Is incentive spirometry beneficial for patients with lung cancer receiving video-assisted thoracic surgery?
Abstract Background The effectiveness of Incentive spirometry (IS) in patients undergoing video-assisted thoracic surgery (VATS) remains lacking. We conducted a population-based study to investigate the effectiveness of IS on patients with lung cancers following VATS. Methods We identified patients...
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doaj-04fb149acd56433a8ab46e3ae15b554d2020-11-25T03:29:07ZengBMCBMC Pulmonary Medicine1471-24662019-07-011911810.1186/s12890-019-0885-8Is incentive spirometry beneficial for patients with lung cancer receiving video-assisted thoracic surgery?Chin-Jung Liu0Wen-Chen Tsai1Chia-Chen Chu2Chih-Hsin Muo3Wei-Sheng Chung4Department of Health Services Administration, China Medical UniversityDepartment of Health Services Administration, China Medical UniversityDepartment of Respiratory Therapy, China Medical UniversityManagement Office for Health Data, China Medical University HospitalDepartment of Health Services Administration, China Medical UniversityAbstract Background The effectiveness of Incentive spirometry (IS) in patients undergoing video-assisted thoracic surgery (VATS) remains lacking. We conducted a population-based study to investigate the effectiveness of IS on patients with lung cancers following VATS. Methods We identified patients newly diagnosed with lung cancer who underwent surgical resection by VATS or thoracotomy from the years 2000 to 2008 in the Longitudinal Health Insurance Database. Exposure variable was the use of IS during admission for surgical resection by VATS or thoracotomy. Primary outcomes included hospitalization cost, incidence of pneumonia, and length of hospital stay. Secondary outcomes included the frequency of emergency department (ED) visits and hospitalizations at 3-month, 6-month, and 12-month follow-ups after thoracic surgery. Results We analyzed 7549 patients with lung cancer undergoing surgical resection by VATS and thoracotomy. The proportion of patients who were subjected to IS was significantly higher in those who underwent thoracotomy than in those who underwent VATS (68.4% vs. 53.1%, P < 0.0001). After we controlled for potential covariates, the IS group significantly reduced hospitalization costs (− 524.5 USD, 95% confidence interval [CI] = − 982.6 USD – -66.4 USD) and the risk of pneumonia (odds ratio = 0.55, 95% CI = 0.32–0.95) compared to the non-IS group following VATS. No difference in ED visit frequency and hospitalization frequency at 3-month, 6-month, and 1-year follow-up was noted between the IS and the non-IS groups following VATS. Conclusions The use of IS in patients with lung cancers undergoing VATS may reduce hospitalization cost and the risk of pneumonia.http://link.springer.com/article/10.1186/s12890-019-0885-8Lung cancerIncentive spirometryVideo-assisted thoracic surgery (VATS) |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chin-Jung Liu Wen-Chen Tsai Chia-Chen Chu Chih-Hsin Muo Wei-Sheng Chung |
spellingShingle |
Chin-Jung Liu Wen-Chen Tsai Chia-Chen Chu Chih-Hsin Muo Wei-Sheng Chung Is incentive spirometry beneficial for patients with lung cancer receiving video-assisted thoracic surgery? BMC Pulmonary Medicine Lung cancer Incentive spirometry Video-assisted thoracic surgery (VATS) |
author_facet |
Chin-Jung Liu Wen-Chen Tsai Chia-Chen Chu Chih-Hsin Muo Wei-Sheng Chung |
author_sort |
Chin-Jung Liu |
title |
Is incentive spirometry beneficial for patients with lung cancer receiving video-assisted thoracic surgery? |
title_short |
Is incentive spirometry beneficial for patients with lung cancer receiving video-assisted thoracic surgery? |
title_full |
Is incentive spirometry beneficial for patients with lung cancer receiving video-assisted thoracic surgery? |
title_fullStr |
Is incentive spirometry beneficial for patients with lung cancer receiving video-assisted thoracic surgery? |
title_full_unstemmed |
Is incentive spirometry beneficial for patients with lung cancer receiving video-assisted thoracic surgery? |
title_sort |
is incentive spirometry beneficial for patients with lung cancer receiving video-assisted thoracic surgery? |
publisher |
BMC |
series |
BMC Pulmonary Medicine |
issn |
1471-2466 |
publishDate |
2019-07-01 |
description |
Abstract Background The effectiveness of Incentive spirometry (IS) in patients undergoing video-assisted thoracic surgery (VATS) remains lacking. We conducted a population-based study to investigate the effectiveness of IS on patients with lung cancers following VATS. Methods We identified patients newly diagnosed with lung cancer who underwent surgical resection by VATS or thoracotomy from the years 2000 to 2008 in the Longitudinal Health Insurance Database. Exposure variable was the use of IS during admission for surgical resection by VATS or thoracotomy. Primary outcomes included hospitalization cost, incidence of pneumonia, and length of hospital stay. Secondary outcomes included the frequency of emergency department (ED) visits and hospitalizations at 3-month, 6-month, and 12-month follow-ups after thoracic surgery. Results We analyzed 7549 patients with lung cancer undergoing surgical resection by VATS and thoracotomy. The proportion of patients who were subjected to IS was significantly higher in those who underwent thoracotomy than in those who underwent VATS (68.4% vs. 53.1%, P < 0.0001). After we controlled for potential covariates, the IS group significantly reduced hospitalization costs (− 524.5 USD, 95% confidence interval [CI] = − 982.6 USD – -66.4 USD) and the risk of pneumonia (odds ratio = 0.55, 95% CI = 0.32–0.95) compared to the non-IS group following VATS. No difference in ED visit frequency and hospitalization frequency at 3-month, 6-month, and 1-year follow-up was noted between the IS and the non-IS groups following VATS. Conclusions The use of IS in patients with lung cancers undergoing VATS may reduce hospitalization cost and the risk of pneumonia. |
topic |
Lung cancer Incentive spirometry Video-assisted thoracic surgery (VATS) |
url |
http://link.springer.com/article/10.1186/s12890-019-0885-8 |
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