SynthesisThe Cochrane database of systematic reviews2009
Incentive spirometry for prevention of postoperative pulmonary complications in upper abdominal surgery.
Synthesis in The Cochrane database of systematic reviews, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03176589 (Effect of PEP on Oxygen Saturation and Carbon Dioxide After Abdominal Surgery), which is not on this map. Cited by 26 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effect of PEP on Oxygen Saturation and Carbon Dioxide After Abdominal Surgery
Who cites it
26 citing papers in PubMed, 7 syntheses or guidelines pooled it, 94 citations in OpenAlex.
- The effect of postoperative respiratory and mobilization interventions on postoperative complications following abdominal surgery: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Pooled it
- Percutaneous techniques versus surgical techniques for tracheostomy.The Cochrane database of systematic reviews · 2016Pooled it
- Preoperative inspiratory muscle training for postoperative pulmonary complications in adults undergoing cardiac and major abdominal surgery.The Cochrane database of systematic reviews · 2015Pooled it
- Ultrasound guidance versus anatomical landmarks for subclavian or femoral vein catheterization.The Cochrane database of systematic reviews · 2015Pooled it
- Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization.The Cochrane database of systematic reviews · 2015Pooled it
- Continuous positive airway pressure (CPAP) during the postoperative period for prevention of postoperative morbidity and mortality following major abdominal surgery.The Cochrane database of systematic reviews · 2014Pooled it
- Incentive spirometry for prevention of postoperative pulmonary complications in upper abdominal surgery.The Cochrane database of systematic reviews · 2014Pooled it
- Positive end-expiratory pressure increases arterial oxygenation in elderly patients undergoing urological surgery using laryngeal mask airway in lithotomy position.Journal of clinical monitoring and computing · 2020Trial
- Article
- Article
- Evidence-based Practice Interventions for Reducing Postoperative Pulmonary Complications: A Narrative Review.The open respiratory medicine journal · 2023Review
- Comparison of Diaphragmatic Breathing Exercises, Volume, and Flow-Oriented Incentive Spirometry on Respiratory Function in Stroke Subjects: A Non-randomized Study.Annals of neurosciences · 2020Review
- Atelectasis in Bariatric Surgery: Review Analysis and Key Practical Recommendations.Turkish journal of anaesthesiology and reanimation · 2019Review
- Development and validation of a nomogram predicting postoperative pneumonia after major abdominal surgery.Surgery today · 2019Article
- Is incentive spirometry beneficial for patients with lung cancer receiving video-assisted thoracic surgery?BMC pulmonary medicine · 2019Article
- Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations.World journal of surgery · 2016Review
- Evidence regarding patient compliance with incentive spirometry interventions after cardiac, thoracic and abdominal surgeries: A systematic literature review.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2016Review
- Comparison of Flow and Volume Incentive Spirometry on Pulmonary Function and Exercise Tolerance in Open Abdominal Surgery: A Randomized Clinical Trial.Journal of clinical and diagnostic research : JCDR · 2016Article
- Comparison of Diaphragmatic Breathing Exercise, Volume and Flow Incentive Spirometry, on Diaphragm Excursion and Pulmonary Function in Patients Undergoing Laparoscopic Surgery: A Randomized Controlled Trial.Minimally invasive surgery · 2016Article
- Optimizing senior's surgical care - Elder-friendly Approaches to the Surgical Environment (EASE) study: rationale and objectives.BMC health services research · 2015Article
Corrections and comments
- Updated by
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUpper abdominal surgical procedures are associated with a high risk of postoperative pulmonary complications. The risk and severity of postoperative pulmonary complications can be reduced by the judicious use of therapeutic manoeuvres that increase lung volume. Our objective was to assess the effect of incentive spirometry (IS) compared to no therapy, or physiotherapy including coughing and deep breathing, on all-cause postoperative pulmonary complications and mortality in adult patients admitted for upper abdominal surgery.
objectivesTo assess the effects of incentive spirometry compared to no such therapy (or other therapy) on all-cause postoperative pulmonary complications (atelectasis, acute respiratory inadequacy) and mortality in adult patients admitted for upper abdominal surgery. SEARCH STRATEGY: We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2006, Issue 3), MEDLINE, EMBASE, and LILACS (from inception to July 2006). There were no language restrictions. SELECTION CRITERIA: We included randomized controlled trials of incentive spirometry in adult patients admitted for any type of upper abdominal surgery, including patients undergoing laparoscopic procedures. DATA COLLECTION AND ANALYSIS: Two authors independently assessed trial quality and extracted data. MAIN
resultsWe included 11 studies with a total of 1754 participants. Many trials were of only moderate methodological quality and did not report on compliance with the prescribed therapy. Data from only 1160 patients could be included in the meta-analysis. Three trials (120 patients) compared the effects of incentive spirometry with no respiratory treatment. Two trials (194 patients) compared incentive spirometry with deep breathing exercises. Two trials (946 patients) compared incentive spirometry with other chest physiotherapy. All showed no evidence of a statistically significant effect of incentive spirometry. There was no evidence that incentive spirometry is effective in the prevention of pulmonary complications. AUTHORS'
conclusionsWe found no evidence regarding the effectiveness of the use of incentive spirometry for prevention of postoperative pulmonary complications in upper abdominal surgery. This review underlines the urgent need to conduct well-designed trials in this field. There is a case for large randomized trials of high methodological rigour in order to define any benefit from the use of incentive spirometry regarding mortality.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.