An audit of current physiotherapy management and patient outcomes in one thoracic surgical unit

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aut.researcherReeve, Julie Carolyn
dc.contributor.authorReeve, JC
dc.contributor.authorNicol, K,
dc.contributor.authorDenehy, L,
dc.date.accessioned2011-08-24T04:52:10Z
dc.date.available2011-08-24T04:52:10Z
dc.date.copyright2007-10-04
dc.date.issued2007-10-04
dc.description.abstractLimited data are published which consider the physiotherapy management of patients undergoing thoracic surgery. This study prospectively audited patients undergoing open thoracic surgery in one surgical unit, investigating physiotherapy management, postoperative pulmonary complication rate and length of postoperative stay. Fifty four patients with a mean age of 61.9 years (SD 12.9, range 18–85 years) were studied. The majority of patients underwent lung resection (n = 45, 81.8%). No patient received preoperative physiotherapy. The mean physiotherapy time spent with patients postoperatively in total was 12.6 units (SD 7.1, range 4–39 units), with each unit representing a 15-minute time period. On postoperative day one the majority of patients used forced expiratory manoeuvres (n = 41, 74.5%) with lung expansion manoeuvres used in 25 (45.5%) patients. Ten (18.5%) patients developed a postoperative pulmonary complication. Six (10.9%) patients received early ambulation only and none of these developed a postoperative pulmonary complication. The median (IQR) postoperative length of stay was 7 (3) days. Twenty-one (38.2%) patients had a length of stay over nine days. Most common reasons for an increased postoperative length of stay were persistent air leak from the chest drains (n = 9, 16.7%) and respiratory complications (n = 4, 7.3%). The median (IQR) length of postoperative stay in patients developing a pulmonary complication was 10 (2.3) days which was significantly higher than those not developing a pulmonary complication (p = 0.003). Despite limited supporting evidence, this patient group utilises considerable physiotherapy resources. Future studies should consider the efficacy of these interventions.
dc.identifier.citationAbstracts from Cardiorespiratory Physiotherapy Australia 10th Biennial Conference: Merging Education into Practice; APA Conference Week, Cairns, Australia as published in The e-AJP, vol.54(1), pp.S4
dc.identifier.issn0004-9514
dc.identifier.urihttps://hdl.handle.net/10292/1881
dc.publisherAustralian Physiotherapy Association
dc.relation.urihttp://ajp.physiotherapy.asn.au/ajp/vol_54/1/2007_APA_Conference_Week_Abstracts.pdf
dc.rights© Australian Physiotherapy Association 2007. The definitive version was published in (see Citation). The original publication is available at (see Publisher's Version).
dc.rights.accessrightsOpenAccess
dc.titleAn audit of current physiotherapy management and patient outcomes in one thoracic surgical unit
dc.typeConference Contribution
pubs.declined2011-09-14T15:15:27.199+1200
pubs.declined2011-09-15T01:47:32.324+1200
pubs.declined2011-09-16T01:50:05.979+1200
pubs.declined2011-09-17T01:53:03.986+1200
pubs.declined2011-09-18T01:53:09.841+1200
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/PBRF Researchers
pubs.organisational-data/AUT/PBRF Researchers/Health & Environmental Sciences PBRF Researchers
pubs.organisational-data/AUT/PBRF Researchers/Health & Environmental Sciences PBRF Researchers/HES R & O Physiotherapy
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