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

Author:

Reid Julie C.,Jamieson Anne,Bond Jennifer,Versi Bashir M.,Nagar Arpit,Ng Bernard H.K.,Moreland Julie D.

Abstract

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.

Publisher

University of Toronto Press Inc. (UTPress)

Subject

Physical Therapy, Sports Therapy and Rehabilitation

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