Document Detail


Lower respiratory events in seated tracheotomized tetraplegic patients.
MedLine Citation:
PMID:  20332724     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: Retrospective study on the changing position impact on respiratory events in 14 rehabilitation tracheotomized tetraplegic patients, during 25 months. METHODS: Three positions were compared: permanently supine (16 periods), seated on <or=5 days/week (20 periods), or seated on >or=6 days/week (10 periods). The end-point was the incidence of the following respiratory events: pneumonia, atelectasis and plugging of tracheal/bronchial secretions. Patients were considered as their own control but data were pooled for analysis. RESULTS: Pneumonia and plugging incidences were significantly higher in the permanently supine position than in the seated <or=5 days position (P<or=0.001). Incidence was not significant higher in the seated <or=5 days than in the seated >or=6 days position. Atelectasis occurred only in the supine position. CONCLUSION: Plugging prevalence was significantly higher in the permanently supine position (53.3%) than in the seated <or=5 days position (21.6%, P<10-5), and in the seated <or=5 days position (21.6%) than in the seated >or=6 days position (14.6%, P=0.001).
Authors:
B M?d?e; R Girard; A Loukili; K Loiseau; L Tell; G Rode
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of physical and rehabilitation medicine     Volume:  46     ISSN:  1973-9095     ISO Abbreviation:  Eur J Phys Rehabil Med     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-24     Completed Date:  2010-05-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101465662     Medline TA:  Eur J Phys Rehabil Med     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  37-42     Citation Subset:  IM    
Affiliation:
University of Lyon 1, Inserm UMR-S 864, Bron, France.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Male
Middle Aged
Posture*
Quadriplegia / physiopathology*
Respiration
Retrospective Studies
Tracheotomy / adverse effects,  rehabilitation*

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