Pulmonary Disease
Conditions
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.
Interventions
COMBINATION_PRODUCTpreoperative respiratory exercises
Participants in Group 1 will receive a combination of preoperative respiratory exercises designed to improve lung function and reduce the risk of postoperative pulmonary complications. The intervention includes:
COMBINATION_PRODUCTStandard Care (Control Group)
Participants in Group 2 will receive standard preoperative care provided by the hospital, which includes routine instructions related to surgery such as fasting guidelines, medication administration, and anesthesia protocols. No preoperative respiratory exercises (incentive spirometry, chest physiotherapy, or deep breathing exercises) will be provided to this group. This group serves as a control to compare the outcomes with the intervention group.
Sponsors
Superior University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to No maximum
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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 |
Countries
Pakistan
Outcome results
None listed