What is the prevalence of inspiratory muscle weakness in preoperative cardiac surgery patients? An observational study

被引：9
作者：
D'Arx, Ashleigh [1 ]
Freene, Nicole [1 ]
Bowen, Sarah [2 ]
Bissaker, Peter [2 ,3 ]
McKay, Glenn [2 ,3 ]
Bissett, Bernie [1 ,3 ]
机构：
[1] Univ Canberra, Fac Hlth, Discipline Physiotherapy, Bruce, ACT, Australia
[2] Natl Capital Private Hosp, Garran, ACT, Australia
[3] Canberra Hosp, Garran, ACT, Australia
来源：
HEART & LUNG | 2020年 / 49卷 / 06期
关键词：
Physiotherapy (techniques); Respiratory muscles; Coronary artery bypass; Exercise; POSTOPERATIVE PULMONARY COMPLICATIONS; BODY-MASS INDEX; RISK-FACTORS; PREDICTION; OUTCOMES; OBESITY;
D O I：
10.1016/j.hrtlng.2020.06.012
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Background: In patients undergoing elective cardiac surgery, the prevalence of inspiratory muscle weakness is not well-understood. This information could guide pre-operative therapy. Objectives: To determine the prevalence of inspiratory muscle weakness in preoperative cardiac surgery patients, and describe relationships between pre-operative factors (including maximal inspiratory pressure, MIP) and post-operative pulmonary complications (PPCs). Methods: Prospective study of elective cardiac surgery patients. Pre-operative MIP was measured (cmH(2)O) and PPC data were extracted from medical records (Melbourne Group Score) while age, height, weight, frailty and physical activity levels were captured via questionnaire. Backwards-stepwise logistic regression was used to describe associations. Results: 24 participants were recruited (79% male, age 70 +/- 10.7, BMI 26.8 +/- 4.14). The prevalence of inspiratory muscle weakness (MIP < 60% predicted) was 25% (n = 6). PPCs were associated with body mass index (BMI) (r = 0.464, p = 0.022). Conclusion: The prevalence of pre-operative inspiratory muscle weakness was 25%. BMI may be an important determinant of PPCs in elective cardiac surgery patients. (C) 2020 Elsevier Inc. All rights reserved.
引用
收藏
页码：909 / 914
页数：6
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