RETRACTED: Postoperative Pulmonary Complications in Patients With Transcatheter Tricuspid Valve Implantation—Implications for Physiotherapists
ObjectivesTo investigate the incidence of postoperative pulmonary complications (PPCs) and short-term recovery after transcatheter tricuspid valve implantation (TTVI).MethodsA total of 17 patients diagnosed with severe tricuspid regurgitation who received a LuX-valve TTVI were included in this study...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-05-01
|
| Series: | Frontiers in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.904961/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832587226937032704 |
|---|---|
| author | Peng-Ming Yu Peng-Ming Yu Yu-Qiang Wang Ze-Ruxing Luo Raymond C. C. Tsang Oystein Tronstad Oystein Tronstad Jun Shi Ying-Qiang Guo Alice Y. M. Jones |
| author_facet | Peng-Ming Yu Peng-Ming Yu Yu-Qiang Wang Ze-Ruxing Luo Raymond C. C. Tsang Oystein Tronstad Oystein Tronstad Jun Shi Ying-Qiang Guo Alice Y. M. Jones |
| author_sort | Peng-Ming Yu |
| collection | DOAJ |
| description | ObjectivesTo investigate the incidence of postoperative pulmonary complications (PPCs) and short-term recovery after transcatheter tricuspid valve implantation (TTVI).MethodsA total of 17 patients diagnosed with severe tricuspid regurgitation who received a LuX-valve TTVI were included in this study. Spirometry lung function, maximal inspiratory pressure (MIP), and 6-min walk test distance (6MWD) were recorded. Prior to surgery, patients were stratified into high or low pulmonary risk groups based on published predefined criteria. A physiotherapist provided all patients with education on thoracic expansion exercises, effective cough and an inspiratory muscle training protocol at 50% of MIP for 3 days preoperatively. All patients received standard post-operative physiotherapy intervention including positioning, thoracic expansion exercises, secretion removal techniques and mobilization. Patients were assessed for PPCs as defined by the Melbourne-Group Score-version 2. Clinical characteristics and hospital stay, cost, functional capacity, and Kansas City Cardiomyopathy Questionnaire (KCCQ) heart failure score were recorded at admission, 1-week, and 30-days post-op.ResultsThe mean (SD) age of the 17 patients was 68.4 (8.0) years and 15 (88%) were female. Pre-surgical assessment identified 8 patients (47%) at high risk of PPCs. A total of 9 patients (53%) developed PPCs between the 1st and 3rd day post-surgery, and 7 of these 9 patients were amongst the 8 predicted as “high risk” prior to surgery. One patient died before the 30 day follow up. Pre-operative pulmonary risk assessment score, diabetes mellitus, a low baseline MIP and 6MWD were associated with a high incidence of PPCs. Compared to those without PPCs, patients with PPCs had longer ICU and hospital stay, and higher hospitalization cost. At 30 days post-surgery, patients without PPCs maintained higher MIP and 6MWD compared to those with PPCs, but there were no significant between-group differences in other lung function parameters nor KCCQ.ConclusionThis is the first study to report the incidence of PPCs post TTVI. Despite a 3-day prehabilitation protocol and standard post-operative physiotherapy, PPCs were common among patients after TTVI and significantly impacted on hospital and short-term recovery and outcomes. In the majority of patients, PPCs could be accurately predicted before surgery. A comprehensive prehabilitation program should be considered for patients prior to TTVI.Clinical Trial Registration[www.ClinicalTrials.gov], identifier [ChiCTR2000039671]. |
| format | Article |
| id | doaj-art-81f2d29f0e2949aba3503084f899ba45 |
| institution | Kabale University |
| issn | 2297-055X |
| language | English |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-81f2d29f0e2949aba3503084f899ba452025-01-24T15:00:51ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-05-01910.3389/fcvm.2022.904961904961RETRACTED: Postoperative Pulmonary Complications in Patients With Transcatheter Tricuspid Valve Implantation—Implications for PhysiotherapistsPeng-Ming Yu0Peng-Ming Yu1Yu-Qiang Wang2Ze-Ruxing Luo3Raymond C. C. Tsang4Oystein Tronstad5Oystein Tronstad6Jun Shi7Ying-Qiang Guo8Alice Y. M. Jones9Rehabilitation Medicine Center, Sichuan University West China Hospital, Chengdu, ChinaKey Laboratory of Rehabilitation Medicine in Sichuan Province, Chengdu, ChinaDepartment of Cardiovascular Surgery, Sichuan University West China Hospital, Chengdu, ChinaRehabilitation Medicine Center, Sichuan University West China Hospital, Chengdu, ChinaDepartment of Physiotherapy, MacLehose Medical Rehabilitation Centre, Hong Kong, Hong Kong SAR, ChinaDepartment of Physiotherapy, The Prince Charles Hospital, Queensland, QLD, AustraliaCritical Care Research Group, The Prince Charles Hospital, Queensland, QLD, AustraliaDepartment of Cardiovascular Surgery, Sichuan University West China Hospital, Chengdu, ChinaDepartment of Cardiovascular Surgery, Sichuan University West China Hospital, Chengdu, ChinaSchool of Health and Rehabilitation Sciences, The University of Queensland, Queensland, QLD, AustraliaObjectivesTo investigate the incidence of postoperative pulmonary complications (PPCs) and short-term recovery after transcatheter tricuspid valve implantation (TTVI).MethodsA total of 17 patients diagnosed with severe tricuspid regurgitation who received a LuX-valve TTVI were included in this study. Spirometry lung function, maximal inspiratory pressure (MIP), and 6-min walk test distance (6MWD) were recorded. Prior to surgery, patients were stratified into high or low pulmonary risk groups based on published predefined criteria. A physiotherapist provided all patients with education on thoracic expansion exercises, effective cough and an inspiratory muscle training protocol at 50% of MIP for 3 days preoperatively. All patients received standard post-operative physiotherapy intervention including positioning, thoracic expansion exercises, secretion removal techniques and mobilization. Patients were assessed for PPCs as defined by the Melbourne-Group Score-version 2. Clinical characteristics and hospital stay, cost, functional capacity, and Kansas City Cardiomyopathy Questionnaire (KCCQ) heart failure score were recorded at admission, 1-week, and 30-days post-op.ResultsThe mean (SD) age of the 17 patients was 68.4 (8.0) years and 15 (88%) were female. Pre-surgical assessment identified 8 patients (47%) at high risk of PPCs. A total of 9 patients (53%) developed PPCs between the 1st and 3rd day post-surgery, and 7 of these 9 patients were amongst the 8 predicted as “high risk” prior to surgery. One patient died before the 30 day follow up. Pre-operative pulmonary risk assessment score, diabetes mellitus, a low baseline MIP and 6MWD were associated with a high incidence of PPCs. Compared to those without PPCs, patients with PPCs had longer ICU and hospital stay, and higher hospitalization cost. At 30 days post-surgery, patients without PPCs maintained higher MIP and 6MWD compared to those with PPCs, but there were no significant between-group differences in other lung function parameters nor KCCQ.ConclusionThis is the first study to report the incidence of PPCs post TTVI. Despite a 3-day prehabilitation protocol and standard post-operative physiotherapy, PPCs were common among patients after TTVI and significantly impacted on hospital and short-term recovery and outcomes. In the majority of patients, PPCs could be accurately predicted before surgery. A comprehensive prehabilitation program should be considered for patients prior to TTVI.Clinical Trial Registration[www.ClinicalTrials.gov], identifier [ChiCTR2000039671].https://www.frontiersin.org/articles/10.3389/fcvm.2022.904961/fulltricuspid regurgitationtranscatheter tricuspid valve replacementpre-habilitationinspiratory muscle trainingphysiotherapypostoperative pulmonary complications (PPCs) |
| spellingShingle | Peng-Ming Yu Peng-Ming Yu Yu-Qiang Wang Ze-Ruxing Luo Raymond C. C. Tsang Oystein Tronstad Oystein Tronstad Jun Shi Ying-Qiang Guo Alice Y. M. Jones RETRACTED: Postoperative Pulmonary Complications in Patients With Transcatheter Tricuspid Valve Implantation—Implications for Physiotherapists Frontiers in Cardiovascular Medicine tricuspid regurgitation transcatheter tricuspid valve replacement pre-habilitation inspiratory muscle training physiotherapy postoperative pulmonary complications (PPCs) |
| title | RETRACTED: Postoperative Pulmonary Complications in Patients With Transcatheter Tricuspid Valve Implantation—Implications for Physiotherapists |
| title_full | RETRACTED: Postoperative Pulmonary Complications in Patients With Transcatheter Tricuspid Valve Implantation—Implications for Physiotherapists |
| title_fullStr | RETRACTED: Postoperative Pulmonary Complications in Patients With Transcatheter Tricuspid Valve Implantation—Implications for Physiotherapists |
| title_full_unstemmed | RETRACTED: Postoperative Pulmonary Complications in Patients With Transcatheter Tricuspid Valve Implantation—Implications for Physiotherapists |
| title_short | RETRACTED: Postoperative Pulmonary Complications in Patients With Transcatheter Tricuspid Valve Implantation—Implications for Physiotherapists |
| title_sort | retracted postoperative pulmonary complications in patients with transcatheter tricuspid valve implantation implications for physiotherapists |
| topic | tricuspid regurgitation transcatheter tricuspid valve replacement pre-habilitation inspiratory muscle training physiotherapy postoperative pulmonary complications (PPCs) |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.904961/full |
| work_keys_str_mv | AT pengmingyu retractedpostoperativepulmonarycomplicationsinpatientswithtranscathetertricuspidvalveimplantationimplicationsforphysiotherapists AT pengmingyu retractedpostoperativepulmonarycomplicationsinpatientswithtranscathetertricuspidvalveimplantationimplicationsforphysiotherapists AT yuqiangwang retractedpostoperativepulmonarycomplicationsinpatientswithtranscathetertricuspidvalveimplantationimplicationsforphysiotherapists AT zeruxingluo retractedpostoperativepulmonarycomplicationsinpatientswithtranscathetertricuspidvalveimplantationimplicationsforphysiotherapists AT raymondcctsang retractedpostoperativepulmonarycomplicationsinpatientswithtranscathetertricuspidvalveimplantationimplicationsforphysiotherapists AT oysteintronstad retractedpostoperativepulmonarycomplicationsinpatientswithtranscathetertricuspidvalveimplantationimplicationsforphysiotherapists AT oysteintronstad retractedpostoperativepulmonarycomplicationsinpatientswithtranscathetertricuspidvalveimplantationimplicationsforphysiotherapists AT junshi retractedpostoperativepulmonarycomplicationsinpatientswithtranscathetertricuspidvalveimplantationimplicationsforphysiotherapists AT yingqiangguo retractedpostoperativepulmonarycomplicationsinpatientswithtranscathetertricuspidvalveimplantationimplicationsforphysiotherapists AT aliceymjones retractedpostoperativepulmonarycomplicationsinpatientswithtranscathetertricuspidvalveimplantationimplicationsforphysiotherapists |