Gu YX, Wang XY, Xu MX, Qian JJ, Wang Y. Analysis of the impact of ERAS-based respiratory function training on older patients’ ability to prevent pulmonary complications after abdominal surgery. World J Gastrointest Surg 2023; 15(2): 201-210 [PMID: 36896307 DOI: 10.4240/wjgs.v15.i2.201]
Corresponding Author of This Article
Yan Wang, MBBS, Associate Chief Nurse, Nursing, Shanghai Fourth People’s Hospital Affiliated to Tongji University School of Medicine, No. 1279 Sanmen Road, Hongkou District, Shanghai 200434, China. 2205309@tongji.edu.cn
Research Domain of This Article
Nursing
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Feb 27, 2023; 15(2): 201-210 Published online Feb 27, 2023. doi: 10.4240/wjgs.v15.i2.201
Analysis of the impact of ERAS-based respiratory function training on older patients’ ability to prevent pulmonary complications after abdominal surgery
Yue-Xia Gu, Xin-Yu Wang, Mei-Xia Xu, Jia-Jie Qian, Yan Wang
Yue-Xia Gu, Mei-Xia Xu, Jia-Jie Qian, Yan Wang, Department of Nursing, Shanghai Fourth People’s Hospital Affiliated to Tongji University School of Medicine, Shanghai 200434, China
Xin-Yu Wang, Department of General Surgery, Shanghai Fourth People’s Hospital School of Medicine Tongji University, Shanghai 200434, China
Author contributions: Gu YX and Wang XY contributed equally in analysis of the data and writing of the manuscript; Wang Y designed the study; Xu MX and Qian JJ collected the data and corrected the paper; All authors have read and approved the final manuscript.
Supported byProject for Scientific Research by the Hongkou District Health Committee, No. Hong Wei 2002-08.
Institutional review board statement: The study was reviewed and approved by the Shanghai Fourth People’s Hospital Institutional Review Board (Approval No. 2022108-001).
Informed consent statement: Patients were not required to give informed consent to the study because it’s a retrospective study and the data came from electronic medical records in the hospital.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan Wang, MBBS, Associate Chief Nurse, Nursing, Shanghai Fourth People’s Hospital Affiliated to Tongji University School of Medicine, No. 1279 Sanmen Road, Hongkou District, Shanghai 200434, China. 2205309@tongji.edu.cn
Received: September 9, 2022 Peer-review started: September 9, 2022 First decision: December 26, 2022 Revised: January 11, 2023 Accepted: January 30, 2023 Article in press: January 30, 2023 Published online: February 27, 2023
ARTICLE HIGHLIGHTS
Research background
Five to ten percent of surgical patients and nine to forty percent of abdominal surgery patients experienced postoperative pulmonary problems. Following abdominal surgery, postoperative pulmonary complications have been associated with a higher morbidity and fatality rates.
Research motivation
To determine if enhanced recovery after surgery (ERAS)-based respiratory function training was effective at preventing pulmonary complications in elderly patients after abdominal surgery.
Research objectives
Using ERAS-based respiratory function training to decrease pulmonary diseases in elderly patients after abdominal surgery.
Research methods
Retrospective analysis was performed on the clinical information of 231 elderly individuals having abdominal surgery. According to whether patients utilized ERAS-based respiratory function training following surgery, patients were divided into ERAS group (n = 112) and control group (n = 119). The two groups’ postoperative pulmonary complications were analyzed.
Research results
The respiratory infection rate was only 18.75% following the use of ERAS-based respiratory function training which was significantly lower than that of traditional respiratory function training. The length of hospital stay was significantly shortened after using ERAS-based respiratory function training, and the rate of respiratory tract infection in patients who were hospitalized for more than 2 d before surgery was significantly decreased.
Research conclusions
An efficient preoperative respiratory function training approach that could minimize postoperative pulmonary complications in patients having abdominal surgery was ERAS-based respiratory function training.
Research perspectives
Elderly patients were more likely to experience postoperative pulmonary complications. Effective respiratory function training during the perioperative period could dramatically shorten hospital stays and mortality rates.
