What is the prevalence of inspiratory muscle weakness in preoperative cardiac surgery patients? An observational study
•Prior to elective cardiac surgery, 25% of patients had inspiratory muscle weakness.•Post operative pulmonary complications were associated with BMI (r = 0.46, p = 0.02).•BMI may be an important predictor of complications following cardiac surgery. In patients undergoing elective cardiac surgery, th...
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| Veröffentlicht in: | Heart & lung 2020-11, Vol.49 (6), p.909-914 |
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| creator | D'Arx, Ashleigh Freene, Nicole Bowen, Sarah Bissaker, Peter McKay, Glenn Bissett, Bernie |
| description | •Prior to elective cardiac surgery, 25% of patients had inspiratory muscle weakness.•Post operative pulmonary complications were associated with BMI (r = 0.46, p = 0.02).•BMI may be an important predictor of complications following cardiac surgery.
In patients undergoing elective cardiac surgery, the prevalence of inspiratory muscle weakness is not well-understood. This information could guide pre-operative therapy.
To determine the prevalence of inspiratory muscle weakness in preoperative cardiac surgery patients, and describe relationships between pre-operative factors (including maximal inspiratory pressure, MIP) and post-operative pulmonary complications (PPCs).
Prospective study of elective cardiac surgery patients. Pre-operative MIP was measured (cmH2O) and PPC data were extracted from medical records (Melbourne Group Score) while age, height, weight, frailty and physical activity levels were captured via questionnaire. Backwards-stepwise logistic regression was used to describe associations.
24 participants were recruited (79% male, age 70 ± 10.7, BMI 26.8 ± 4.14). The prevalence of inspiratory muscle weakness (MIP < 60% predicted) was 25% (n = 6). PPCs were associated with body mass index (BMI) (r = 0.464, p = 0.022).
The prevalence of pre-operative inspiratory muscle weakness was 25%. BMI may be an important determinant of PPCs in elective cardiac surgery patients. |
| doi_str_mv | 10.1016/j.hrtlng.2020.06.012 |
| format | Article |
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In patients undergoing elective cardiac surgery, the prevalence of inspiratory muscle weakness is not well-understood. This information could guide pre-operative therapy.
To determine the prevalence of inspiratory muscle weakness in preoperative cardiac surgery patients, and describe relationships between pre-operative factors (including maximal inspiratory pressure, MIP) and post-operative pulmonary complications (PPCs).
Prospective study of elective cardiac surgery patients. Pre-operative MIP was measured (cmH2O) and PPC data were extracted from medical records (Melbourne Group Score) while age, height, weight, frailty and physical activity levels were captured via questionnaire. Backwards-stepwise logistic regression was used to describe associations.
24 participants were recruited (79% male, age 70 ± 10.7, BMI 26.8 ± 4.14). The prevalence of inspiratory muscle weakness (MIP < 60% predicted) was 25% (n = 6). PPCs were associated with body mass index (BMI) (r = 0.464, p = 0.022).
The prevalence of pre-operative inspiratory muscle weakness was 25%. BMI may be an important determinant of PPCs in elective cardiac surgery patients.</description><identifier>ISSN: 0147-9563</identifier><identifier>EISSN: 1527-3288</identifier><identifier>DOI: 10.1016/j.hrtlng.2020.06.012</identifier><identifier>PMID: 32703620</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Cardiac Surgical Procedures - adverse effects ; Coronary artery bypass ; Exercise ; Female ; Humans ; Male ; Middle Aged ; Muscle Weakness - epidemiology ; Muscle Weakness - etiology ; Physiotherapy (techniques) ; Prevalence ; Prospective Studies ; Respiratory Muscles</subject><ispartof>Heart & lung, 2020-11, Vol.49 (6), p.909-914</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-f9d19dca1e39629b3d817efac0d9e440f1ff9f2444aebe79142f9abbc02e8f263</citedby><cites>FETCH-LOGICAL-c362t-f9d19dca1e39629b3d817efac0d9e440f1ff9f2444aebe79142f9abbc02e8f263</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.hrtlng.2020.06.012$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32703620$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>D'Arx, Ashleigh</creatorcontrib><creatorcontrib>Freene, Nicole</creatorcontrib><creatorcontrib>Bowen, Sarah</creatorcontrib><creatorcontrib>Bissaker, Peter</creatorcontrib><creatorcontrib>McKay, Glenn</creatorcontrib><creatorcontrib>Bissett, Bernie</creatorcontrib><title>What is the prevalence of inspiratory muscle weakness in preoperative cardiac surgery patients? An observational study</title><title>Heart & lung</title><addtitle>Heart Lung</addtitle><description>•Prior to elective cardiac surgery, 25% of patients had inspiratory muscle weakness.•Post operative pulmonary complications were associated with BMI (r = 0.46, p = 0.02).•BMI may be an important predictor of complications following cardiac surgery.
In patients undergoing elective cardiac surgery, the prevalence of inspiratory muscle weakness is not well-understood. This information could guide pre-operative therapy.
To determine the prevalence of inspiratory muscle weakness in preoperative cardiac surgery patients, and describe relationships between pre-operative factors (including maximal inspiratory pressure, MIP) and post-operative pulmonary complications (PPCs).
Prospective study of elective cardiac surgery patients. Pre-operative MIP was measured (cmH2O) and PPC data were extracted from medical records (Melbourne Group Score) while age, height, weight, frailty and physical activity levels were captured via questionnaire. Backwards-stepwise logistic regression was used to describe associations.
24 participants were recruited (79% male, age 70 ± 10.7, BMI 26.8 ± 4.14). The prevalence of inspiratory muscle weakness (MIP < 60% predicted) was 25% (n = 6). PPCs were associated with body mass index (BMI) (r = 0.464, p = 0.022).
The prevalence of pre-operative inspiratory muscle weakness was 25%. BMI may be an important determinant of PPCs in elective cardiac surgery patients.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiac Surgical Procedures - adverse effects</subject><subject>Coronary artery bypass</subject><subject>Exercise</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Muscle Weakness - epidemiology</subject><subject>Muscle Weakness - etiology</subject><subject>Physiotherapy (techniques)</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Respiratory Muscles</subject><issn>0147-9563</issn><issn>1527-3288</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFu1DAQQC1ERZfCHyDkI5cE2_Em8QVUVS0gVeJSxNFy7HHXSzYOHifV_j1ebeGIL2PNvPF4HiHvOKs54-3Hfb1LeZwea8EEq1lbMy5ekA3fiq5qRN-_JBvGZVepbdtckteIe1ZO03avyGUjunITbEPWnzuTaUCad0DnBKsZYbJAo6dhwjkkk2M60sOCdgT6BObXBIildoLjDKUeVqDWJBeMpbikRyj8XNIwZfxMrycaB4S0lkyczEgxL-74hlx4MyK8fY5X5Mfd7cPN1-r--5dvN9f3lS3fy5VXjitnDYdGtUINjet5B95Y5hRIyTz3XnkhpTQwQKe4FF6ZYbBMQO9F21yRD-d35xR_L4BZHwJaGEczQVxQCym6hvVKbQsqz6hNETGB13MKB5OOmjN9Mq73-mxcn4xr1upivLS9f56wDAdw_5r-Ki7ApzMAZc81QNJow8mxCwls1i6G_0_4A_7Pl3M</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>D'Arx, Ashleigh</creator><creator>Freene, Nicole</creator><creator>Bowen, Sarah</creator><creator>Bissaker, Peter</creator><creator>McKay, Glenn</creator><creator>Bissett, Bernie</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202011</creationdate><title>What is the prevalence of inspiratory muscle weakness in preoperative cardiac surgery patients? An observational study</title><author>D'Arx, Ashleigh ; Freene, Nicole ; Bowen, Sarah ; Bissaker, Peter ; McKay, Glenn ; Bissett, Bernie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-f9d19dca1e39629b3d817efac0d9e440f1ff9f2444aebe79142f9abbc02e8f263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cardiac Surgical Procedures - adverse effects</topic><topic>Coronary artery bypass</topic><topic>Exercise</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Muscle Weakness - epidemiology</topic><topic>Muscle Weakness - etiology</topic><topic>Physiotherapy (techniques)</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Respiratory Muscles</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>D'Arx, Ashleigh</creatorcontrib><creatorcontrib>Freene, Nicole</creatorcontrib><creatorcontrib>Bowen, Sarah</creatorcontrib><creatorcontrib>Bissaker, Peter</creatorcontrib><creatorcontrib>McKay, Glenn</creatorcontrib><creatorcontrib>Bissett, Bernie</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Heart & lung</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>D'Arx, Ashleigh</au><au>Freene, Nicole</au><au>Bowen, Sarah</au><au>Bissaker, Peter</au><au>McKay, Glenn</au><au>Bissett, Bernie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>What is the prevalence of inspiratory muscle weakness in preoperative cardiac surgery patients? An observational study</atitle><jtitle>Heart & lung</jtitle><addtitle>Heart Lung</addtitle><date>2020-11</date><risdate>2020</risdate><volume>49</volume><issue>6</issue><spage>909</spage><epage>914</epage><pages>909-914</pages><issn>0147-9563</issn><eissn>1527-3288</eissn><abstract>•Prior to elective cardiac surgery, 25% of patients had inspiratory muscle weakness.•Post operative pulmonary complications were associated with BMI (r = 0.46, p = 0.02).•BMI may be an important predictor of complications following cardiac surgery.
In patients undergoing elective cardiac surgery, the prevalence of inspiratory muscle weakness is not well-understood. This information could guide pre-operative therapy.
To determine the prevalence of inspiratory muscle weakness in preoperative cardiac surgery patients, and describe relationships between pre-operative factors (including maximal inspiratory pressure, MIP) and post-operative pulmonary complications (PPCs).
Prospective study of elective cardiac surgery patients. Pre-operative MIP was measured (cmH2O) and PPC data were extracted from medical records (Melbourne Group Score) while age, height, weight, frailty and physical activity levels were captured via questionnaire. Backwards-stepwise logistic regression was used to describe associations.
24 participants were recruited (79% male, age 70 ± 10.7, BMI 26.8 ± 4.14). The prevalence of inspiratory muscle weakness (MIP < 60% predicted) was 25% (n = 6). PPCs were associated with body mass index (BMI) (r = 0.464, p = 0.022).
The prevalence of pre-operative inspiratory muscle weakness was 25%. BMI may be an important determinant of PPCs in elective cardiac surgery patients.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32703620</pmid><doi>10.1016/j.hrtlng.2020.06.012</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Aged Aged, 80 and over Cardiac Surgical Procedures - adverse effects Coronary artery bypass Exercise Female Humans Male Middle Aged Muscle Weakness - epidemiology Muscle Weakness - etiology Physiotherapy (techniques) Prevalence Prospective Studies Respiratory Muscles |
| title | What is the prevalence of inspiratory muscle weakness in preoperative cardiac surgery patients? An observational study |
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