Author of

• 10643

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  P1.07 - Poster Session 1 - Surgery (ID 184)

  • Event: WCLC 2013
  • Type: Poster Session
  • Track: Surgery
  • Presentations: 1
  • Moderators:
  • Coordinates: 10/28/2013, 09:30 - 16:30, Exhibit Hall, Ground Level

  • 10687

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    P1.07-044 - Effects of preoperative rehabilitation on outcome of patients with thoracic tumors and borderline abnormal spirometry results (ID 3089)

    09:30 - 16:30  |  Author(s): S. Szmit
    • Abstract

    Background
    The aim of the study was efficacy of preoperative pulmonary rehabilitation in patients with thoracic tumors and borderline abnormal spirometry results

    Methods
    Clinical inclusion criteria were: diagnosis of thoracic tumors and reduced values of FEV1 and FVC predicting postoperative complications. We observed 15 patients (8 women, 7 men) in mean age of 63 (range 46-82) years. Spirometry, six minute walking test distance (6MWT) and maximum metabolic equivalent during exercise on treadmill (MET) were chosen for evaluation of lung function and physical performance during rehabilitation. The tests were performed twice during screening phase to eliminate the factors of learning, and were repeated after first and second week of rehabilitation. Pulmonary rehabilitation included two weeks of training on the treadmill with individually selected speed, physiotherapy exercises and breathing training with using of Triflo

    Results
    The significant differences were observed during pulmonary rehabilitation: 1). FEV 1 (L): 1,35 ± 0,24 vs 1,58 ± 0,29 (p=0,002) 2). FEV1 (%N): 54,5 ± 13,6 vs 65,5 ± 14,3 (p=0,001) 3). FVC (L): 2,33 ± 0,44 vs 2,76 ± 0,62 (p=0,02) 4). FVC (%N): 75,2 ± 15,5 vs 90,6 ± 12,0 (p=0,006) 5). 6MWT Distance (m): 302 ± 127 vs 359 ± 121 (p=0,0005) 6). MET: 3,20 ± 1,91 vs 3,85 ± 2,27 (p=0,002) Although improvement during rehabilitation, 4 patients were disqualified from lobectomy due to unsatisfactory performance status. Another 3 patients experienced complications during perioperative period. Analysis of pulmonary rehabilitation efficacy showed that 8 patients with favourite outcome, without surgical and cardiovascular complications after thoracic surgery in comparing to others, were characterised by significantly higher improvement in: 1). FEV1 (L): 0,37 vs 0,08 (p=0,02) 2). distance in 6MWT (m): 85 vs 25 (p=0,01)

    Conclusion
    The increases of FEV1 and 6MWT have important positive predictive value for favourite outcome after thoracic surgery