Rehabilitation was carried out according to a predefined protocol. We used ABG to evaluate respiratory
function, two-minute walk test (2MWT) and sit-to-stand test to assess functional capacity. The
following data were obtained from medical documentation: duration of MV, length of stay at ICU,
occurrence of postoperative pulmonary complications, and length of total hospitalization in both
groups. Significant between-group difference was found for the length of total hospitalization and
duration of MV (p<0.05 both). Analysis of the mean values of 2MWT on the last day of hospitalization
(p=0.005), sit-to-stand test before surgery (p=0.022) and on the last day of hospitalization
(p=0.008) showed statistically significant differences. The length of hospital stay significantly correlated
with preoperative rehabilitation in group A (r=0.885; p<0.0001). There was no difference in
ABG parameters between the groups. The study showed that preoperative respiratory rehabilitation
had an effect on reducing duration of MV and length of total hospitalization, and improved functional
capacity. |
| first_indexed | 2024-04-24T09:16:12Z |
| format | Article |
| id | doaj.art-9783f7c1ff6f481b9576bb259f8b6b07 |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:16:12Z |
| publishDate | 2020-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-9783f7c1ff6f481b9576bb259f8b6b072024-04-15T16:49:47ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512020-01-0159.4.59760410.20471/acc.2020.59.04.05Effect of Preoperative Respiratory Rehabilitation in Patients Undergoing Cardiac SurgerySonja Nejkov0Vesna Bokan-Mirković1Nataša Đukić-Macut2Marina Vuković3Clinical Center of Montenegro, Department of Physical Medicine and Rehabilitation, Podgorica, MontenegroClinical Center of Montenegro, Department of Physical Medicine and Rehabilitation, Podgorica, Montenegro; Faculty of Medicine, University of Montenegro, Podgorica, MontenegroFaculty of Medicine, University of Prishtina, Kosovska Mitrovica, SerbiaClinical Center of Montenegro, Department of Physical Medicine and Rehabilitation, Podgorica, Montenegro; Faculty of Medicine, University of Montenegro, Podgorica, MontenegroThe aim of the study was to evaluate the effects of preoperative respiratory rehabilitation on functional capacity, length of stay in intensive care unit (ICU), duration of mechanical ventilation (MV) and total hospitalization, as well as to estimate arterial blood gas (ABG) values in patients undergoing cardiac surgery. Nineteen patients were included in the randomized observational study, divided into two groups: group A (intervention) and B (control). Preoperative and postoperative rehabilitation was performed in group A, and only postoperative rehabilitation in group B. Rehabilitation was carried out according to a predefined protocol. We used ABG to evaluate respiratory function, two-minute walk test (2MWT) and sit-to-stand test to assess functional capacity. The following data were obtained from medical documentation: duration of MV, length of stay at ICU, occurrence of postoperative pulmonary complications, and length of total hospitalization in both groups. Significant between-group difference was found for the length of total hospitalization and duration of MV (p<0.05 both). Analysis of the mean values of 2MWT on the last day of hospitalization (p=0.005), sit-to-stand test before surgery (p=0.022) and on the last day of hospitalization (p=0.008) showed statistically significant differences. The length of hospital stay significantly correlated with preoperative rehabilitation in group A (r=0.885; p<0.0001). There was no difference in ABG parameters between the groups. The study showed that preoperative respiratory rehabilitation had an effect on reducing duration of MV and length of total hospitalization, and improved functional capacity.https://hrcak.srce.hr/file/368685Respiratory rehabilitationAorto-coronary bypassMechanical ventilationArterial blood gas analysis |
| spellingShingle | Sonja Nejkov Vesna Bokan-Mirković Nataša Đukić-Macut Marina Vuković Effect of Preoperative Respiratory Rehabilitation in Patients Undergoing Cardiac Surgery Acta Clinica Croatica Respiratory rehabilitation Aorto-coronary bypass Mechanical ventilation Arterial blood gas analysis |
| title | Effect of Preoperative Respiratory Rehabilitation in Patients Undergoing Cardiac Surgery |
| title_full | Effect of Preoperative Respiratory Rehabilitation in Patients Undergoing Cardiac Surgery |
| title_fullStr | Effect of Preoperative Respiratory Rehabilitation in Patients Undergoing Cardiac Surgery |
| title_full_unstemmed | Effect of Preoperative Respiratory Rehabilitation in Patients Undergoing Cardiac Surgery |
| title_short | Effect of Preoperative Respiratory Rehabilitation in Patients Undergoing Cardiac Surgery |
| title_sort | effect of preoperative respiratory rehabilitation in patients undergoing cardiac surgery |
| topic | Respiratory rehabilitation Aorto-coronary bypass Mechanical ventilation Arterial blood gas analysis |
| url | https://hrcak.srce.hr/file/368685 |
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