Published online Feb 27, 2023. doi: 10.4240/wjgs.v15.i2.201
Peer-review started: September 9, 2022
First decision: December 26, 2022
Revised: January 11, 2023
Accepted: January 30, 2023
Article in press: January 30, 2023
Published online: February 27, 2023
Processing time: 170 Days and 19.8 Hours
Five to ten percent of surgical patients and nine to forty percent of abdominal surgery patients experienced postoperative pulmonary problems. Following abdominal surgery, postoperative pulmonary complications have been associated with a higher morbidity and fatality rates.
To determine if enhanced recovery after surgery (ERAS)-based respiratory function training was effective at preventing pulmonary complications in elderly patients after abdominal surgery.
Using ERAS-based respiratory function training to decrease pulmonary diseases in elderly patients after abdominal surgery.
Retrospective analysis was performed on the clinical information of 231 elderly individuals having abdominal surgery. According to whether patients utilized ERAS-based respiratory function training following surgery, patients were divided into ERAS group (n = 112) and control group (n = 119). The two groups’ postoperative pulmonary complications were analyzed.
The respiratory infection rate was only 18.75% following the use of ERAS-based respiratory function training which was significantly lower than that of traditional respiratory function training. The length of hospital stay was significantly shortened after using ERAS-based respiratory function training, and the rate of respiratory tract infection in patients who were hospitalized for more than 2 d before surgery was significantly decreased.
An efficient preoperative respiratory function training approach that could minimize postoperative pulmonary complications in patients having abdominal surgery was ERAS-based respiratory function training.
Elderly patients were more likely to experience postoperative pulmonary complications. Effective respiratory function training during the perioperative period could dramatically shorten hospital stays and mortality rates.