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Home  >  Medical Research Archives  >  Issue 149  > Short-term in-hospital Pulmonary Rehabilitation versus perioperative Short-term in-hospital Chest Therapy before lung cancer resection: a randomized controlled trial
Published in the Medical Research Archives
Apr 2020 Issue

Short-term in-hospital Pulmonary Rehabilitation versus perioperative Short-term in-hospital Chest Therapy before lung cancer resection: a randomized controlled trial

Published on Apr 24, 2020

DOI 

Abstract

 

Objective: The aim of this study is to evaluate the effect of pulmonary resection and perioperative Short-term in-hospital Pulmonary Rehabilitation (SPR) versus perioperative Short-term in-hospital Chest Therapy (SCT) on the functional capacity and postoperative morbidity of patients with poor lung function.

Design: Single-blind randomized control trial.

Setting: Thoracic surgery department at “Santo Spirito” Civil Hospital – Pescara (Italy)

Participants: Patients undergoing elective lung cancer resection (N=30).

Interventions: Patients were randomly assigned to receive daily SPR (pulmonary rehabilitation, self-management and endurance training) versus daily SCT (breathing exercises). Both groups received early postoperative rehabilitation.

Outcome Measures: Pulmonary functional parameters assessed at baseline and prior to surgery (phase 1), hospital length of stay and pulmonary complications assessed after lung cancer resection (phase 2).

Results: Thirty patients were randomly assigned to the SPR arm (15) and SCT arm (15).

During phase 1 evaluation: Forced Vital Capacity (FVC) (p 0,0001); percentage of predicted FVC (p 0,0002); Forced Expiratory Volume in the first second (FEV1) (p 0,0001); percentage of predicted FEV1 (p 0,0001). Percentage of change from baseline to prior to surgery in two groups SPR: FVC (18%); percentage of predicted FVC (20%); FEV1 (29%); percentage of predicted FEV1 (25%). SCT: FVC (10%); percentage of predicted FVC (11%); FEV1 (9%); percentage of predicted FEV1 (9%).

Phase 2: the SPR group SPR group was in a favorable clinical condition compared with the SCT arm and the SPR group had a shorter length of postoperative stay (15 ± 5 vs 17 ±5, respectively).

Conclusions: Despite poor lung function, these findings suggest that a feasible perioperative SPR before lung cancer resection improves preoperative functional capacity and decreases the postoperative respiratory morbidity.

Author info

Giovanni Barassi, Antonella Di Iulio, Marco Casaccia, Carlo D'aurizio, Vitalma Liotti, Loris Prosperi, Angelo Di Iorio

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