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| Format: | Artículo científico |
| Langue: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2015
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| Accès en ligne: | https://www.redalyc.org/articulo.oa?id=398941897009 |
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- A propose of pulmonary dysfunction stratification after valve surgery by physiotherapeutic assistance level Satiko Shimada Franco Luiz Marcelo Sá Malbouisson Max Grinberg Maria Ignêz Zanetti Feltrim Medicina Vital Capacity Thoracic Surgery Physical Therapy Modalities Objective: a) to propose and implement an evaluation system; b) to classify the pulmonary involvement and determine levels of physical therapy; c) to check the progress postoperatively. Methods: Patients underwent physiotherapy assessment preoperatively, postoperatively and after 5 days of intervention. They were classified into three levels of care: level 1 - low risk of complication; Level 2 - medium risk; Level 3 - high risk. We used analysis of variance and Kruskal-Wallis and analysis of variance for repeated measures or Friedman. Chi-square test or Fisher for proportions. We considered statistical significance level P <0.05. Results: We studied 199 patients, 156 classified within level 1, 32 at level 2 and 11 at level 3. Thoracoabdominal motion and auscultation changed significantly postoperatively, persisting at levels 2 and 3 ( P <0.05). Oxygenation and respiratory rate changed at levels 2 and 3 postoperatively ( P <0.05) with recov - ery at the end. Significant decrease in lung volumes occurred in three levels ( P <0.05) with partial recovery at level 1, lung col - lapse occurred at all levels, with recovery by 56% at level 1, 47% at level 2, 27% at level 3. Conclusion: The proposed assessment identified valve sur - gery patients who require differentiated physical therapy. Level 1 patients had rapid recovery, while the level 2 showed signifi - cant changes with functional gains at the end. Level 3 patients, more committed and prolonged recovery, should receive greater assistance. 2015 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941897009 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.2 Vol.30