Cochrane · systematic review · CD010356
Preoperative inspiratory muscle training for postoperative pulmonary complications in adults undergoing cardiac and major abdominal surgery
Katsura, M, Kuriyama, A, Takeshima, T, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
AnaesthesiaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 33.3%Low 3 · 50%Moderate 1 · 16.7%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Preoperative inspiratory muscle training compared to usual care, non‐exercise intervention for adults on waiting list for cardiac and major abdominal surgery
Population: adult participants undergoing cardiac and major abdominal surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Postoperative atelectasis original authors’ definitions Preoperative inspiratory muscle training vs usual care, non‐exercise intervention | RR 0.53 [0.34, 0.82] | 7 studies · 443 participants | Low Downgraded: risk of bias, inconsistency, publication bias |
Postoperative pneumonia original authors’ definitions Preoperative inspiratory muscle training vs usual care, non‐exercise intervention | RR 0.45 [0.26, 0.77] | 11 studies · 675 participants | Moderate Downgraded: risk of bias, inconsistency, publication bias |
Mechanical ventilation > 48 hours Preoperative inspiratory muscle training vs usual care, non‐exercise intervention | RR 0.55 [0.03, 9.2] | 3 studies · 338 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
All‐cause mortality within 30 days during postoperative period Preoperative inspiratory muscle training vs usual care, non‐exercise intervention | RR 0.4 [0.04, 4.23] | 7 studies · 431 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Adverse events Preoperative inspiratory muscle training vs usual care, non‐exercise intervention | no estimate extracted | 8 studies · 462 participants | Low Downgraded: risk of bias, publication bias |
Duration of hospital stay Preoperative inspiratory muscle training vs usual care, non‐exercise intervention | no estimate extracted | 6 studies · 424 participants | Low Downgraded: risk of bias, publication bias |