Evaluating the Impact of Preoperative Respiratory Exercises on Post-Surgical Pulmonary Outcomes: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 126
- 试验地点
- 2
- 主要终点
- Postoperative Pulmonary Complication (PPC) assessment
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.
结局指标
主要结局
Postoperative Pulmonary Complication (PPC) assessment
时间窗: 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
次要结局
未报告次要终点
研究者
Muhammad Naveed Babur
Principal Investigator
Superior University