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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
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European Journal of Physical and Rehabilitation Medicine 2010 March;46(1):37-42

Copyright © 2010 EDIZIONI MINERVA MEDICA

lingua: Inglese

Lower respiratory events in seated tracheotomized tetraplegic patients

Médée B. 1,2, Girard R. 3, Loukili A. 1,2, Loiseau K. 1,2, Tell L. 1,2, Rode G. 1,2

1 University of Lyon 1, Inserm UMR-S 864, Bron, France;
2 Civil Hospices of Lyon, Service of Physical Medicine and Rehabilitation, Henry Gabrielle Hospital, Saint-Genis-Laval, France;
3 Civil Hospices of Lyon, Unit of Hygiene and Epidemiology, Lyon Sud Hospital Centre, Pierre Bénite Cedex, France;


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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 ≤5 days/week (20 periods), or seated on ≥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 ≤5 days position (P≤0.001). Incidence was not significant higher in the seated ≤5 days than in the seated ≥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 ≤5 days position (21.6%, P<10-5), and in the seated ≤5 days position (21.6%) than in the seated ≥6 days position (14.6%, P=0.001).

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raphaelle.girard@chu-lyon.fr.