eCite Digital Repository
Effects of preoperative physiotherapy on signs and symptoms of pulmonary collapse and infection after major abdominal surgery: secondary analysis of the LIPPSMAck-POP multicentre randomised controlled trial
Citation
Boden, I and Reeve, J and Robertson, IK and Browning, L and Skinner, EH and Anderson, L and Hill, C and Story, D and Denehy, L, Effects of preoperative physiotherapy on signs and symptoms of pulmonary collapse and infection after major abdominal surgery: secondary analysis of the LIPPSMAck-POP multicentre randomised controlled trial, Perioperative Medicine, 10 Article 36. ISSN 2047-0525 (2021) [Refereed Article]
![]() | PDF 1,004Kb |
Copyright Statement
Copyright 2021 The Authors Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/
DOI: doi:10.1186/s13741-021-00206-3
Abstract
Background
Preoperative education and breathing exercise training by a physiotherapist minimises pulmonary complications after abdominal surgery. Effects on specific clinical outcomes such as antibiotic prescriptions, chest imaging, sputum cultures, oxygen requirements, and diagnostic coding are unknown.
Methods
This post hoc analysis of prospectively collected data within a double-blinded, multicentre, randomised controlled trial involving 432 participants having major abdominal surgery explored effects of preoperative education and breathing exercise training with a physiotherapist on postoperative antibiotic prescriptions, hypoxemia, sputum cultures, chest imaging, auscultation, leukocytosis, pyrexia, oxygen therapy, and diagnostic coding, compared to a control group who received a booklet alone. All participants received standardised postoperative early ambulation. Outcomes were assessed daily for 14 postoperative days. Analyses were intention-to-treat using adjusted generalised multivariate linear regression.
Results
Preoperative physiotherapy was associated with fewer antibiotic prescriptions specific for a respiratory infection (RR 0.52; 95% CI 0.31 to 0.85, p = 0.01), less purulent sputum on the third and fourth postoperative days (RR 0.50; 95% CI 0.34 to 0.73, p = 0.01), fewer positive sputum cultures from the third to fifth postoperative day (RR 0.17; 95% CI 0.04 to 0.77, p = 0.01), and less oxygen therapy requirements (RR 0.49; 95% CI 0.31 to 0.78, p = 0.002). Treatment effects were specific to respiratory clinical coding domains.
Conclusions
Preoperative physiotherapy prevents postoperative pulmonary complications and is associated with the minimisation of signs and symptoms of pulmonary collapse/consolidation and airway infection and specifically results in reduced oxygen therapy requirements and antibiotic prescriptions.
Item Details
Item Type: | Refereed Article |
---|---|
Keywords: | pulmonary complications, preoperative, physiotherapy, antibiotics, oxygen therapy, abdominal surgery, breathing exercises |
Research Division: | Health Sciences |
Research Group: | Allied health and rehabilitation science |
Research Field: | Physiotherapy |
Objective Division: | Health |
Objective Group: | Clinical health |
Objective Field: | Prevention of human diseases and conditions |
UTAS Author: | Boden, I (Dr Ianthe Boden) |
UTAS Author: | Robertson, IK (Dr Iain Robertson) |
ID Code: | 149501 |
Year Published: | 2021 |
Deposited By: | Health Sciences |
Deposited On: | 2022-04-01 |
Last Modified: | 2022-05-06 |
Downloads: | 6 View Download Statistics |
Repository Staff Only: item control page