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Preoperative therapy restores ventilatory parameters and reduces length of stay in patients undergoing myocardial revascularization.

Sobrinho MT, Guirado GN, Silva MA - Rev Bras Cir Cardiovasc (2014 Apr-Jun)

Bottom Line: Expiratory pressure was significant in fifth postoperative day in the intervention group compared to controls.The difference of length of hospital stay in the postoperative was found between the groups with shorter hospital stay in the group receiving preoperative therapy.Thus, it is thought the cost-effectiveness of a program of preoperative physiotherapy.

View Article: PubMed Central - PubMed

Affiliation: Hospital das Clinicas, Faculdade de Medicina de Botucatu-SP, Botucatu, SP, Brazil.

ABSTRACT

Introduction: The frequency of surgical procedures has increased steadily in recent decades, including the myocardial revascularization.

Objectives: To demonstrate the importance of physiotherapy in the preoperative period of cardiac surgery in relation to the reduction of hospital stay, changes in lung volumes and respiratory muscle strength.

Methods: We conducted a prospective study with patients undergoing myocardial revascularization, the Hospital das Clínicas da Universidade Estadual Paulista (UNESP)/Botucatu - SP. We evaluated 70 patients of both genders, aged between 40 and 75 years, subdivided into two groups: group I - 35 patients of both genders, who received a written protocol guidance, breathing exercises and respiratory muscle training in the preoperative period and group II - 35 patients of both genders, who received only orientation of the ward on the day of surgery. This study was approved by the Ethics Committee of UNESP / Botucatu - SP.

Results: Maximal inspiratory pressure in third postoperative day and fifth postoperative day and significant difference between groups, being better for the intervention group. Expiratory pressure was significant in fifth postoperative day in the intervention group compared to controls. The difference of length of hospital stay in the postoperative was found between the groups with shorter hospital stay in the group receiving preoperative therapy.

Conclusion: Physical therapy plays an important role in the preoperative period, so that individuals in the intervention group more readily restored the parameters evaluated before surgery, in addition, there was a decrease in the time of the postoperative hospital stay. Thus, it is thought the cost-effectiveness of a program of preoperative physiotherapy.

Show MeSH
Median maximum inspiratory pressure (MIP) variable in different moments of theoperation of each group analyzed (with and without physical therapypreoperatively). Friedman test for comparison of moments in each group and MannWhitney test to compare the groups at each time, *P<0.05.
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f02: Median maximum inspiratory pressure (MIP) variable in different moments of theoperation of each group analyzed (with and without physical therapypreoperatively). Friedman test for comparison of moments in each group and MannWhitney test to compare the groups at each time, *P<0.05.

Mentions: The mean values the for maximum inspiratory pressures evaluated in the preoperativeperiod and 3PO showed no significant difference between groups(P=0.276 and 0.065; respectively), however, we observed greaterinspiratory muscle strength for GI in relation to GII in 5PO(P=0.001) (Figure 2).


Preoperative therapy restores ventilatory parameters and reduces length of stay in patients undergoing myocardial revascularization.

Sobrinho MT, Guirado GN, Silva MA - Rev Bras Cir Cardiovasc (2014 Apr-Jun)

Median maximum inspiratory pressure (MIP) variable in different moments of theoperation of each group analyzed (with and without physical therapypreoperatively). Friedman test for comparison of moments in each group and MannWhitney test to compare the groups at each time, *P<0.05.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4389447&req=5

f02: Median maximum inspiratory pressure (MIP) variable in different moments of theoperation of each group analyzed (with and without physical therapypreoperatively). Friedman test for comparison of moments in each group and MannWhitney test to compare the groups at each time, *P<0.05.
Mentions: The mean values the for maximum inspiratory pressures evaluated in the preoperativeperiod and 3PO showed no significant difference between groups(P=0.276 and 0.065; respectively), however, we observed greaterinspiratory muscle strength for GI in relation to GII in 5PO(P=0.001) (Figure 2).

Bottom Line: Expiratory pressure was significant in fifth postoperative day in the intervention group compared to controls.The difference of length of hospital stay in the postoperative was found between the groups with shorter hospital stay in the group receiving preoperative therapy.Thus, it is thought the cost-effectiveness of a program of preoperative physiotherapy.

View Article: PubMed Central - PubMed

Affiliation: Hospital das Clinicas, Faculdade de Medicina de Botucatu-SP, Botucatu, SP, Brazil.

ABSTRACT

Introduction: The frequency of surgical procedures has increased steadily in recent decades, including the myocardial revascularization.

Objectives: To demonstrate the importance of physiotherapy in the preoperative period of cardiac surgery in relation to the reduction of hospital stay, changes in lung volumes and respiratory muscle strength.

Methods: We conducted a prospective study with patients undergoing myocardial revascularization, the Hospital das Clínicas da Universidade Estadual Paulista (UNESP)/Botucatu - SP. We evaluated 70 patients of both genders, aged between 40 and 75 years, subdivided into two groups: group I - 35 patients of both genders, who received a written protocol guidance, breathing exercises and respiratory muscle training in the preoperative period and group II - 35 patients of both genders, who received only orientation of the ward on the day of surgery. This study was approved by the Ethics Committee of UNESP / Botucatu - SP.

Results: Maximal inspiratory pressure in third postoperative day and fifth postoperative day and significant difference between groups, being better for the intervention group. Expiratory pressure was significant in fifth postoperative day in the intervention group compared to controls. The difference of length of hospital stay in the postoperative was found between the groups with shorter hospital stay in the group receiving preoperative therapy.

Conclusion: Physical therapy plays an important role in the preoperative period, so that individuals in the intervention group more readily restored the parameters evaluated before surgery, in addition, there was a decrease in the time of the postoperative hospital stay. Thus, it is thought the cost-effectiveness of a program of preoperative physiotherapy.

Show MeSH