A Pilot Study of the Incidence of Post-thoracotomy Pulmonary Complications and the Effectiveness of Pre-thoracotomy Physiotherapy Patient Education

作者：Reid Julie C^*; Jamieson Anne; Bond Jennifer; Versi Bashir M; Nagar Arpit; Ng Bernard H K; Moreland Julie D

来源：Physiotherapy Canada, 2010, 62(1): 66-74.

DOI：10.3138/physio.62.1.66

• education
• postoperative pulmonary complications
• preoperative physiotherapy
• thoracotomy

Purpose: To estimate the incidence and examine the pattern of post-thoracotomy pulmonary complications (PPC) that are amenable to physiotherapy treatment and to estimate the effect size of a pre-thoracotomy physiotherapy education session compared to no preoperative physiotherapy for reducing PPC.
Methods: Forty-two patients undergoing thoracotomy participated in this two-group retrospective-prospective cohort study. The preop group (n = 22) received physiotherapy education prior to surgery and the no preop group (n = 20) did not receive preoperative physiotherapy education. Chest radiographs were examined for PPC for 5 days postoperatively. Incidences of PPC were determined. The effect size was based on a grand count of PPC.
Results: The 5-day incidence of atelectasis, collapse, consolidation, and other complications was 85.0%, 39.0%, 31.7%, and 38.1%, respectively. Patterns of PPC showed large increases at days 2 and 3. The effect size for pre-thoracotomy physiotherapy education was zero.
Conclusions: In our sample, incidence of PPC was high and did not substantially differ based on whether or not preoperative education was provided.

• 出版日期2010