7 résultat(s) recherche sur le mot-clé 'General Surgery'    

 trié(s) par (Pertinence décroissant(e), Titre croissant(e)) 

Association of postoperative pulmonary complications with delayed mobilisation following major abdominal surgery: an observational cohort study / K.J. Haines in Physiotherapy, 2013/2 (2013)  

[article]  inPhysiotherapy > 2013/2 (2013) . - pp. 119-125 Titre : Association of postoperative pulmonary complications with delayed mobilisation following major abdominal surgery: an observational cohort study Type de document : Article Auteurs : K.J. Haines ; E.H. Skinner ; S. Berney Année de publication : 2013 Article en page(s) : pp. 119-125 Langues : Anglais (eng) Descripteurs : HE Vinci Complications postopératoires ; Kinésithérapie (spécialité) ; Laparotomie Mots-clés : Postoperative Complications  Early Ambulation  Lever précoce  Physical Therapy Specialty  Pneumonia  Pneumopathie infectieuse  Laparotomy  General Surgery  Chirurgie générale Résumé : Objectives Previous Australian studies reported that postoperative pulmonary complications affect 13% of patients undergoing upper abdominal laparotomy. This study measured the incidence of postoperative pulmonary complications, risk factors for the diagnosis of postoperative pulmonary complications and barriers to physiotherapy mobilisation in a cohort of patients undergoing high-risk abdominal surgery. Design Prospective, observational cohort study. Setting Two surgical wards in a tertiary Australian hospital. Participants Seventy-two patients undergoing high-risk abdominal surgery (participants in a larger trial evaluating a novel model of medical co-management). Main outcome measures Incidence of, and risk factors for, postoperative pulmonary complications, barriers to mobilisation and length of stay. Results The incidence of postoperative pulmonary complications was 39%. Incision type and time to mobilise away from the bed were independently associated with a diagnosis of postoperative pulmonary complications. Patients were 3.0 (95% confidence interval 1.2 to 8.0) times more likely to develop a postoperative pulmonary complication for each postoperative day they did not mobilise away from the bed. Fifty-two percent of patients had a barrier to mobilisation away from the bed on the first postoperative day, with the most common barrier being hypotension, although cessation criteria were not defined objectively by physiotherapists. Development of a postoperative pulmonary complication increased median hospital length of stay (16 vs 13 days; P = 0.046). Conclusions This study demonstrated an association between delayed postoperative mobilisation and postoperative pulmonary complications. Randomised controlled trials are required to test the role of early mobilisation in preventing postoperative pulmonary complications in patients undergoing high-risk upper abdominal surgery. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134114 [article]

Early enforced mobilisation following surgery for gastrointestinal cancer: feasibility and outcomes / Marike van der Leeden in Physiotherapy, 2016/1 (2016)  

[article]  inPhysiotherapy > 2016/1 (2016) . - pp. 103-110 Titre : Early enforced mobilisation following surgery for gastrointestinal cancer: feasibility and outcomes Type de document : Article Auteurs : Marike van der Leeden ; R. Huijsmans ; E. Geleijn Année de publication : 2016 Article en page(s) : pp. 103-110 Langues : Anglais (eng) Descripteurs : HE Vinci Complications postopératoires ; Durée du séjour ; Soins postopératoires Mots-clés : Postoperative Care  Gastrointestinal Neoplasms  Tumeurs gastro-intestinales  General Surgery  Chirurgie générale  Postoperative Complications  Length of Stay Résumé : Objectives To evaluate the feasibility and outcomes of early enforced mobilisation following surgery for gastrointestinal cancer. Design Feasibility study with a separate-sample pre–post-test design. Setting Surgical gastrointestinal ward. Participants Patients with various types of gastrointestinal cancer, before and after implementation of postoperative enforced mobilisation (n = 55 and n = 61, respectively). Intervention The enforced mobilisation protocol included structured mobilisation by a nurse and walking supervised by a physiotherapist, starting within 24 hours of surgery. Main outcome measures The enforced mobilisation protocol was deemed to be feasible if at least 50% of patients were able to walk the scheduled distance on postoperative day 1. Pre- and postimplementation differences in postoperative pulmonary complications (PPCs), length of hospital stay (LOS) and re-admission rate were analysed using regression analyses, adjusting for relevant co-variables. Results In the various surgical groups, between 48% and 56% of patients were able to walk the scheduled distance on postoperative day 1, which was regarded as feasible. However, none of the patients who had undergone oesophageal resection were able to walk on postoperative day 1. Excluding these patients from the analyses, a significant decrease in PPCs was found (odds ratio 0.08, 95% confidence interval 0.010 to 0.71, P = 0.023) following implementation of enforced mobilisation. Differences in LOS and re-admission rate were not significant. Conclusions Early enforced mobilisation seems to be feasible in patients following surgery for gastrointestinal cancer, except for those undergoing oesophageal resection. The occurrence of PPCs was reduced after implementation of enforced mobilisation. Further research is needed to confirm these results. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134268 [article]

Effect of postoperative physical training on activity after curative surgery for non-small cell lung cancer: a multicentre randomised controlled trial / G. Arbane in Physiotherapy, 2014/2 (2014)  

[article]  inPhysiotherapy > 2014/2 (2014) . - pp. 100-107 Titre : Effect of postoperative physical training on activity after curative surgery for non-small cell lung cancer: a multicentre randomised controlled trial Type de document : Article Auteurs : G. Arbane ; A. Douiri ; N. Hart Année de publication : 2014 Article en page(s) : pp. 100-107 Langues : Anglais (eng) Descripteurs : HE Vinci Exercice physique ; Thoracotomie Mots-clés : Small Cell Lung Carcinoma  Carcinome pulmonaire à petites cellules  Exercise  General Surgery  Chirurgie générale  Thoracotomy Résumé : Objective To evaluate the effect of a combined hospital plus home exercise programme following curative surgery for non-small cell lung cancer (NSCLC). Design Randomised controlled trial. Setting Teaching hospital. Participants One hundred and thirty-one subjects with NSCLC admitted for curative surgery. Interventions Participants were randomised to usual care or a hospital plus home exercise programme. Outcomes The primary outcome was the between-group difference in physical activity 4 weeks after surgery. Secondary outcomes were the difference in quadriceps strength, exercise tolerance and quality of life [Short Form-36 (SF-36) and European Organisation for Research and Treatment of Cancer (EORTC) QLQ-LC13] from pre-operatively (baseline) to 4 weeks after surgery. Results The participants (n = 131) had a mean age of 68 [standard deviation (SD) 11] years and mean forced expiratory volume in 1 second of 2.4 (SD 1.1) l. There were no significant differences in physical activity between the groups 4 weeks after surgery [mean difference adjusted for baseline 12 minutes/day, 95% confidence interval (CI) −20.2 to 44.1]. In addition, there were no significant differences in total SF-36 or EORTC QLQ-LC13 scores from baseline to 4 weeks after surgery. Both groups had recovered their pre-operative walking distance 4 weeks after surgery, and there were no differences between the groups (mean difference in Incremental Shuttle Walk Test from baseline to 4 weeks after surgery (−26 m, 95% CI −94.2 to 42.3). Conclusions A hospital plus home exercise programme showed little benefit in unselected patients with NSCLC following surgery. Regardless of group allocation, the patients had recovered their pre-operative exercise tolerance levels by 4 weeks after surgery. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134166 [article]

Surgical Versus Nonsurgical Treatment of Femur Fractures in People With Spinal Cord Injury: An Administrative Analysis of Risks / Julius A. Bishop in Archives of Physical Medicine and Rehabilitation, 2013/12 (2013)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2013/12 (2013) . - pp. 2357-2364 Titre : Surgical Versus Nonsurgical Treatment of Femur Fractures in People With Spinal Cord Injury: An Administrative Analysis of Risks Type de document : Article Auteurs : Julius A. Bishop ; Paola Suarez ; Lisa Diponio ; et al. Article en page(s) : pp. 2357-2364 Langues : Anglais (eng) Descripteurs : HE Vinci Mortalité ; Rééducation et réadaptation ; Traumatismes de la moelle épinière Mots-clés : Fractures du fémur  Femoral Fractures  Chirurgie générale  General surgery  Hôpitaux des anciens combattants  Hospitals  Veterans  Mortality  Spinal Cord Injuries Résumé : Objective To assess the risks associated with surgical and nonsurgical care of femur fractures in people with spinal cord injury (SCI). Design Retrospective cohort study; an analysis of Veterans Affairs (VA) data from the National Patient Care Database. Setting Administrative data from database. Participants The cohort was identified by searching the administrative data from fiscal years 2001 to 2006 for veterans with a femur fracture diagnosis using the International Classification of Diseases, 9th Revision, Clinical Modification codes. This group was subdivided into those with (n=396) and without (n=13,350) SCI and those treated with and without surgical intervention. Interventions Not applicable. Main Outcome Measures Rates of mortality and adverse events. Results The SCI group was younger with more distal fractures than the non-SCI group. In the non-SCI population, 78% of patients had associated surgical codes compared with 37% in the SCI population. There was higher mortality in the non-SCI group treated nonoperatively. In the SCI population, there was no difference in mortality between patients treated nonoperatively and operatively. Overall adverse events were similar between groups except for pressure sores in the SCI population, of which the nonoperative group had 20% and the operative had 7%. Rates of surgical interventions for those with SCI varied greatly among VA institutions. Conclusions We found lower rates of surgical intervention in the SCI population. Those with SCI who had surgery did not have increased mortality or adverse events. Surgical treatment minimizes the risks of immobilization and should be considered in appropriate SCI patients. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117661 [article]

Effect of total-body prehabilitation on postoperative outcomes: a systematic review and meta-analysis / D. Santa Mina in Physiotherapy, 2014/3 (2014)  

[article]  inPhysiotherapy > 2014/3 (2014) . - pp. 196-207 Titre : Effect of total-body prehabilitation on postoperative outcomes: a systematic review and meta-analysis Type de document : Article Auteurs : D. Santa Mina ; H. Clarke ; P. Ritvo Année de publication : 2014 Article en page(s) : pp. 196-207 Langues : Anglais (eng) Descripteurs : HE Vinci Exercice physique ; Période postopératoire ; Rééducation et réadaptation ; Soins préopératoires Mots-clés : Preoperative Care  Preoperative Period  Période préopératoire  Exercise  General Surgery  Chirurgie générale  Postoperative Period Résumé : Objective To systematically review the evidence of pre-operative exercise, known as ‘prehabilitation’, on peri- and postoperative outcomes in adult surgical populations. Design Systematic review and meta-analysis. Data sources CENTRAL, Medline, EMBASE, CINAHL, PsycINFO and PEDro were searched from 1950 to 2011. Methods Two reviewers independently examined relevant, English-language articles that examined the effects of pre-operative total-body exercise with peri- and postoperative outcome analysis. Given the nascence of this field, controlled and uncontrolled trials were included. Risk of bias was assessed using the Cochrane Risk of Bias Assessment tool. Only data on length of stay were considered eligible for meta-analysis due to the heterogeneity of measures and methodologies for assessing other outcomes. Results In total, 4597 citations were identified by the search strategy, of which 21 studies were included. Trials were generally small (median = 54 participants) and of moderate to poor methodological quality. Compared with standard care, the majority of studies found that total-body prehabilitation improved postoperative pain, length of stay and physical function, but it was not consistently effective in improving health-related quality of life or aerobic fitness in the studies that examined these outcomes. The meta-analysis indicated that prehabilitation reduced postoperative length of stay with a small to moderate effect size (Hedges’ g = −0.39, P = 0.033). Intervention-related adverse events were reported in two of 669 exercising participants. Conclusion The literature provides early evidence that prehabilitation may reduce length of stay and possibly provide postoperative physical benefits. Cautious interpretation of these findings is warranted given modest methodological quality and significant risk of bias. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134180 [article]

Effectiveness of physiotherapy with telerehabilitation in surgical patients: a systematic review and meta-analysis / M.A. van Egmond in Physiotherapy, Vol. 104, n° 3 (2018)  

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Knee Flexor Strength and Endurance Profiles After Ipsilateral Hamstring Tendons Anterior Cruciate Ligament Reconstruction / Giampietro L. Vairo in Archives of Physical Medicine and Rehabilitation, 2014/3 (2014)  

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