Pre- and postoperative cardiopulmonary rehabilitation in hospitalized patients undergoing coronary artery bypass surgery: a randomized controlled trial
Patients who have to wait in the hospital for coronary artery bypass surgery (CABG) are exposed to the potential risks of immobilization. This clinical trial was conducted to evaluate the effects of an in-hospital cardiopulmonary rehabilitation program performed before and after CABG on postoperativ...
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| Veröffentlicht in: | American journal of physical medicine & rehabilitation 2008-09, Vol.87 (9), p.714-719 |
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| container_title | American journal of physical medicine & rehabilitation |
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| creator | Herdy, Artur H Marcchi, Patrícia L B Vila, Adriano Tavares, Claudia Collaço, Jauro Niebauer, Josef Ribeiro, Jorge P |
| description | Patients who have to wait in the hospital for coronary artery bypass surgery (CABG) are exposed to the potential risks of immobilization. This clinical trial was conducted to evaluate the effects of an in-hospital cardiopulmonary rehabilitation program performed before and after CABG on postoperative outcomes.
Fifty-six patients who had to wait for CABG in-hospital were randomly assigned to a cardiopulmonary rehabilitation (Rehab; n = 29) or to usual care (Control; n = 27). In the Rehab group, intervention lasted for at least 5 days preoperatively until discharge. The program consisted of phase I cardiac rehabilitation associated with respiratory physical therapy. Outcomes were blindly evaluated.
By hospital discharge, Rehab patients presented a shorter time to endotracheal extubation (1054 +/- 376 vs. 1340 +/- 666 min, P = 0.05), a reduction in the incidence of pleural effusion (relative risk [RR] = 0.2; 95% confidence interval [CI]: 0.5-0.8), atelectasis (RR = 0.15; 95% CI: 0.03-0.8), pneumonia (0 vs. 7 cases, [P = 0.004]), and atrial fibrillation or flutter (RR = 0.2; 95% CI: 0.05-0.8). Length of in-hospital stay after surgery was also reduced in the Rehab group (5.9 +/- 1.1 vs. 10.3 +/- 4.6 days [P < 0.001]).
Pre- and postoperative cardiopulmonary rehabilitation in patients who await CABG in the hospital is superior to standard care and leads to a reduced rate of postoperative complications and shorter hospital stay. |
| doi_str_mv | 10.1097/PHM.0b013e3181839152 |
| format | Article |
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Fifty-six patients who had to wait for CABG in-hospital were randomly assigned to a cardiopulmonary rehabilitation (Rehab; n = 29) or to usual care (Control; n = 27). In the Rehab group, intervention lasted for at least 5 days preoperatively until discharge. The program consisted of phase I cardiac rehabilitation associated with respiratory physical therapy. Outcomes were blindly evaluated.
By hospital discharge, Rehab patients presented a shorter time to endotracheal extubation (1054 +/- 376 vs. 1340 +/- 666 min, P = 0.05), a reduction in the incidence of pleural effusion (relative risk [RR] = 0.2; 95% confidence interval [CI]: 0.5-0.8), atelectasis (RR = 0.15; 95% CI: 0.03-0.8), pneumonia (0 vs. 7 cases, [P = 0.004]), and atrial fibrillation or flutter (RR = 0.2; 95% CI: 0.05-0.8). Length of in-hospital stay after surgery was also reduced in the Rehab group (5.9 +/- 1.1 vs. 10.3 +/- 4.6 days [P < 0.001]).
Pre- and postoperative cardiopulmonary rehabilitation in patients who await CABG in the hospital is superior to standard care and leads to a reduced rate of postoperative complications and shorter hospital stay.</description><identifier>ISSN: 0894-9115</identifier><identifier>EISSN: 1537-7385</identifier><identifier>DOI: 10.1097/PHM.0b013e3181839152</identifier><identifier>PMID: 18716482</identifier><language>eng</language><publisher>United States</publisher><subject><![CDATA[Atrial Fibrillation - epidemiology ; Atrial Fibrillation - prevention & control ; Atrial Flutter - epidemiology ; Atrial Flutter - prevention & control ; Coronary Artery Bypass ; Coronary Artery Disease - rehabilitation ; Coronary Artery Disease - surgery ; Exercise Test ; Female ; Hospitalization ; Humans ; Intubation, Intratracheal ; Length of Stay - statistics & numerical data ; Male ; Middle Aged ; Pleural Effusion - epidemiology ; Pleural Effusion - prevention & control ; Pneumonia - epidemiology ; Pneumonia - prevention & control ; Postoperative Care ; Postoperative Complications - epidemiology ; Postoperative Complications - prevention & control ; Preoperative Care ; Pulmonary Atelectasis - epidemiology ; Pulmonary Atelectasis - prevention & control ; Spirometry ; Time Factors ; Ventilator Weaning]]></subject><ispartof>American journal of physical medicine & rehabilitation, 2008-09, Vol.87 (9), p.714-719</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c254t-6baad360cb0477c52da3e779ff8b07ea8ffc678cd283417138f2ff6b8bbd2da73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18716482$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Herdy, Artur H</creatorcontrib><creatorcontrib>Marcchi, Patrícia L B</creatorcontrib><creatorcontrib>Vila, Adriano</creatorcontrib><creatorcontrib>Tavares, Claudia</creatorcontrib><creatorcontrib>Collaço, Jauro</creatorcontrib><creatorcontrib>Niebauer, Josef</creatorcontrib><creatorcontrib>Ribeiro, Jorge P</creatorcontrib><title>Pre- and postoperative cardiopulmonary rehabilitation in hospitalized patients undergoing coronary artery bypass surgery: a randomized controlled trial</title><title>American journal of physical medicine & rehabilitation</title><addtitle>Am J Phys Med Rehabil</addtitle><description>Patients who have to wait in the hospital for coronary artery bypass surgery (CABG) are exposed to the potential risks of immobilization. This clinical trial was conducted to evaluate the effects of an in-hospital cardiopulmonary rehabilitation program performed before and after CABG on postoperative outcomes.
Fifty-six patients who had to wait for CABG in-hospital were randomly assigned to a cardiopulmonary rehabilitation (Rehab; n = 29) or to usual care (Control; n = 27). In the Rehab group, intervention lasted for at least 5 days preoperatively until discharge. The program consisted of phase I cardiac rehabilitation associated with respiratory physical therapy. Outcomes were blindly evaluated.
By hospital discharge, Rehab patients presented a shorter time to endotracheal extubation (1054 +/- 376 vs. 1340 +/- 666 min, P = 0.05), a reduction in the incidence of pleural effusion (relative risk [RR] = 0.2; 95% confidence interval [CI]: 0.5-0.8), atelectasis (RR = 0.15; 95% CI: 0.03-0.8), pneumonia (0 vs. 7 cases, [P = 0.004]), and atrial fibrillation or flutter (RR = 0.2; 95% CI: 0.05-0.8). Length of in-hospital stay after surgery was also reduced in the Rehab group (5.9 +/- 1.1 vs. 10.3 +/- 4.6 days [P < 0.001]).
Pre- and postoperative cardiopulmonary rehabilitation in patients who await CABG in the hospital is superior to standard care and leads to a reduced rate of postoperative complications and shorter hospital stay.</description><subject>Atrial Fibrillation - epidemiology</subject><subject>Atrial Fibrillation - prevention & control</subject><subject>Atrial Flutter - epidemiology</subject><subject>Atrial Flutter - prevention & control</subject><subject>Coronary Artery Bypass</subject><subject>Coronary Artery Disease - rehabilitation</subject><subject>Coronary Artery Disease - surgery</subject><subject>Exercise Test</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Intubation, Intratracheal</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pleural Effusion - epidemiology</subject><subject>Pleural Effusion - prevention & control</subject><subject>Pneumonia - epidemiology</subject><subject>Pneumonia - prevention & control</subject><subject>Postoperative Care</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - prevention & control</subject><subject>Preoperative Care</subject><subject>Pulmonary Atelectasis - epidemiology</subject><subject>Pulmonary Atelectasis - prevention & control</subject><subject>Spirometry</subject><subject>Time Factors</subject><subject>Ventilator Weaning</subject><issn>0894-9115</issn><issn>1537-7385</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUU1L5TAUDYOiz49_MEhW7qpJ0zapOxFnFBRdjOuSpDfPSJrUJBX0j8zfnYzvgeDq3I9zzuVyEPpJyRklPT9_vLk_I4pQBowKKlhP2_oHWtGW8Yoz0e6gFRF9U_WUtvvoIKUXQkjbM76H9qngtGtEvUJ_HyNUWPoRzyHlMEOU2b4B1jKONsyLm4KX8R1HeJbKOpvLOnhsPX4OaS6tsx9QxGUMPie8-BHiOli_xjrEjVbGDAXU-yxTwmmJ69JeYIljuRumTwMdfI7BuVLmaKU7QrtGugTHWzxET7-u_1zdVHcPv2-vLu8qXbdNrjol5cg6ohVpONdtPUoGnPfGCEU4SGGM7rjQYy1YQzllwtTGdEooNRYuZ4fodOM7x_C6QMrDZJMG56SHsKSh65uGk54VYrMh6hhSimCGOdqpvDdQMvwPZCiBDN8DKbKTrf-iJhi_RNsE2D8_PY2L</recordid><startdate>200809</startdate><enddate>200809</enddate><creator>Herdy, Artur H</creator><creator>Marcchi, Patrícia L B</creator><creator>Vila, Adriano</creator><creator>Tavares, Claudia</creator><creator>Collaço, Jauro</creator><creator>Niebauer, Josef</creator><creator>Ribeiro, Jorge P</creator><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>200809</creationdate><title>Pre- and postoperative cardiopulmonary rehabilitation in hospitalized patients undergoing coronary artery bypass surgery: a randomized controlled trial</title><author>Herdy, Artur H ; Marcchi, Patrícia L B ; Vila, Adriano ; Tavares, Claudia ; Collaço, Jauro ; Niebauer, Josef ; Ribeiro, Jorge P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c254t-6baad360cb0477c52da3e779ff8b07ea8ffc678cd283417138f2ff6b8bbd2da73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Atrial Fibrillation - epidemiology</topic><topic>Atrial Fibrillation - prevention & control</topic><topic>Atrial Flutter - epidemiology</topic><topic>Atrial Flutter - prevention & control</topic><topic>Coronary Artery Bypass</topic><topic>Coronary Artery Disease - rehabilitation</topic><topic>Coronary Artery Disease - surgery</topic><topic>Exercise Test</topic><topic>Female</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Intubation, Intratracheal</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pleural Effusion - epidemiology</topic><topic>Pleural Effusion - prevention & control</topic><topic>Pneumonia - epidemiology</topic><topic>Pneumonia - prevention & control</topic><topic>Postoperative Care</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - prevention & control</topic><topic>Preoperative Care</topic><topic>Pulmonary Atelectasis - epidemiology</topic><topic>Pulmonary Atelectasis - prevention & control</topic><topic>Spirometry</topic><topic>Time Factors</topic><topic>Ventilator Weaning</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Herdy, Artur H</creatorcontrib><creatorcontrib>Marcchi, Patrícia L B</creatorcontrib><creatorcontrib>Vila, Adriano</creatorcontrib><creatorcontrib>Tavares, Claudia</creatorcontrib><creatorcontrib>Collaço, Jauro</creatorcontrib><creatorcontrib>Niebauer, Josef</creatorcontrib><creatorcontrib>Ribeiro, Jorge P</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>American journal of physical medicine & rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Herdy, Artur H</au><au>Marcchi, Patrícia L B</au><au>Vila, Adriano</au><au>Tavares, Claudia</au><au>Collaço, Jauro</au><au>Niebauer, Josef</au><au>Ribeiro, Jorge P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pre- and postoperative cardiopulmonary rehabilitation in hospitalized patients undergoing coronary artery bypass surgery: a randomized controlled trial</atitle><jtitle>American journal of physical medicine & rehabilitation</jtitle><addtitle>Am J Phys Med Rehabil</addtitle><date>2008-09</date><risdate>2008</risdate><volume>87</volume><issue>9</issue><spage>714</spage><epage>719</epage><pages>714-719</pages><issn>0894-9115</issn><eissn>1537-7385</eissn><abstract>Patients who have to wait in the hospital for coronary artery bypass surgery (CABG) are exposed to the potential risks of immobilization. This clinical trial was conducted to evaluate the effects of an in-hospital cardiopulmonary rehabilitation program performed before and after CABG on postoperative outcomes.
Fifty-six patients who had to wait for CABG in-hospital were randomly assigned to a cardiopulmonary rehabilitation (Rehab; n = 29) or to usual care (Control; n = 27). In the Rehab group, intervention lasted for at least 5 days preoperatively until discharge. The program consisted of phase I cardiac rehabilitation associated with respiratory physical therapy. Outcomes were blindly evaluated.
By hospital discharge, Rehab patients presented a shorter time to endotracheal extubation (1054 +/- 376 vs. 1340 +/- 666 min, P = 0.05), a reduction in the incidence of pleural effusion (relative risk [RR] = 0.2; 95% confidence interval [CI]: 0.5-0.8), atelectasis (RR = 0.15; 95% CI: 0.03-0.8), pneumonia (0 vs. 7 cases, [P = 0.004]), and atrial fibrillation or flutter (RR = 0.2; 95% CI: 0.05-0.8). Length of in-hospital stay after surgery was also reduced in the Rehab group (5.9 +/- 1.1 vs. 10.3 +/- 4.6 days [P < 0.001]).
Pre- and postoperative cardiopulmonary rehabilitation in patients who await CABG in the hospital is superior to standard care and leads to a reduced rate of postoperative complications and shorter hospital stay.</abstract><cop>United States</cop><pmid>18716482</pmid><doi>10.1097/PHM.0b013e3181839152</doi><tpages>6</tpages></addata></record> |
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| subjects | Atrial Fibrillation - epidemiology Atrial Fibrillation - prevention & control Atrial Flutter - epidemiology Atrial Flutter - prevention & control Coronary Artery Bypass Coronary Artery Disease - rehabilitation Coronary Artery Disease - surgery Exercise Test Female Hospitalization Humans Intubation, Intratracheal Length of Stay - statistics & numerical data Male Middle Aged Pleural Effusion - epidemiology Pleural Effusion - prevention & control Pneumonia - epidemiology Pneumonia - prevention & control Postoperative Care Postoperative Complications - epidemiology Postoperative Complications - prevention & control Preoperative Care Pulmonary Atelectasis - epidemiology Pulmonary Atelectasis - prevention & control Spirometry Time Factors Ventilator Weaning |
| title | Pre- and postoperative cardiopulmonary rehabilitation in hospitalized patients undergoing coronary artery bypass surgery: a randomized controlled trial |
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