کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5864150 | 1135772 | 2014 | 12 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Preoperative intervention reduces postoperative pulmonary complications but not length of stay in cardiac surgical patients: a systematic review
ترجمه فارسی عنوان
مداخله قبل از عمل، عوارض ریوی پس از عمل را کاهش می دهد، اما طول مدت اقامت در بیماران قلبی جراحی: یک بررسی سیستماتیک
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کلمات کلیدی
روشهای جراحی قلب، بای پس عروق کرونر، مراقبتهای قبل از عمل، توانبخشی، تحصیلات،
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی
Question: Does preoperative intervention in people undergoing cardiac surgery reduce pulmonary complications, shorten length of stay in the intensive care unit (ICU) or hospital, or improve physical function? Design: Systematic review with meta-analysis of (quasi) randomised trials. Participants: People undergoing coronary artery bypass grafts and/or valvular surgery. Intervention: Any intervention, such as education, inspiratory muscle training, exercise training or relaxation, delivered prior to surgery to prevent/reduce postoperative pulmonary complications or to hasten recovery of function. Outcome measures: Time to extubation, length of stay in ICU and hospital (reported in days). Postoperative pulmonary complications and physical function were measured as reported in the included trials. Results: The 17 eligible trials reported data on 2689 participants. Preoperative intervention significantly reduced the time to extubation (MD -0.14 days, 95% CI -0.26 to -0.01) and the relative risk of developing postoperative pulmonary complications (RR 0.39, 95% CI 0.23 to 0.66). However, it did not significantly affect the length of stay in ICU (MD -0.15 days, 95% CI -0.37 to 0.08) or hospital (MD -0.55 days, 95% CI -1.32 to 0.23), except among older participants (MD -1.32 days, 95% CI -2.36 to -0.28). When the preoperative interventions were separately analysed, inspiratory muscle training significantly reduced postoperative pulmonary complications and the length of stay in hospital. Trial quality ranged from good to poor and considerable heterogeneity was present in the study features. Other outcomes did not significantly differ. Conclusion: For people undergoing cardiac surgery, preoperative intervention reduces the incidence of postoperative pulmonary complications and, in older patients, the length of stay in hospital. [Snowdon D, Haines TP, Skinner EH (2014) Preoperative intervention reduces postoperative pulmonary complications but not length of stay in cardiac surgical patients: a systematic review. Journal of Physiotherapy 60: 66-77].
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Physiotherapy - Volume 60, Issue 2, June 2014, Pages 66-77
Journal: Journal of Physiotherapy - Volume 60, Issue 2, June 2014, Pages 66-77
نویسندگان
David Snowdon, Terry P Haines, Elizabeth H Skinner,