What is the prevalence of inspiratory muscle weakness in preoperative cardiac surgery patients? An observational study

Ashleigh D'Arx, Nicole Freene, Sarah Bowen, Peter Bissaker, Glenn McKay, Bernie Bissett

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

BACKGROUND: In patients undergoing elective cardiac surgery, the prevalence of inspiratory muscle weakness is not well-understood. This information could guide pre-operative therapy.

OBJECTIVES: To determine the prevalence of inspiratory muscle weakness in preoperative cardiac surgery patients, and describe relationships between pre-operative factors (including maximal inspiratory pressure, MIP) and post-operative pulmonary complications (PPCs).

METHODS: Prospective study of elective cardiac surgery patients. Pre-operative MIP was measured (cmH2O) and PPC data were extracted from medical records (Melbourne Group Score) while age, height, weight, frailty and physical activity levels were captured via questionnaire. Backwards-stepwise logistic regression was used to describe associations.

RESULTS: 24 participants were recruited (79% male, age 70 ± 10.7, BMI 26.8 ± 4.14). The prevalence of inspiratory muscle weakness (MIP < 60% predicted) was 25% (n = 6). PPCs were associated with body mass index (BMI) (r = 0.464, p = 0.022).

CONCLUSION: The prevalence of pre-operative inspiratory muscle weakness was 25%. BMI may be an important determinant of PPCs in elective cardiac surgery patients.

Original languageEnglish
Pages (from-to)909-914
Number of pages6
JournalHeart and Lung
Volume49
Issue number6
DOIs
Publication statusPublished - 1 Nov 2020

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