Evaluating the Impact of Preoperative Respiratory Exercises on Post-Surgical Pulmonary Outcomes RCT

Not Applicable

Active, not recruiting

• Conditions: Pulmonary Disease

• Registration Number: NCT07048678
• Lead Sponsor: Superior University

Brief Summary

This randomized controlled trial aims to evaluate the role of preoperative respiratory exercises in reducing postoperative pulmonary complications (PPCs) such as atelectasis, pneumonia, and hypoxia, and in shortening the hospital stay in surgical patients. A total of 126 adult patients (\>40 years), scheduled for total knee or hip replacement surgeries at Horizon Hospital Lahore, will be randomly assigned into two groups: the intervention group and the control group.

Detailed Description

The intervention group will receive preoperative respiratory exercises including incentive spirometry, deep breathing exercises, and chest physiotherapy, one day before surgery. The control group will receive standard preoperative care without any respiratory exercises. Clinical assessments post-surgery will determine the presence of PPCs and hospital stay duration.

Study Timeline

• Study Start: 2025-03-17
• Status Verified: 2025-06
• Study First Submitted: 2025-06-24
• Study First Submitted QC: 2025-06-24
• Last Update Submitted: 2025-06-24
• Study First Posted: 2025-07-02
• Last Update Posted: 2025-07-02
• Primary Completion: 2025-09-01
• Study Completion: 2026-02-28

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 126

Inclusion Criteria

• Adults aged over 40 years.
• Scheduled for total knee replacement (TKR) or total hip replacement (THR) surgery.
• Able to understand and follow instructions (cognitively intact).
• Provide informed consent to participate.

Exclusion Criteria

• Patients will be excluded from the study if they meet any of the following conditions:
• Age below 40 years.
• Pregnancy.
• Edentulous patients (patients with no teeth).
• Patients with spinal or backbone injuries.
• Patients with contraindications to incentive spirometry or chest physiotherapy (e.g., recent eye surgery, rib fractures).
• Patients with impaired cognitive function who are unable to perform respiratory exercises correctly.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Postoperative Pulmonary Complication (PPC) assessment	12 Months	Postoperative Pulmonary Complication (PPC) assessment involves evaluating various risk factors to predict the likelihood of respiratory complications after surgery. The ARISCAT score is a widely used tool for this purpose, assigning points based on factors like age, preoperative oxygen saturation, respiratory infection history, anemia, surgical incision type, surgery duration, and whether it was an emergency procedure. Other assessment methods include the PPC Risk Prediction Score (focused on lung function, weight loss, and incision type) and indices like the Shapiro index and PI score

Trial Locations

Locations (1)

Horizon hospital, 03, 404, 436 Block D-II, M.A Block D 2, Phase 1, Johar Town; 🇵🇰 Lahore, Punjab, Pakistan