Journals / Eurasian Journal of Pulmonology / 2020 / Cilt: 22 - Sayı: 1

The effects of preoperative pulmonary rehabilitation on early postoperative period following lung transplantation

Pages
59–63
Publication Date
2022-10-18
DOI
—
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There was no significant difference inthe length of ICU stay postoperatively (P = 0.19) and postoperative early mortality rate (P = 0.65).CONCLUSIONS: Our study results suggest that preoperative PR may shorten time to intubation in patients undergoing LTx.

📌 3 Key Takeaways

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Objective & Hypothesis:CONTEXT: Although pulmonary rehabilitation (PR) has become a preoperative standard practice, the fact that studies do not include groups of patients who do not receive preoperative PR restricts to introduce the real benefit of the rehabilitation process in lung transplantation (LTx).
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Key Findings & Data:AIMS: We aimed to investigate the effect of preoperative PR before LTx on postoperative period.SETTINGS AND DESIGN: Retrospective, parallel design.SUBJECTS AND METHODS: Between March 2012 and October 2014, medical records of patients who underwent LTx were analyzed.
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Conclusion & Impact:There was no significant difference inthe length of ICU stay postoperatively (P = 0.19) and postoperative early mortality rate (P = 0.65).CONCLUSIONS: Our study results suggest that preoperative PR may shorten time to intubation in patients undergoing LTx.
🔬Design:Research Article
📍Scope:2012 Verileri
⚙️Variables:Domain Parameters

Abstract

CONTEXT: Although pulmonary rehabilitation (PR) has become a preoperative standard practice, the fact that studies do not include groups of patients who do not receive preoperative PR restricts to introduce the real benefit of the rehabilitation process in lung transplantation (LTx). AIMS: We aimed to investigate the effect of preoperative PR before LTx on postoperative period.SETTINGS AND DESIGN: Retrospective, parallel design.SUBJECTS AND METHODS: Between March 2012 and October 2014, medical records of patients who underwent LTx were analyzed. There were two parallel groups. (1) Study group (n = 15) included the patients with received preoperative PR for at least 8 weeks. (2) Control group (n = 12) included the patients with underwent LTx without preoperative PR as appropriate donor was found. Time tointubation, length of intensive care unit (ICU) stay, and postoperative early mortality were evaluated.STATISTICAL ANALYSIS USED: Shapiro–Wilk, Fisher’ exact test, Mann–Whitney U‑test, Wilcoxon rank test.RESULTS: Atotal of 27 patients with LTx surgery, whose mean age was 40.6 (11.4) and 40% of females were included in the study. There were no significant differences in demographic characteristics between two groups, except the age (P = 0.005). The study group intubation time (2 [0–7] days) was shorter than control group (3 [1–12] days) (P = 0.02). There was no significant difference inthe length of ICU stay postoperatively (P = 0.19) and postoperative early mortality rate (P = 0.65).CONCLUSIONS: Our study results suggest that preoperative PR may shorten time to intubation in patients undergoing LTx. Therefore, referral of LTx to PR centers and preoperative PR is of utmost importance for postoperative LTx.

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Cite This Article

KILIÇ, L., PEHLİVAN, E., BALCI, A., BAKAN, N. D., YAZAR, E. (2022). The effects of preoperative pulmonary rehabilitation on early postoperative period following lung transplantation. Eurasian Journal of Pulmonology, Cilt: 22 - Sayı: 1, 59–63. https://ajindex.com/articles/509577

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References (13)

  1. Hill K, Vogiatzis I, Burtin C. The importance of components of pulmonary rehabilitation, other than exercise training, in COPD. Eur Respir Rev 2013;22:405‑13
  2. Pehlivan E, Turna A, Gurses A, Gurses HN. The effects of preoperative short‑term intense physical therapy in lung cancer patients: A randomized controlled trial. Ann Thorac Cardiovasc Surg 2011;17:461‑8
  3. VagvolgyiA, RozgonyiZ, KertiM, VadaszP, Varga J. Effectiveness of perioperative pulmonary rehabilitation in thoracic surgery. J Thorac Dis 2017;9:1584‑91
  4. Saito H, Hatakeyama K, Konno H, Matsunaga T, Shimada Y, MinamiyaY. Impact of pulmonary rehabilitation on postoperative complications in patients with lung cancer and chronic obstructive pulmonary disease. Thorac Cancer 2017;8:451‑60
  5. Mainini C, Rebelo PF, Bardelli R, Kopliku B, Tenconi S, Costi S, et al. Perioperative physical exercise interventions for patients undergoing lung cancer surgery: What is the evidence? SAGE Open Med 2016;4:2050312116673855
  6. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: Guidelines for the six‑minute walk test. Am J Respir Crit Care Med 2002;166:111‑7
  7. Celli BR, Decramer M, Wedzicha JA, Wilson KC, Agustí A, Criner GJ, et al. An official American Thoracic Society/European Respiratory Society statement: Research questions in COPD. Eur Respir J 2015;45:879‑905
  8. Grinyó JM. Why is organ transplantation clinically important? Cold Spring Harb Perspect Med 2013;3. pii: a014985
  9. Kugler C, Gottlieb J, Warnecke G, Schwarz A, Weissenborn K, Barg‑Hock H, et al. Health‑related quality of life after solid organ transplantation: A prospective, multiorgan cohort study. Transplantation 2013;96:316‑23
  10. Pehlivan E, Mutluay F, Balcı A, Kılıç L. The effects of inspiratory muscle training on exercise capacity, dyspnea and respiratory functions in lung transplantation candidates: A randomized controlled trial. Clin Rehabil 2018;32:1328‑39
  11. Wickerson L, Rozenberg D, Janaudis‑Ferreira T, Deliva R, Lo V, Beauchamp G, et al. Physical rehabilitation for lung transplant candidates and recipients: An evidence‑informed clinical approach. World J Transplant 2016;6:517‑31
  12. He WX, Yang YL, Xia Y, Song N, Liu M, Zhang P, et al. Outcomes of chinese patients with end‑stage pulmonary disease while awaiting lung transplantation: A Single‑center study. Chin Med J (Engl) 2016;129:3‑7
  13. Takaoka ST, Weinacker AB. The value of preoperative pulmonary rehabilitation. Thora