Effects of perioperative respiratory rehabilitation in lung cancer resection: a pilot study

Author:

Antonella Di Iulio1ORCID,Carlo D’Aurizio2,Marzia Damiani3,Marco Casaccia4,Antonio Fabio De Filippis5

Affiliation:

1. MSc, U.O.C. Thoracic Surgery. "Santo Spirito" Hospital Pescara, ASL Pescara (Pescara-IT).

2. MD, Physical Medicine and Rehabilitation Specialist, Director of U.O.C. of Physical Medicine and Rehabilitation of the Hospital of Popoli (Pescara-IT); Local Health Company ASL Pescara (Pescara-IT).

3. MSc, PP.OO. Organization of Technical Rehabilitation Activities, Territorial Services of the Area ASL Pescara (Pescara-IT).

4. MD, Thoracic Surgery, Director F.F. U.O.C. Thoracic Surgery. "Santo Spirito" Hospital Pe-scara, ASL Pescara (Pescara-IT).

5. MD, Thoracic Surgery, Director F.F. U.O.C. Thoracic Surgery. "Santo Spirito" Hospital Pesca-ra, ASL Pescara (Pescara-IT).

Abstract

The aim of this study is to evaluate the impact of short term Preoperative Respiratory Rehabili-tation (PRR) on the changes of respiratory functions and clinical conditions in patients with ma-lignant lung cancer lesion and reduced respiratory functions, with high risk to develop postop-erative pulmonary complications (PPCs). A total of 15 patients were treated with PRR protocol. The rehabilitation programme was concluded by all patients. They showed a statistically signifi-cant improvement of lung functionality Forced Vital Capacity (FVC) (p=0,004), Forced Expira-tion Value in the first second (FEV1) (p<0,001) and walking distance (p<0,001). In addition, there was a significant enhancement of Partial Oxygen Saturation (SpO2) (p=0,002), Hart Rate (HR) (p=0,002) and Borg Dyspnoea Scale values (p=0,003) indicate a better cardiorespiratory functionality. In conclusion a short feasible PRR is suitable in patients’ candidate to thoracic surgery.

Publisher

Ordine TSRM PSTRP di Napoli, Avellino, Benevento

Subject

Earth-Surface Processes

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