SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021
The effect of postoperative respiratory and mobilization interventions on postoperative complications following abdominal surgery: a systematic review and meta-analysis.
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06454305 (Comparative Effects of Active Cycle of Breathing Technique and Blow Bottle Technique to Prevent Post-operative Pulmonary Complications in Patients With Abdominal Surgeries Under General Anesthesia), which is not on this map. Cited by 20 papers, 4 of them syntheses that pooled it.
What it found
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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.
Comparative Effects of Active Cycle of Breathing Technique and Blow Bottle Technique to Prevent Post-operative Pulmonary Complications in Patients With Abdominal Surgeries Under General Anesthesia
Who cites it
20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Risk assessment and prevention of postoperative and postprocedural respiratory failure: recommendations from an international expert panel.British journal of anaesthesia · 2026Guideline
- Effect of radical resection of lung cancer combined with breathing training on lung cancer patients in thoracic surgery: a meta-analysis.BMC pulmonary medicine · 2025Pooled it
- Risk factors for pneumonia after radical gastrectomy for gastric cancer: a systematic review and meta-analysis.BMC cancer · 2025Pooled it
- Effectiveness of Nonpharmacological Interventions in the Field of Ventilation: An Umbrella Review.International journal of environmental research and public health · 2023Pooled it
- Letter to the Editor: "Respiratory complications following minimally invasive esophagectomy: associated factors and predictive value of lung age".Annals of medicine and surgery (2012) · 2026Article
- Review
- Trajectories of care dependency and predictors following laparoscopic radical gastrectomy for gastric cancer: a longitudinal study.Frontiers in oncology · 2026Article
- Perioperative respiratory rehabilitation: evolving concepts and clinical applications.Anesthesia and pain medicine · 2026Review
- Individualized Perioperative PEEP in Older Surgical Patients: A Three-Dimensional Titration Framework.Clinical interventions in aging · 2026Review
- Development and validation of a predictive model for postoperative pulmonary complications after colorectal cancer surgery: a retrospective study.World journal of surgical oncology · 2025Article
- Article
- Review
- Influence of a Wearable Fitness Tracker on Time to Return to Baseline Activity Following Abdominoplasty: A Randomized Control Trial.Aesthetic surgery journal. Open forum · 2025Article
- Effectiveness of oncology nurse navigator on the incidence of postoperative pulmonary complications in gastric cancer patients undergoing radical gastrectomy.BMC nursing · 2023Article
- Analysis of the impact of ERAS-based respiratory function training on older patients' ability to prevent pulmonary complications after abdominal surgery.World journal of gastrointestinal surgery · 2023Article
- Patterns of malpractice claims and compensation after surgical procedures: a retrospective analysis of 8,901 claims from the Finnish patient insurance registry.Patient safety in surgery · 2023Article
- Evidence-based Practice Interventions for Reducing Postoperative Pulmonary Complications: A Narrative Review.The open respiratory medicine journal · 2023Review
- The ARISCAT score is a promising model to predict postoperative pulmonary complications after major emergency abdominal surgery: an external validation in a Danish cohort.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Prediction of Postoperative Survival in Young Colorectal Cancer Patients: A Cohort Study Based on the SEER Database.Journal of immunology research · 2022Article
- Physiotherapy Practice for Management of Patients Undergoing Upper Abdominal Surgery in United Arab Emirates - A National Survey.Journal of multidisciplinary healthcare · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeUp to 30% of patients undergoing abdominal surgery suffer from postoperative pulmonary complications. The purpose of this systematic review and meta-analyses was to investigate whether postoperative respiratory interventions and mobilization interventions compared with usual care can prevent postoperative complications following abdominal surgery.
methodsThe review was conducted in line with PRISMA and GRADE guidelines. MEDLINE, Embase, and PEDRO were searched for randomized controlled trials and observational studies comparing postoperative respiratory interventions and mobilization interventions with usual care in patients undergoing abdominal surgery. Meta-analyses with trial sequential analysis on the outcome pulmonary complications were performed. Review registration: PROSPERO (identifier: CRD42019133629)
resultsPulmonary complications were addressed in 25 studies containing 2068 patients. Twenty-three studies were included in the meta-analyses. Patients predominantly underwent open elective upper abdominal surgery. Postoperative respiratory interventions consisted of expiratory resistance modalities (CPAP, EPAP, BiPAP, NIV), assisted inspiratory flow modalities (IPPB, IPAP), patient-operated ventilation modalities (spirometry, PEP), and structured breathing exercises. Meta-analyses found that ventilation with high expiratory resistance (CPAP, EPAP, BiPAP, NIV) reduced the risk of pulmonary complications with OR 0.42 (95% CI 0.18-0.97, p = 0.04, I
conclusionThe use of postoperative expiratory resistance modalities (CPAP, EPAP, BiPAP, NIV) after abdominal surgery might prevent pulmonary complications and it seems the preventive abilities were largely driven by postoperative treatment with CPAP.
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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.