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The Use of Fissios App© as a Complement to a Face-to-Face Respiratory Physiotherapy Program versus an Attendance-Only Face-to-Face Physiotherapy Program in Patients Scheduled for Thoracic Surgical Procedures Reduces the Risk of Developing Postoperative Pulmonary Complications—A Quasi-Experimental Study

Postoperative pulmonary complications (PPCs) increase the hospital length of stay (LOS) and the cost of healthcare associated with surgical procedures. Strategies to reduce PPCs begin before surgery and continue in the postoperative period. Fissios App© is a smartphone application that contains peri...

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Autores principales: Fraile Olivero, Carlos Alfredo, Jarabo Sarceda, José Ramón, Fernández Martín, Elena, Alen Villamayor, Verónica, Calatayud Gastardi, Joaquín, Gómez Martínez, Ana María, Santos, Passio, Arribas Manzanal, Pedro Daniel, Cerdán Santacruz, Carlos, Hernando Trancho, Florentino
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10650653/
https://www.ncbi.nlm.nih.gov/pubmed/37959239
http://dx.doi.org/10.3390/jcm12216774
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author Fraile Olivero, Carlos Alfredo
Jarabo Sarceda, José Ramón
Fernández Martín, Elena
Alen Villamayor, Verónica
Calatayud Gastardi, Joaquín
Gómez Martínez, Ana María
Santos, Passio
Arribas Manzanal, Pedro Daniel
Cerdán Santacruz, Carlos
Hernando Trancho, Florentino
author_facet Fraile Olivero, Carlos Alfredo
Jarabo Sarceda, José Ramón
Fernández Martín, Elena
Alen Villamayor, Verónica
Calatayud Gastardi, Joaquín
Gómez Martínez, Ana María
Santos, Passio
Arribas Manzanal, Pedro Daniel
Cerdán Santacruz, Carlos
Hernando Trancho, Florentino
author_sort Fraile Olivero, Carlos Alfredo
collection PubMed
description Postoperative pulmonary complications (PPCs) increase the hospital length of stay (LOS) and the cost of healthcare associated with surgical procedures. Strategies to reduce PPCs begin before surgery and continue in the postoperative period. Fissios App© is a smartphone application that contains perioperative medical advice and a structured respiratory physiotherapy program. The objective was to implement the use of this app in a group of patients scheduled for a thoracic surgical procedure and determine its efficacy in reducing PPCs. This was a quasi-experimental study in which all patients attended a face-to-face respiratory physiotherapy program, and the intervention group used Fissios App© as a complement. We prospectively recorded the postoperative evolution of both groups, analyzed the categorical differences and quantitative variables, and created a binary logistic regression model. We recruited 393 patients (131 intervention and 262 control). The intervention group had a lower incidence of PPCs (12.2% versus 24% in the control group, p = 0.006), a shorter LOS (a median of 3 days (IQR = 2–5) versus 4 days (IQR = 3–6, p = 0.001) in the control group), and a reduction in the risk of developing PPCs by 63.5% (OR: 0.365, 95% CI: 0.17–0.78). The use of Fissios App© improved the clinical outcomes after surgery and reduced the probability of developing PPCs.
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spelling pubmed-106506532023-10-26 The Use of Fissios App© as a Complement to a Face-to-Face Respiratory Physiotherapy Program versus an Attendance-Only Face-to-Face Physiotherapy Program in Patients Scheduled for Thoracic Surgical Procedures Reduces the Risk of Developing Postoperative Pulmonary Complications—A Quasi-Experimental Study Fraile Olivero, Carlos Alfredo Jarabo Sarceda, José Ramón Fernández Martín, Elena Alen Villamayor, Verónica Calatayud Gastardi, Joaquín Gómez Martínez, Ana María Santos, Passio Arribas Manzanal, Pedro Daniel Cerdán Santacruz, Carlos Hernando Trancho, Florentino J Clin Med Article Postoperative pulmonary complications (PPCs) increase the hospital length of stay (LOS) and the cost of healthcare associated with surgical procedures. Strategies to reduce PPCs begin before surgery and continue in the postoperative period. Fissios App© is a smartphone application that contains perioperative medical advice and a structured respiratory physiotherapy program. The objective was to implement the use of this app in a group of patients scheduled for a thoracic surgical procedure and determine its efficacy in reducing PPCs. This was a quasi-experimental study in which all patients attended a face-to-face respiratory physiotherapy program, and the intervention group used Fissios App© as a complement. We prospectively recorded the postoperative evolution of both groups, analyzed the categorical differences and quantitative variables, and created a binary logistic regression model. We recruited 393 patients (131 intervention and 262 control). The intervention group had a lower incidence of PPCs (12.2% versus 24% in the control group, p = 0.006), a shorter LOS (a median of 3 days (IQR = 2–5) versus 4 days (IQR = 3–6, p = 0.001) in the control group), and a reduction in the risk of developing PPCs by 63.5% (OR: 0.365, 95% CI: 0.17–0.78). The use of Fissios App© improved the clinical outcomes after surgery and reduced the probability of developing PPCs. MDPI 2023-10-26 /pmc/articles/PMC10650653/ /pubmed/37959239 http://dx.doi.org/10.3390/jcm12216774 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Fraile Olivero, Carlos Alfredo
Jarabo Sarceda, José Ramón
Fernández Martín, Elena
Alen Villamayor, Verónica
Calatayud Gastardi, Joaquín
Gómez Martínez, Ana María
Santos, Passio
Arribas Manzanal, Pedro Daniel
Cerdán Santacruz, Carlos
Hernando Trancho, Florentino
The Use of Fissios App© as a Complement to a Face-to-Face Respiratory Physiotherapy Program versus an Attendance-Only Face-to-Face Physiotherapy Program in Patients Scheduled for Thoracic Surgical Procedures Reduces the Risk of Developing Postoperative Pulmonary Complications—A Quasi-Experimental Study
title The Use of Fissios App© as a Complement to a Face-to-Face Respiratory Physiotherapy Program versus an Attendance-Only Face-to-Face Physiotherapy Program in Patients Scheduled for Thoracic Surgical Procedures Reduces the Risk of Developing Postoperative Pulmonary Complications—A Quasi-Experimental Study
title_full The Use of Fissios App© as a Complement to a Face-to-Face Respiratory Physiotherapy Program versus an Attendance-Only Face-to-Face Physiotherapy Program in Patients Scheduled for Thoracic Surgical Procedures Reduces the Risk of Developing Postoperative Pulmonary Complications—A Quasi-Experimental Study
title_fullStr The Use of Fissios App© as a Complement to a Face-to-Face Respiratory Physiotherapy Program versus an Attendance-Only Face-to-Face Physiotherapy Program in Patients Scheduled for Thoracic Surgical Procedures Reduces the Risk of Developing Postoperative Pulmonary Complications—A Quasi-Experimental Study
title_full_unstemmed The Use of Fissios App© as a Complement to a Face-to-Face Respiratory Physiotherapy Program versus an Attendance-Only Face-to-Face Physiotherapy Program in Patients Scheduled for Thoracic Surgical Procedures Reduces the Risk of Developing Postoperative Pulmonary Complications—A Quasi-Experimental Study
title_short The Use of Fissios App© as a Complement to a Face-to-Face Respiratory Physiotherapy Program versus an Attendance-Only Face-to-Face Physiotherapy Program in Patients Scheduled for Thoracic Surgical Procedures Reduces the Risk of Developing Postoperative Pulmonary Complications—A Quasi-Experimental Study
title_sort use of fissios app© as a complement to a face-to-face respiratory physiotherapy program versus an attendance-only face-to-face physiotherapy program in patients scheduled for thoracic surgical procedures reduces the risk of developing postoperative pulmonary complications—a quasi-experimental study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10650653/
https://www.ncbi.nlm.nih.gov/pubmed/37959239
http://dx.doi.org/10.3390/jcm12216774
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