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Titolo:
PREVENTION OF POSTOPERATIVE PULMONARY COMPLICATIONS THROUGH RESPIRATORY REHABILITATION - A CONTROLLED CLINICAL-STUDY
Autore:
CHUMILLAS S; PONCE JL; DELGADO F; VICIANO V; MATEU M;
Indirizzi:
HOSP LLUIS ALCANYIS,SERV REHABIL,CARRETERA XATIVA SILLA,KM 2 XATIVA 46800 SPAIN HOSP LLUIS ALCANYIS,DEPT SURG XATIVA 46800 SPAIN DR PESET HOSP,DEPT SURG VALENCIA SPAIN DR PESET HOSP,DEPT REHABIL VALENCIA SPAIN UNIV VALENCIA,SCH MED,DEPT SURG E-46003 VALENCIA SPAIN
Titolo Testata:
Archives of physical medicine and rehabilitation
fascicolo: 1, volume: 79, anno: 1998,
pagine: 5 - 9
SICI:
0003-9993(1998)79:1<5:POPPCT>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
UPPER ABDOMINAL-SURGERY; INCENTIVE SPIROMETRY; CONTROLLED TRIAL; GAS-EXCHANGE; THERAPY; RISK; PHYSIOTHERAPY; CHOLECYSTECTOMY; ANESTHESIA; DIAPHRAGM;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
33
Recensione:
Indirizzi per estratti:
Citazione:
S. Chumillas et al., "PREVENTION OF POSTOPERATIVE PULMONARY COMPLICATIONS THROUGH RESPIRATORY REHABILITATION - A CONTROLLED CLINICAL-STUDY", Archives of physical medicine and rehabilitation, 79(1), 1998, pp. 5-9

Abstract

Objective: To investigate the efficacy of respiratory rehabilitation in preventing postoperative pulmonary complications (PPC) and to define which patients can benefit. Design: A randomized clinical trial. Setting: A public hospital. Patients: Eighty-one patients who had upper abdominal surgery were distributed into two homogeneous groups: control(n = 41) and rehabilitation (n = 40). Intervention: Breathing exercises in the rehabilitation group. Main Outcome Measures: Preoperative and postoperative clinical evaluation, spirometry, arterial gasometry, and simple chest X-rays. Results: The incidence of PPC was 7.5% in the rehabilitation group and 19.5% in the control group; the control groupalso had more radiologic alterations (p = .01). Stratified PPC analysis did not reveal significant differences between groups. However, high-and moderate-risk patients in the rehabilitation group had fewer PPC, Multivariate analysis showed a greater PPC risk associated with pulmonary history (p = .02) and duration of surgery longer than 120 min (p= .03), while rehabilitation exerted a protective effect (p = .06). Significant postoperative decreases in pulmonary volumes and arterial gas values were recorded in both groups, without significant differences. Conclusions: Respiratory rehabilitation protects against PPC and ismore effective in moderate-and high-risk patients, but does not affect surgery-induced functional alterations. (C) 1998 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 00:28:50