Effect of Respiratory Muscle Training in Malnourished Patients Undergoing Upper Abdominal Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Undernutrition
- Sponsor
- University of Sao Paulo General Hospital
- Enrollment
- 45
- Locations
- 1
- Primary Endpoint
- Expiratory peak flow in spirometry
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
Malnutrition affects 50% of hospitalized patients around the world and causes changes in respiratory muscles predisposing the development of pulmonary complications probable, because of the ineffectiveness of cough. How the training of respiratory muscles can improve the effectiveness of cough, malnourished patients could benefit from this train however, the training of the muscles in malnourished patients has not been tested for safety or efficiency. So, the aim of this study is to assess the safety and efficiency of respiratory muscle training to improve the potency of cough in malnourished patients.
Investigators
Eligibility Criteria
Inclusion Criteria
- •hospitalized malnourished patients (BMI ≤ 20 Kg/m2, loss of body weight ≥ 10% unintentional, or serum albumin \<3.5 g/dL)
- •candidate to elective abdominal surgery
- •ability to perform all evaluations and training
Exclusion Criteria
- •previous respiratory disease
- •necessity of over than 48h of mechanical ventilation
- •reoperation
Outcomes
Primary Outcomes
Expiratory peak flow in spirometry
Time Frame: on the 8th day of protocol (after 7 dyas of training)
Assessed as expiratory peak flow in spirometry
Secondary Outcomes
- Maximum respiratory pressures(on the 8th day of protocol (after 7 days of training))
- Postoperative pulmonary complication(participants will be followed for the duration of hospital stay after surgery, an expected average of 10 days)