Effects of a pre-operative home-based inspiratory muscle training programme on perceived health-related quality of life in patients undergoing coronary artery bypass graft surgery

K. Valkenet; J. C. A. Trappenburg; E. H. Hulzebos; N. L. U. van Meeteren; F. J. G. Backx

doi:10.1016/j.physio.2016.02.007

Effects of a pre-operative home-based inspiratory muscle training programme on perceived health-related quality of life in patients undergoing coronary artery bypass graft surgery

K. Valkenet^*, J. C. A. Trappenburg, E. H. Hulzebos, N. L. U. van Meeteren, F. J. G. Backx

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Objectives Pre-operative inspiratory muscle training has been shown to decrease the incidence of postoperative pneumonia and length of hospital stay in patients undergoing coronary artery bypass graft surgery (CABG). This study investigated if this decrease acted as a mediator on the time course of quality of life.

Design Complementary analyses of a published randomised controlled trial.

Setting and participants The initial trial included patients awaiting CABG surgery at a Dutch university hospital. The secondary analyses used data from the initial trial for patients who had completed at least one quality-of-life questionnaire.

Methods Participants were allocated at random to the intervention group or the usual care group. The intervention group followed a home based pre-operative inspiratory muscle training programme. Quality of life was measured at five time points. Between-group differences in quality-of-life scores were analysed using mixed linear modelling.

Results The secondary analyses used data for 235 patients. In line with the initial trial, pneumonia and length of hospital stay were decreased significantly in the intervention group. The time courses for all patients showed significant improvements in quality of life after surgery compared with baseline. No significant differences in quality of life were observed over time between the two groups.

Conclusion Despite decreased incidence of pneumonia and length of hospital stay in the intervention group, this study did not find any improvements in quality of life due to the pre-operative home-based inspiratory muscle training programme. (C) 2016 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

Original language	English
Pages (from-to)	276-282
Number of pages	7
Journal	Physiotherapy
Volume	103
Issue number	3
DOIs	https://doi.org/10.1016/j.physio.2016.02.007
Publication status	Published - Sept 2017

Keywords

Quality of life
Inspiratory muscle training
Coronary artery bypass graft surgery
ISCHEMIC-HEART-DISEASE
CARDIAC-SURGERY
POSTOPERATIVE COMPLICATIONS
PULMONARY COMPLICATIONS
ABDOMINAL-SURGERY
ASSOCIATION
REPLACEMENT
VALIDATION
MANAGEMENT
PNEUMONIA

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@article{8d92553e3c65474088300a25c315474b,

title = "Effects of a pre-operative home-based inspiratory muscle training programme on perceived health-related quality of life in patients undergoing coronary artery bypass graft surgery",

abstract = "Objectives Pre-operative inspiratory muscle training has been shown to decrease the incidence of postoperative pneumonia and length of hospital stay in patients undergoing coronary artery bypass graft surgery (CABG). This study investigated if this decrease acted as a mediator on the time course of quality of life.Design Complementary analyses of a published randomised controlled trial.Setting and participants The initial trial included patients awaiting CABG surgery at a Dutch university hospital. The secondary analyses used data from the initial trial for patients who had completed at least one quality-of-life questionnaire.Methods Participants were allocated at random to the intervention group or the usual care group. The intervention group followed a home based pre-operative inspiratory muscle training programme. Quality of life was measured at five time points. Between-group differences in quality-of-life scores were analysed using mixed linear modelling.Results The secondary analyses used data for 235 patients. In line with the initial trial, pneumonia and length of hospital stay were decreased significantly in the intervention group. The time courses for all patients showed significant improvements in quality of life after surgery compared with baseline. No significant differences in quality of life were observed over time between the two groups.Conclusion Despite decreased incidence of pneumonia and length of hospital stay in the intervention group, this study did not find any improvements in quality of life due to the pre-operative home-based inspiratory muscle training programme. (C) 2016 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.",

keywords = "Quality of life, Inspiratory muscle training, Coronary artery bypass graft surgery, ISCHEMIC-HEART-DISEASE, CARDIAC-SURGERY, POSTOPERATIVE COMPLICATIONS, PULMONARY COMPLICATIONS, ABDOMINAL-SURGERY, ASSOCIATION, REPLACEMENT, VALIDATION, MANAGEMENT, PNEUMONIA",

author = "K. Valkenet and Trappenburg, {J. C. A.} and Hulzebos, {E. H.} and {van Meeteren}, {N. L. U.} and Backx, {F. J. G.}",

year = "2017",

month = sep,

doi = "10.1016/j.physio.2016.02.007",

language = "English",

volume = "103",

pages = "276--282",

journal = "Physiotherapy",

issn = "0031-9406",

publisher = "Elsevier Ltd",

number = "3",

}

Effects of a pre-operative home-based inspiratory muscle training programme on perceived health-related quality of life in patients undergoing coronary artery bypass graft surgery. / Valkenet, K.; Trappenburg, J. C. A.; Hulzebos, E. H. et al.
In: Physiotherapy, Vol. 103, No. 3, 09.2017, p. 276-282.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Effects of a pre-operative home-based inspiratory muscle training programme on perceived health-related quality of life in patients undergoing coronary artery bypass graft surgery

AU - Valkenet, K.

AU - Trappenburg, J. C. A.

AU - Hulzebos, E. H.

AU - van Meeteren, N. L. U.

AU - Backx, F. J. G.

PY - 2017/9

Y1 - 2017/9

N2 - Objectives Pre-operative inspiratory muscle training has been shown to decrease the incidence of postoperative pneumonia and length of hospital stay in patients undergoing coronary artery bypass graft surgery (CABG). This study investigated if this decrease acted as a mediator on the time course of quality of life.Design Complementary analyses of a published randomised controlled trial.Setting and participants The initial trial included patients awaiting CABG surgery at a Dutch university hospital. The secondary analyses used data from the initial trial for patients who had completed at least one quality-of-life questionnaire.Methods Participants were allocated at random to the intervention group or the usual care group. The intervention group followed a home based pre-operative inspiratory muscle training programme. Quality of life was measured at five time points. Between-group differences in quality-of-life scores were analysed using mixed linear modelling.Results The secondary analyses used data for 235 patients. In line with the initial trial, pneumonia and length of hospital stay were decreased significantly in the intervention group. The time courses for all patients showed significant improvements in quality of life after surgery compared with baseline. No significant differences in quality of life were observed over time between the two groups.Conclusion Despite decreased incidence of pneumonia and length of hospital stay in the intervention group, this study did not find any improvements in quality of life due to the pre-operative home-based inspiratory muscle training programme. (C) 2016 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

AB - Objectives Pre-operative inspiratory muscle training has been shown to decrease the incidence of postoperative pneumonia and length of hospital stay in patients undergoing coronary artery bypass graft surgery (CABG). This study investigated if this decrease acted as a mediator on the time course of quality of life.Design Complementary analyses of a published randomised controlled trial.Setting and participants The initial trial included patients awaiting CABG surgery at a Dutch university hospital. The secondary analyses used data from the initial trial for patients who had completed at least one quality-of-life questionnaire.Methods Participants were allocated at random to the intervention group or the usual care group. The intervention group followed a home based pre-operative inspiratory muscle training programme. Quality of life was measured at five time points. Between-group differences in quality-of-life scores were analysed using mixed linear modelling.Results The secondary analyses used data for 235 patients. In line with the initial trial, pneumonia and length of hospital stay were decreased significantly in the intervention group. The time courses for all patients showed significant improvements in quality of life after surgery compared with baseline. No significant differences in quality of life were observed over time between the two groups.Conclusion Despite decreased incidence of pneumonia and length of hospital stay in the intervention group, this study did not find any improvements in quality of life due to the pre-operative home-based inspiratory muscle training programme. (C) 2016 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

KW - Quality of life

KW - Inspiratory muscle training

KW - Coronary artery bypass graft surgery

KW - ISCHEMIC-HEART-DISEASE

KW - CARDIAC-SURGERY

KW - POSTOPERATIVE COMPLICATIONS

KW - PULMONARY COMPLICATIONS

KW - ABDOMINAL-SURGERY

KW - ASSOCIATION

KW - REPLACEMENT

KW - VALIDATION

KW - MANAGEMENT

KW - PNEUMONIA

U2 - 10.1016/j.physio.2016.02.007

DO - 10.1016/j.physio.2016.02.007

M3 - Article

C2 - 27569662

SN - 0031-9406

VL - 103

SP - 276

EP - 282

JO - Physiotherapy

JF - Physiotherapy

IS - 3

ER -

Effects of a pre-operative home-based inspiratory muscle training programme on perceived health-related quality of life in patients undergoing coronary artery bypass graft surgery

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Keywords

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