Chest physiotherapy revisited: evaluation of its influence on the XXXX after pulmonary resection.

@entity1 @entity358 @entity2
OBJECTIVE: The study aimed to evaluate if perioperative chest physiotherapy modifies the risk of @entity358 after lobectomy for @entity2 . METHODS: We have reviewed a prospectively recorded database of 784 @entity2 @entity1 treated by scheduled lobectomy (361 operated after implementing a new physiotherapy program). No other changes were introduced in the @entity1 ' perioperative management during the study period. A propensity matching score was generated for all eligible @entity1 and two logistic models were constructed and adjusted. The first one (model A) included age of the @entity1 , forced expiratory volume in 1s (percent) (FEV1%) and predicted postoperative forced expiratory volume in 1s (percent) (ppoFEV1%); for the second model (model B); chest physiotherapy was added to the previous ones. Using each model, @entity1 ' individual probability of postoperative complication was calculated and maintained in the database as a new variable (risk A and risk B). Individual risks calculated by both models were plotted on a time series and presented in two different graphs. RESULTS: Rates of @entity358 were 15.5% before the intensive physiotherapy program and 4.7% for @entity1 included in the implemented program (p = 0.000). The propensity score identified 359 pairs of @entity1 . Model A included age (p = 0.012), FEV1% (p = 0.000), and ppoFEV1% (p = 0.031) as prognostic variables. Model B included age (p = 0.012), FEV1% (p = 0.000), and physiotherapy (p = 0.000). On graphic representation, a great decrease of the estimated risk could be seen after the onset of the physiotherapy program. CONCLUSIONS: Implementing a program of perioperative intensive chest physiotherapy reduced the overall @entity358 after lobectomy for @entity2 .
