Perioperative breathing exercises significantly reduced the incidence of postoperative pulmonary complications compared to standard care alone (15.6% vs. 42.9%, P<0.001) in OPCABG patients.
RCT (n=154)
1:1
No
Do perioperative breathing exercises reduce postoperative pulmonary complications in patients undergoing off-pump coronary artery bypass graft surgery?
Perioperative breathing exercises significantly reduce postoperative pulmonary complications and improve functional capacity and quality of life in patients undergoing off-pump CABG.
Absolute Event Rate: 15.6% vs 42.9%
p-value: p=<0.001
AbstractObjective To explore the impact of perioperative breathing exercises on postoperative pulmonary complications (PPC) in patients undergoing off-pump coronary artery bypass graft (OPCABG) surgery. Design A single-center, randomized controlled pilot study. Setting The inpatient unit of a tertiary hospital affiliated with a university in Beijing, China. Participants A total of 154 eligible elective OPCABG patients were randomized 1:1 to the intervention group (perioperative breathing exercises + standard care, n=77) or control group (standard care only, n=77). Intervention Breathing exercises (balloon-blowing, deep breathing, and coughing) performed for at least five days before surgery, in addition to standard perioperative care. Measurements & Main Results PPC incidence was significantly lower in the intervention group (15.6% vs. 42.9%, PConclusion Perioperative breathing exercises may reduce PPC incidence, preserve arterial oxygenation, improve functional capacity and quality of life in OPCABG patients. Larger multicenter studies are warranted to confirm these preliminary findings.
Li et al. (Fri,) conducted a rct in off-pump coronary artery bypass graft (OPCABG) surgery (n=154). Perioperative breathing exercises vs. Standard care only was evaluated on Postoperative pulmonary complications (PPC) (p=<0.001). Perioperative breathing exercises significantly reduced the incidence of postoperative pulmonary complications compared to standard care alone (15.6% vs. 42.9%, P<0.001) in OPCABG patients.
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