Evidence mapPaperPMID 30672972Full record

Observational studyRevista Brasileira de terapia intensiva

Comparisons and correlations of pain intensity and respiratory and peripheral muscle strength in the pre- and postoperative periods of cardiac surgery.

Thayse Campos de Menezes, Daniela Bassi, Ricardo César Cavalcanti, Juliana Emanuelle Santos Luz Barros, Karolyne Soares Barbosa Granja, Ana Carolina do Nascimento Calles, Ana Luiza Exel

Abstract readObservational Study
In one paragraph

Observational study in Revista Brasileira de terapia intensiva. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
field-weighted citation impact
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

9 citing papers in PubMed.

  1. Observational
  2. Article
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  6. Observational
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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

7 authors.

Thayse Campos de MenezesDepartamento de Fisioterapia, Centro Universitário Tiradentes - Maceió (AL), Brasil.
Daniela BassiDepartamento de Fisioterapia, Universidade Ceuma - São Luís (MA), Brasil.
Ricardo César CavalcantiCentro de Pesquisa Clínica em Cardiologia, Hospital do Coração - Maceió (AL), Brasil.
Juliana Emanuelle Santos Luz BarrosDepartamento de Fisioterapia, Centro Universitário Tiradentes - Maceió (AL), Brasil.
Karolyne Soares Barbosa GranjaDepartamento de Fisioterapia, Centro Universitário Tiradentes - Maceió (AL), Brasil.
Ana Carolina do Nascimento CallesDepartamento de Fisioterapia, Centro Universitário Tiradentes - Maceió (AL), Brasil.
Ana Luiza ExelDepartamento de Fisioterapia, Centro Universitário Tiradentes - Maceió (AL), Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate respiratory and peripheral muscle strength after cardiac surgery. Additionally, we compared the changes in these variables on the third and sixth postoperative days.

methodsForty-six patients were recruited, including 17 women and 29 men, with a mean age of 60.50 years (SD = 9.20). Myocardial revascularization surgery was performed in 36 patients, replacement of the aortic valve in 5 patients, and replacement of the mitral valve in 5 patients.

resultsA significant reduction in respiratory and peripheral muscle strength and a significant increase in pain intensity were observed on the third and sixth postoperative days (p < 0.05), except for the variable maximal inspiratory pressure; on the sixth postoperative day, maximal inspiratory pressure values were already similar to the preoperative and predicted values (p > 0.05). There was an association between peripheral muscle strength, specifically between maximal expiratory pressure preoperatively (rs = 0.383; p = 0.009), on the third postoperative day (rs = 0.468; p = 0.001) and on the sixth postoperative day (rs = 0.311; p = 0.037). The effect sizes were consistently moderate-to-large for respiratory muscle strength, the Medical Research Council scale and the visual analog scale, in particular between preoperative assessment and the sixth postoperative day.

conclusionThere is a decrease in respiratory and peripheral muscle strength after cardiac surgery. In addition, maximal expiratory pressure is the variable that is most associated with peripheral muscle strength. These variables, especially respiratory and peripheral muscle strength, should be considered by professionals working in the intensive care setting.

Indexed as

AgedFemaleHeart Valve Prosthesis ImplantationHumansLongitudinal StudiesMaleMaximal Respiratory PressuresMiddle AgedMuscle StrengthMyocardial RevascularizationPostoperative PainPostoperative PeriodPreoperative PeriodRespiratory Muscles

Identifiers

PMID30672972
PMCPMC6334478

What Socratic holds

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Registered trials

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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 Socratic graph.