Evidence map›Paper›PMID 40471877›Full record

Observational studyPloS one2025

Sex differences in pre-surgical respiratory physiotherapy impact on hospital and ICU stay in cardiac surgery patients: An observational study.

Jorge Montero-Cámara, Francisco José Ferrer-Sargues, David Cuesta Peredo, Adrián Sarria Cabello, María José Segrera Rovira, Juan Antonio Margarit Calabuig, Noemí Valtueña-Gimeno, Juan Pardo, María Luz Sánchez-Sánchez

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Jorge Montero-CámaraDepartment of Nursing and Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, Alfara del Patriarca, Valencia, Spain.
Francisco José Ferrer-SarguesDepartment of Nursing and Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, Alfara del Patriarca, Valencia, Spain.ORCID https://orcid.org/0000-0001-9016-5543
David Cuesta PeredoHospital Universitario de la Ribera, Corbera, Alzira, Valencia, Spain.ORCID https://orcid.org/0000-0002-8710-646X
Adrián Sarria CabelloHospital Universitario de la Ribera, Corbera, Alzira, Valencia, Spain.
María José Segrera RoviraDepartment of Nursing and Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, Alfara del Patriarca, Valencia, Spain.
Juan Antonio Margarit CalabuigHospital Universitario de la Ribera, Corbera, Alzira, Valencia, Spain.
Noemí Valtueña-GimenoDepartment of Nursing and Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, Alfara del Patriarca, Valencia, Spain.
Juan PardoDepartment of Mathematics, Physics, and Technology. Universidad Cardenal Herrera-CEU, CEU Universities, Alfara del Patriarca, Valencia, Spain.
María Luz Sánchez-SánchezPhysiotherapy in Motion. Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, Valencia, Spain.ORCID https://orcid.org/0000-0001-5630-8002

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCardiovascular diseases may be amenable to surgical intervention. To mitigate post-surgical complications, diverse strategies are employed, including pre-habilitation programs. This study examines the effect of an unsupervised pre-surgical respiratory physiotherapy program on both sexes in terms of hospital and intensive care unit (ICU) stay lengths, as well as the incidence of post-surgical complications, their severity, and mortality risk. METHODOLOGY: Retrospective observational study of 418 adults who underwent open-heart surgery between 2018 and 2022. The subjects were divided into two sex-based groups based on attendance at individual pre-surgical physiotherapy sessions. A Mann-Whitney U test was employed to evaluate the impact of the pre-surgical respiratory physiotherapy program and a Kruskal-Wallis rank-sum test to assess its influence on both sexes. Additionally, a multiple linear regression analysis was conducted to evaluate the impact of various variables on overall length of stay.

resultsThe mean age of women was higher (p = 0.002), and they exhibited longer mean lengths of ICU (p = 0.004) and hospital stays (p = 0.031). In both sexes, a statistically significant reduction in LOS was observed among those undergoing a respiratory physiotherapy program. The linear regression analysis indicated that male sex was associated with a reduction in hospital and ICU stay lengths (p < 0.001). Although women experienced a higher number of complications (p = 0.043), no differences in severity levels or mortality risk were observed between sexes.

conclusionAn unsupervised home pre-surgical physiotherapy program based on ventilatory exercises can reduce hospital and ICU stay for both men and women. Notwithstanding the higher incidence of complications in women, no differences in severity or mortality risk were observed between sexes.

Indexed as

Cardiac Surgical ProceduresLength of StayPhysical Therapy ModalitiesPreoperative CareRespiratory TherapyAdultAgedFemaleHumansIntensive Care UnitsMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesSex Factors

Identifiers

PMID40471877
PMCPMC12140195

What Socratic 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 Socratic graph.