PT  - JOURNAL ARTICLE
AU  - Sevgi Ozalevli
AU  - Duygu Ilgin
AU  - Hasan Ersoz
AU  - Ismail Agababaoglu
AU  - Ahmet Onen
AU  - Aydin Sanli
AU  - Nezih Ozdemir
TI  - The clinical importance of preoperative incentive spirometry value in lung resections
DP  - 2011 Sep 01
TA  - European Respiratory Journal
PG  - p4323
VI  - 38
IP  - Suppl 55
4099  - http://erj.ersjournals.com/content/38/Suppl_55/p4323.short
4100  - http://erj.ersjournals.com/content/38/Suppl_55/p4323.full
SO  - Eur Respir J2011 Sep 01; 38
AB  - Aim: It has been aimed at investigating the relationship between the value determined with incentive spirometry (IS), which is used frequently to improve lung expansion after thoracic surgery, and clinical symptoms, pulmonary functions, and exercise capacity data; and if there is a relationship between these, discussing the importance and applicability of IS value during clinical follow up in patients with lung resection candidates.Material-method: Twenty-two patients (6F, 16M; mean age 60.82±8.28 years) diagnosed with lung cancer (50% stageI, 31.8% stageII-III) and followed with lung resection indication were assessed. The clinical characteristics and respiratory symptoms were asked. Maximal IS value (ml) was measured with IS. Pulmonary function test and 6-minute walking test were done.Results: The mean maximal IS, FEV1%, inspiratory capacity (IC), Pimax%, Pemax%, and 6MWD values were 3047±831.49ml, 76.71±15.74, 2.25±0.42, 63.53±13.67, 84.12±23.46, and 480.00±94.39m, respectively. There were efort dyspnea (31.8%), fatigue (40.9%), secretion (22.7%), cough (22.7%), and chest pain (4.5%) in patients. It was determined that maximal IS value was correlated with cough symptom (rho=0.43, p=0.05), FVC (rho=0.48, p=0.03), FEV1 (rho=0.63, p=0.003), IC (rho=0.49, p=0.05), and Pemax (rho= 0.71, p=0.002) values.Conclusion: IS value represents pulmonary functions independent of demographical and functional characteristics of patients. Especially, due to the relationship of IS value with FEV1, IC, and Pemax values, our results suggest that IS value may give information on the effective cough ability and thus IS value might be used during clinical follow up and routine care of patients with lung resection.