| Titre : | Post-Operative Outcomes of Pre-Thoracic Surgery Respiratory Muscle Training vs Aerobic Exercise Training: A Systematic Review and Network Meta-analysis (2023) |
| Auteurs : | Rajesh Kunadharaju ; Arjun Saradna ; Andrew Ray ; Han Yu ; Wenyan Ji ; Michelle Zafron ; Martin Jeffery Mador |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 5, 2023) |
| Article en page(s) : | p. 790-798 |
| Note générale : | https://doi.org/10.1016/j.apmr.2022.10.015 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Complications postopératoires ; Durée du séjour ; Exercice physique ; Exercices respiratoires ; Pneumopathie infectieuse ; Réadaptation |
| Résumé : | Objective To compare the postoperative outcomes of preoperative respiratory muscle training (RMT) with a device to preoperative aerobic exercise training (AET) in patients undergoing thoracic surgeries (cardiac and lung). Data Sources PubMed, EMBASE, Cochrane, and Web of Science were comprehensively searched upon inception to 9/2020. Study Selection All randomized control studies, including preoperative RMT and preoperative AET compared with a non-training control group, were included. Data Extraction The meta-analysis was performed for outcomes including postoperative pulmonary complications (PPC), pneumonia, postoperative respiratory failure (PRF), hospital length of stay (HLOS), and mortality. We performed a network meta-analysis based on Bayesian random-effects regression models. Data Synthesis A total of 25 studies, 2070 patients were included in this meta-analysis. Pooled data for the patients who performed RMT with a device showed a reduction in PPCs, pneumonia, PRF with odds ratio (OR) of 0.35 (P value .006), 0.38 (P value .002), and 0.22 (P value .008), respectively. Pooled data for the patients who performed AET showed reduction in PPC, pneumonia with a OR of 0.33 (P value <.00001 and or of value .01 respectively. hlos was decreased by days performing rmt .0008 aet compared with the usual group. no significant difference in all-cause mortality care both intervention groups. incidence prf group alone groups p=".21;" based on rank probability plots analysis network meta-analysis ranked similarly primary outcome ppc secondary outcomes pneumonia hlos. conclusions thoracic surgeries preoperative is comparable to prevent reduce it can be considered patients resource-limited settings.> |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322017282 |
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