Evidence map›Paper›PMID 25590448›Full record

Trial reportBrazilian journal of physical therapy

Application of positive airway pressure in restoring pulmonary function and thoracic mobility in the postoperative period of bariatric surgery: a randomized clinical trial.

Patrícia Brigatto, Jéssica C Carbinatto, Carolina M Costa, Maria I L Montebelo, Irineu Rasera-Júnior, Eli M Pazzianotto-Forti

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brazilian journal of physical therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 24% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Patrícia BrigattoFaculdade de Ciências da Saúde, Universidade Metodista de Piracicaba, Piracicaba, SP, Brazil.
Jéssica C CarbinattoFaculdade de Ciências da Saúde, Universidade Metodista de Piracicaba, Piracicaba, SP, Brazil.
Carolina M CostaFaculdade de Ciências da Saúde, Universidade Metodista de Piracicaba, Piracicaba, SP, Brazil.
Maria I L MontebeloFaculdade de Ciências Exatas e da Natureza, UNIMEP, Piracicaba, SP, Brazil.
Irineu Rasera-JúniorClínica Bariátrica de Piracicaba, Piracicaba, SP, Brazil.
Eli M Pazzianotto-FortiFaculdade de Ciências da Saúde, Universidade Metodista de Piracicaba, Piracicaba, SP, Brazil.
Methodist University of Piracicaba · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate whether the application of bilevel positive airway pressure in the postoperative period of bariatric surgery might be more effective in restoring lung volume and capacity and thoracic mobility than the separate application of expiratory and inspiratory positive pressure.

methodSixty morbidly obese adult subjects who were hospitalized for bariatric surgery and met the predefined inclusion criteria were evaluated. The pulmonary function and thoracic mobility were preoperatively assessed by spirometry and cirtometry and reevaluated on the 1st postoperative day. After preoperative evaluation, the subjects were randomized and allocated into groups: EPAP Group (n=20), IPPB Group (n=20) and BIPAP Group (n=20), then received the corresponding intervention: positive expiratory pressure (EPAP), inspiratory positive pressure breathing (IPPB) or bilevel inspiratory positive airway pressure (BIPAP), in 6 sets of 15 breaths or 30 minutes twice a day in the immediate postoperative period and on the 1st postoperative day, in addition to conventional physical therapy.

resultsThere was a significant postoperative reduction in spirometric variables (p<0.05), regardless of the technique used, with no significant difference among the techniques (p>0.05). Thoracic mobility was preserved only in group BIPAP (p>0.05), but no significant difference was found in the comparison among groups (p>0.05).

conclusionThe application of positive pressure does not seem to be effective in restoring lung function after bariatric surgery, but the use of bilevel positive pressure can preserve thoracic mobility, although this technique was not superior to the other techniques.

Indexed as

Bariatric SurgeryPositive-Pressure RespirationAdultFemaleHumansLungPostoperative CareRecovery of FunctionRespiratory Function TestsThorax

Identifiers

PMID25590448
PMCPMC4311600
OpenAlexW2160119813

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.