Is Incentive Spirometry Superior to Standard Care in Postoperative Cardiac Surgery on Clinical Outcomes and Length of Hospital and Intensive Care Unit Stay? A Systematic Review with Meta-Analysis.

Silva, Hiago Vinicius Costa;Lunardi, Adriana Claudia;Pinto, Ana Carolina Pereira Nunes;Ribeiro Fonseca Franco de Macedo, Juliana;Santos, Elinaldo da Conceição Dos
(2024) Revista Brasileira de Cirurgia Cardiovascular — Vol. 39, n° 3, p. e20220319 [1-33] (2024)

Files

2024_Silva_Braz_J_Cardiovasc_Surg.pdf
  • Open Access
  • Adobe PDF
  • 4.92 MB
  • https://creativecommons.org/licenses/by/4.0/
Download

Details

Authors
  • Silva, Hiago Vinicius Costa
    Author
  • Lunardi, Adriana Claudia
    Author
  • Pinto, Ana Carolina Pereira Nunes
    Author
  • Ribeiro Fonseca Franco de Macedo, JulianaUCLouvain
    Author
  • Santos, Elinaldo da Conceição Dosorcid-logo
    Author
Abstract
INTRODUCTION: Cardiac surgery is a frequent surgical procedure and may present a high risk of complications. Among the prophylactic strategies studied to decrease the rates of negative outcomes, respiratory care seems to reduce pulmonary complications. Incentive spirometry (IS) is a low-cost, respiratory exercise technique, used for the prevention and treatment of postoperative pulmonary complications (PPC). The aim of this review was to evaluate whether IS is superior to respiratory care, mobilization exercises, and noninvasive ventilation on PPC, and clinical outcomes. METHODS: Systematic review. Medical Literature Analysis and Retrieval System Online (or MEDLINE®), Embase®, Cochrane Central Register of Controlled Trials (or CENTRAL), Physiotherapy Evidence Database (or PEDro), Cumulative Index of Nursing and Allied Health (or CINAHL®), Latin American and Caribbean Health Sciences Literature (or LILACS), Scientific Electronic Library Online (or SciELO), Allied, Scopus®, and OpenGrey databases, clinical trial registration sites, conferences, congresses, and symposiums were searched. RESULTS: Twenty-one randomized trials and one quasi-randomized trial (1,677 participants) were included. For partial pressure of oxygen (PaO2), IS was inferior to respiratory care (mean difference [MD] -4.48; 95% confidence interval [CI] -8.32 to -0.63). Flow-oriented IS was inferior to respiratory care on PaO2 (MD -4.53; 95% CI -8.88 to -0.18). However, compared to respiratory care, flow-oriented IS was superior on recovery vital capacity. CONCLUSIONS: This meta-analysis revealed that IS was not superior to standard respiratory care for PPCs and clinical outcomes, therefore its use should not be widely recommended until further studies with high quality be performed to ensure this clinical guidance.
Affiliations

Citations

  • APA
  • Chicago
  • FWB

Silva, H. V. C., Lunardi, A. C., Pinto, A. C. P. N., Ribeiro Fonseca Franco de Macedo, J., & Santos, E. d. C. D. (2024). Is Incentive Spirometry Superior to Standard Care in Postoperative Cardiac Surgery on Clinical Outcomes and Length of Hospital and Intensive Care Unit Stay? A Systematic Review with Meta-Analysis. Revista Brasileira de Cirurgia Cardiovascular, 39(3), e20220319 [1-33]. https://doi.org/10.21470/1678-9741-2022-0319 (Original work published 2024)