Preoperative inspiratory muscle training prevents pulmonary complications after cardiac surgery - a systematic review
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Preoperative inspiratory muscle training prevents pulmonary complications after cardiac surgery - a systematic review. / Thybo Karanfil, Emil Osman; Møller, Ann Merete.
In: Danish Medical Journal, Vol. 65, No. 3, A5450, 2018.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Preoperative inspiratory muscle training prevents pulmonary complications after cardiac surgery - a systematic review
AU - Thybo Karanfil, Emil Osman
AU - Møller, Ann Merete
N1 - Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
PY - 2018
Y1 - 2018
N2 - INTRODUCTION: Post-operative pulmonary complications are a common cause of morbidity and mortality in patients undergoing heart surgery. The aim of this systematic review was to determine if preoperative inspiratory muscle training could prevent the development of pneumonia and atelectasis in patients undergoing coronary artery bypass grafting (CABG) or heart valve surgery.METHODS: Systematic searches were performed in MEDLINE, Embase and the Cochrane Library. The included studies compared the development of pneumonia and atelectasis in CABG patients or heart valve surgery patients who were prescribed either preoperative inspiratory muscle training or usual care. The quality of the studies was assessed using the Cochrane Risk of Bias Tool.RESULTS: The search yielded 2,479 records. The inclusion criteria were fulfilled by five studies. All the studies were randomised controlled trials. We found that the development of both pneumonia and atelectasis was significantly reduced among patients who received inspiratory muscle training preoperatively compared with patients treated with usual care.CONCLUSIONS: Preoperative inspiratory muscle training may reduce the risk of developing pneumonia and atelectasis. However, more trials are needed to support and strengthen the evidence found in this systematic review before routine implementation of this kind of training preoperatively.
AB - INTRODUCTION: Post-operative pulmonary complications are a common cause of morbidity and mortality in patients undergoing heart surgery. The aim of this systematic review was to determine if preoperative inspiratory muscle training could prevent the development of pneumonia and atelectasis in patients undergoing coronary artery bypass grafting (CABG) or heart valve surgery.METHODS: Systematic searches were performed in MEDLINE, Embase and the Cochrane Library. The included studies compared the development of pneumonia and atelectasis in CABG patients or heart valve surgery patients who were prescribed either preoperative inspiratory muscle training or usual care. The quality of the studies was assessed using the Cochrane Risk of Bias Tool.RESULTS: The search yielded 2,479 records. The inclusion criteria were fulfilled by five studies. All the studies were randomised controlled trials. We found that the development of both pneumonia and atelectasis was significantly reduced among patients who received inspiratory muscle training preoperatively compared with patients treated with usual care.CONCLUSIONS: Preoperative inspiratory muscle training may reduce the risk of developing pneumonia and atelectasis. However, more trials are needed to support and strengthen the evidence found in this systematic review before routine implementation of this kind of training preoperatively.
KW - Breathing Exercises
KW - Coronary Artery Bypass/adverse effects
KW - Humans
KW - Length of Stay
KW - Muscle Strength
KW - Pneumonia/prevention & control
KW - Postoperative Complications/prevention & control
KW - Preoperative Care/methods
KW - Pulmonary Atelectasis/prevention & control
KW - Randomized Controlled Trials as Topic
KW - Respiratory Muscles/physiopathology
M3 - Review
C2 - 29510803
VL - 65
JO - Danish Medical Journal
JF - Danish Medical Journal
SN - 2245-1919
IS - 3
M1 - A5450
ER -
ID: 217565438