Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Effects of Preoperative Breathing Exercise on Postoperative Outcomes for Patients With Lung Cancer Undergoing Curative Intent Lung Resection: A Meta-analysis (2021) |
Auteurs : | Chan Yeu ; Hanan Batarseh ; Michelle L. Zafron ; Jeffery M. Mador ; Sai Yendamuri ; Andrew Ray |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 12, 2021) |
Article en page(s) : | p. 2416-2427.e4 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.03.028 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Complications postopératoires ; Durée du séjour ; Essai contrôlé randomisé ; Exercices respiratoires ; Pneumonectomie ; Réadaptation ; Thoracotomie |
Résumé : |
Objective
To determine the benefits of preoperative breathing exercises on hospital length of stay (LOS), pneumonia, postoperative pulmonary complications (PPC), 6-minute walk distance (6MWD), forced expiratory volume in 1 second (FEV1), and health-related quality of life (HRQOL) in patients undergoing surgical lung cancer resection. Data Sources PubMed, EMBASE, Web of Science Core Collection, and Cochrane Central Register of Controlled Trials were comprehensively searched from inception to March 2021. Study Selection Only studies including preoperative inspiratory muscle training (IMT) and/or breathing exercises compared with a nontraining control group were included. The meta-analysis was done using Cochrane software for multiple variables including LOS, pneumonia, PPC, 6MWD, FEV1, mortality, and HRQOL. Data Extraction Two authors extracted the data of the selected studies. The primary outcomes were LOS and PPC. Data Synthesis A total of 10 studies were included in this meta-analysis, 8 of which had both IMT and aerobic exercise. Pooled data for patients who performed preoperative breathing exercises, compared with controls, demonstrated a decrease in LOS with a pooled mean difference of 3.44 days (95% confidence interval [CI], 4.14 to 2.75; P<.01 subgroup analysis also demonstrated that los was further reduced when breathing exercises were combined with aerobic exercise p=".03)." preoperative reduce pneumonia and ppcs an odds ratio of ci respectively. increase in meters noted those performing no significant differences fev1 mortality or hrqol.> Conclusions Preoperative breathing exercises reduced LOS, PPC, and pneumonia and potentially improved 6MWD in patients undergoing surgical lung cancer resection. Breathing exercises in combination with aerobic exercise yielded greater reductions in LOS. Randomized controlled trials are needed to test the feasibility of introducing a preoperative breathing exercise program in this patient population. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321003191#! |