| Title: |
Current practice of targeted breathing exercises after abdominal and cardiothoracic surgery : a national multicentre observational study |
| Authors: |
Fagevik Olsén, Monika; Svensson-Raskh, Anna; Westerdahl, Elisabeth; Nygren Bonnier, Malin; Reeve, Julie; Sehlin, Maria |
| Publisher Information: |
Umeå universitet, Avdelningen för fysioterapi; Department of Health and Rehabilitation/Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Stockholm, Sweden; Women´s Health and Allied Health Professionals Theme, Medical Unit Allied Health Professionals, Karolinska University Hospital, Stockholm, Sweden; University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; School of Clinical Sciences, Faculty of Health, and Environmental Studies, AUT University, Auckland, New Zealand |
| Publication Year: |
2025 |
| Collection: |
Umeå University: Publications (DiVA) |
| Subject Terms: |
Abdominal surgery; Breathing exercises; Cardiothoracic surgery; Postoperative; Physiotherapy; Fysioterapi; Rehabilitation Medicine; Rehabiliteringsmedicin |
| Description: |
Objectives: To describe the timing and type of the first targeted breathing exercises after abdominal and cardiothoracic surgery, and to identify factors associated with early initiation (Commencement within three hours after arriival to a postoperative ward). Design: Multicentre observational study. Methods: In 18 hospitals in Sweden, the start time and type of targeted breathing exercises were recorded in consecutive series of patients who underwent abdominal or cardiothoracic surgery. Demographic data were retrieved from hospital records. Patients were divided into seven groups based on the category of surgery. Results: In total, 1492 patients were included in this study; of these, 1128 (76%) performed some form of targeted breathing exercise after surgery. Targeted breathing exercises commenced a median of 3.63 hours (interquartile range 1.58 to 11.75 hours) after arrival on a postoperative ward, with earlier commencement after minor abdominal surgery and later commencement after major abdominal surgery (P < 0.001). Most patients who performed targeted breathing exercises used positive expiratory pressure (n = 968/1492, 65%) or deep breathing without any devices (n = 207/1492, 14%). The odds of initiating breathing exercises within the first 3 hours after arrival on a postoperative ward were higher if a patient underwent pulmonary or abdominal surgery [odds ratio (OR) > 2.04; P < 0.001], or had intravenous analgesia (OR 1.50, 95% CI 1.05 to 2.14; P = 0.026). The odds were lower (OR 0.43, 95% CI 0.21 to 0.88; P = 0.021) for patients who arrived on the postoperative ward in the evening/night or for patients who had undergone laparoscopic surgery (OR 0.63, 0.43-0.92, p=0.018). Conclusion: The majority (76%) of patients undergoing abdominal or cardiothoracic surgery performed some form of targeted breathing exercise, starting a median of 3.63 hours after arrival on a postoperative ward. |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| Relation: |
Physiotherapy, 0031-9406, 2025, 127; PMID 39946932 |
| DOI: |
10.1016/j.physio.2024.101462 |
| Availability: |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-235659; https://doi.org/10.1016/j.physio.2024.101462 |
| Rights: |
info:eu-repo/semantics/openAccess |
| Accession Number: |
edsbas.C8EDEC04 |
| Database: |
BASE |