Does physiotherapy reduce the incidence of postoperative pulmonary complications following pulmonary resection via open thoracotomy? A randomised single-blind clinical trial

Simple item page
aut.researcherReeve, Julie Carolyn
dc.contributor.authorReeve, J
dc.contributor.authorNicol, K
dc.contributor.authorStiller, K
dc.contributor.authorMcPherson, K
dc.contributor.authorBirch, P
dc.contributor.authorDenehy, L
dc.date.accessioned2011-08-24T02:57:43Z
dc.date.available2011-08-24T02:57:43Z
dc.date.copyright2009
dc.date.issued2009
dc.description.abstractPostoperative pulmonary complications are an important cause of morbidity following thoracotomy and physiotherapy interventions are commonly provided with the aim of preventing and treating these. This study aimed to determine if prophylactic postoperative respiratory physiotherapy reduced the incidence of postoperative pulmonary complications and decreased length of stay in patients following open pulmonary resection. Seventy-six patients undergoing elective thoracotomy were randomised to a treatment group (n = 42) or a control group (n = 34). Treatment group participants received daily respiratory physiotherapy interventions until discharge. Control group participants received no physiotherapy interventions. Both groups received standard medical/nursing care involving a clinical pathway. Postoperative pulmonary complication data were recorded daily throughout hospitalisation by a physiotherapist blinded to group allocation using a diagnostic tool previously described. There was no significant difference between groups in baseline demographic data or in surgical interventions. Overall incidence of postoperative pulmonary complications was 3.9% (n = 3) and there was no significant difference between the incidence of postoperative pulmonary complications in the Treatment and Control group (p = 1.00, absolute risk reduction -0.02, 95% CI-0.13 to 0.11). No significant difference was found between groups for LOS (p = 0.87), with the median (interquartile range) length of stay for the Treatment group 6.0 (4.0) and the Control group 6.0 (1.0) days. Given the low incidence of postoperative pulmonary complications, these results suggest that prophylactic postoperative respiratory physiotherapy may not be required in addition to standard care involving a clinical pathway following open pulmonary resection.
dc.identifier.citationAbstracts from: Cardiorespiratory Physiotherapy Australia 11th Biennial National Scientific Conference, APA Conference Week 1–5 October 2009, Sydney, Australia, e-AJP, vol.55(4), pp.20-21
dc.identifier.urihttps://hdl.handle.net/10292/1865
dc.publisherAustralian Physiotherapy Association
dc.relation.urihttp://www.physiotherapy.asn.au/images/AJP/Documents/abstracts%202009.pdf
dc.rights© Australian Physiotherapy Association 2001. The definitive version was published in (see Citation). The original publication is available at (see Publisher's Version).
dc.rights.accessrightsOpenAccess
dc.titleDoes physiotherapy reduce the incidence of postoperative pulmonary complications following pulmonary resection via open thoracotomy? A randomised single-blind clinical trial
dc.typeConference Contribution
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
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
APA abstracts 2009.pdf
Size:
272.9 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
licence.htm
Size:
29.98 KB
Format:
Unknown data format
Description:
Download
Collections
School of Clinical Sciences