{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:38:41Z","timestamp":1787020721731,"version":"build-2736575974"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T00:00:00Z","timestamp":1707868800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T00:00:00Z","timestamp":1707868800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Coronary artery bypass grafting(CABG) is a surgical treatment for coronary artery disease aiming at improving symptoms and life expectancy. Despite this, there are pulmonary and functional complications that may arise during the postoperative period due to invasive mechanical ventilation(IMV), cardiopulmonary bypass and immobility, leading to longer hospital stays.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the clinical and functional outcomes related to pulmonary complications in the postoperative period of CABG.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Prospective cohort. During the ICU stay the patients were divided into: Non Complicated Group(NCG) who did not present complications and Complicated Group(CG) who presented complication. Functional variables were applied as the six-minute walk test(6MWT), gait speed, sit up and stand up test, Timed Up and Go, peripheral muscle strength, ventilatory, pulmonary function and Functional Independence Measure. These tests were applied preoperatively, at ICU discharge, hospital discharge and six months after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study evaluated 90 patients, 59 in the NCG and 31 CG. In the 6MWT there was a 2%(\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.43) decrease in the NCG, while the decrease was 13%(\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) in the CG. In the MRC the drop was 2%(p\u2009=\u2009&lt;\u20090.01) in the CNG, while in the CG the drop was 14%(p\u2009=\u2009&lt;\u20090.01). In MIP the NCG had a 6%(\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.67) decrease, while the CG had a 16%(p\u2009=\u2009&lt;\u20090.01) decrease.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with postoperative complications of CABG may have reduced functional performance, muscle strength, and pulmonary function at hospital discharge and after six months.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13019-024-02538-9","type":"journal-article","created":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T05:02:08Z","timestamp":1707886928000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Clinical and functional outcomes associated with pulmonary complications after coronary artery bypass grafting"],"prefix":"10.1186","volume":"19","author":[{"given":"Altina Vit\u00f3ria","family":"Souza","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"da Cunha Carvalho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"da Cruz Dias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darley Gabrielle Teles","family":"Santana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayssa","family":"de C\u00e1ssia Mascarenhas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9 Luiz Lisboa","family":"Cordeiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9 Raimundo Fran\u00e7a","family":"Guimar\u00e3es","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,2,14]]},"reference":[{"key":"2538_CR1","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1007\/s00380-018-1221-6","volume":"34","author":"H Hsu","year":"2019","unstructured":"Hsu H, Lai HC, Liu TJ. Factors causing prolonged mechanical ventilation and perioperative morbidity after robot-assisted coronary artery bypass graft surgery. eart Vessels. 2019;34:44\u201351. https:\/\/doi.org\/10.1007\/s00380-018-1221-6.","journal-title":"eart Vessels"},{"issue":"4","key":"2538_CR2","doi-asserted-by":"publisher","first-page":"376","DOI":"10.21470\/1678-9741-2018-0053","volume":"33","author":"AP Miozzo","year":"2018","unstructured":"Miozzo AP, Stein C, Marcolino MZ, Sisto IR, Hauck M, Coronel CC, et al. Effects of High-Intensity Inspiratory Muscle Training Associated with Aerobic Exercise in patients undergoing CABG: Randomized Clinical Trial. Braz J Cardiovasc Surg. 2018;33(4):376\u201383. https:\/\/dx.doi.org\/10.21470%2F1678-9741-2018-0053.","journal-title":"Braz J Cardiovasc Surg"},{"issue":"2","key":"2538_CR3","doi-asserted-by":"publisher","first-page":"42","DOI":"10.17696\/2318-3691.25.2.2018.896","volume":"25","author":"M Zanini","year":"2018","unstructured":"Zanini M, Martini TF, Santos FS, Rovedder PE, Stein R. Association of pulmonary function and functional capacity with invasive mechanical ventilation time after coronary artery bypass grafting. Health Sci. 2018;25(2):42\u20136. https:\/\/doi.org\/10.17696\/2318-3691.25.2.2018.896.","journal-title":"Health Sci"},{"issue":"1","key":"2538_CR4","doi-asserted-by":"publisher","first-page":"25","DOI":"10.17267\/2238-2704rpf.v10i1.2619","volume":"10","author":"CR Assis","year":"2020","unstructured":"Assis CR, Fortino CK, Saraiva CAS, Frohlich LF, Silva RE, Omizzollo S. Clinical profile and success in patient extubation after cardiac surgery. Rev Pesqui Fisioter. 2020;10(1):25\u201332. https:\/\/doi.org\/10.17267\/2238-2704rpf.v10i1.2619.","journal-title":"Rev Pesqui Fisioter"},{"issue":"4","key":"2538_CR5","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1590\/0034-7167.2016690418i","volume":"69","author":"CAM Dessotte","year":"2016","unstructured":"Dessotte CAM, Rodrigues F, Furuya K, Rossi R, Aparecida L, Dantas S, et al. Stressors perceived by patients in the immediate postoperative period of cardiac surgery. Rev Bras De Enferm. 2016;69(4):741\u201350. 10.1590.","journal-title":"Rev Bras De Enferm"},{"key":"2538_CR6","doi-asserted-by":"publisher","first-page":"25","DOI":"10.3390\/ijerph15112572","volume":"15","author":"A Szyli\u0144ska","year":"2018","unstructured":"Szyli\u0144ska A, Listewnik M, Rotter I, Ry\u0142 A, Kotfis K, Mokrzycki K, et al. The effectiveness of hospital physiotherapy vs. home after coronary artery bypass graft. Int J Environ Res Public Health. 2018;15:25\u201372. https:\/\/doi.org\/10.3390\/ijerph15112572.","journal-title":"Int J Environ Res Public Health"},{"issue":"2","key":"2538_CR7","first-page":"41","volume":"8","author":"KC Cani","year":"2017","unstructured":"Cani KC, Bonorino KC, Gulart AA, Pal\u00fa M, Karloh M, Mayer AF. Pulmonary complications after coronary artery bypass surgery: factors associated factors. ASSOBRAFIR Ci\u00eancia. 2017;8(2):41\u201350.","journal-title":"ASSOBRAFIR Ci\u00eancia"},{"issue":"3","key":"2538_CR8","doi-asserted-by":"crossref","first-page":"221","DOI":"10.33233\/fb.v17i3.480","volume":"17","author":"CM Silva","year":"2016","unstructured":"Silva CM, Neto MG, Freire IOL, Nogueira SCO, Saquetto MB, Cerqueira TM, et al. Functionality and balance in patients after cardiac surgery. Fisioter Bras. 2016;17(3):221\u20136.","journal-title":"Fisioter Bras"},{"key":"2538_CR9","unstructured":"Probst VS, Morita AA. Teste de sentar e levantar em pacientes com doen\u00e7as cardiovasculares. Portal Secad. 2018. v. 1, n. 1, p 2. Disponivel em: https:\/\/portal.secad.artmed.com.br\/artigo\/testes-de-levantar-e-sentar-em-pacientes-com-doencas-cardiopulmonares."},{"issue":"3","key":"2538_CR10","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1590\/S1806-37562015000000058","volume":"42","author":"BP Martinez","year":"2016","unstructured":"Martinez BP, Batista AK, Ramos IR, Dantas JC, Gomes IB, Forgiarini LA, J\u00fanior, et al. Viabilidade do teste de velocidade da marcha em idosos hospitalizados. J Bras Pneumol. 2016;42(3):196\u2013202. https:\/\/dx.doi.org\/10.1590%2FS1806-37562015000000058.","journal-title":"J Bras Pneumol"},{"key":"2538_CR11","doi-asserted-by":"crossref","unstructured":"Bretan O, J\u00fanior JES, Ribeiro OR, Corrente JE. Risk of falling among elderly persons living in the community: assessment by the timed up and go test. Sciello. 2013;79,(1). 10.5935.","DOI":"10.5935\/1808-8694.20130004"},{"issue":"1","key":"2538_CR12","doi-asserted-by":"publisher","first-page":"56","DOI":"10.17267\/2238-2704rpf.v9i1.2224","volume":"9","author":"JRO Silva","year":"2019","unstructured":"Silva JRO, Santana JR, Silva CC, Sim\u00f5es DFS, Camelier AA, Camelier FWR. Cardiovascular adaptation in the six-minute walk test in COPD patients: transversal study. Revista Pesquisa em Fisioterapia. 2019;9(1):56\u201366. https:\/\/doi.org\/10.17267\/2238-2704rpf.v9i1.2224.","journal-title":"Revista Pesquisa em Fisioterapia"},{"issue":"1","key":"2538_CR13","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1590\/S1809-29502010000100006","volume":"26","author":"M Oliveira","year":"2013","unstructured":"Oliveira M, Santos CLS, Oliveira CF, Ribas DIR. Effects of expansive technical and incentive spirometry in respiratory muscle strength in institutionalized elderly. Fisioter Mov. 2013;26,(1):133\u201340. https:\/\/doi.org\/10.1590\/S1809-29502010000100006.","journal-title":"Fisioter Mov"},{"issue":"9","key":"2538_CR14","doi-asserted-by":"publisher","first-page":"14076","DOI":"10.14814\/phy2.14076","volume":"7","author":"FV Ferraro","year":"2019","unstructured":"Ferraro FV, Gavin JP, Wainwright T, McConnell A. The effects of 8 weeks of inspiratory muscle training on the balance of healthy older adults: a randomized, double-blind, placebo-controlled study. Physiol Rep. 2019;7(9):14076. https:\/\/doi.org\/10.14814\/phy2.14076.","journal-title":"Physiol Rep"},{"key":"2538_CR15","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1590\/1809-2950\/17010125042018","volume":"25","author":"TCP Brand\u00e3o","year":"2018","unstructured":"Brand\u00e3o TCP, Silva FP, Silva SM. Handgrip strength moderately predicts sensorimotor recovery assessed by the scale Fugl-Meyer. Fisioter Pesqui. 2018;25:404\u20139. https:\/\/doi.org\/10.1590\/1809-2950\/17010125042018.","journal-title":"Fisioter Pesqui"},{"key":"2538_CR16","doi-asserted-by":"publisher","first-page":"521","DOI":"10.5935\/0103-507X.20190065","volume":"31","author":"GAA Alves","year":"2020","unstructured":"Alves GAA, Martinez BP, Lunardi AC. Evaluation of the measurement properties of the Brazilian versions of the functional status scale for ICU and the functional independence measure in critically ill patients in the intensive care unita. Rev Bras De Ter Intensiva. 2020;31:521\u20138. https:\/\/doi.org\/10.5935\/0103-507X.20190065.","journal-title":"Rev Bras De Ter Intensiva"},{"issue":"7","key":"2538_CR17","doi-asserted-by":"publisher","first-page":"2899","DOI":"10.1590\/1413-81232021267.21422019","volume":"26","author":"GS Martins","year":"2021","unstructured":"Martins GS, Toledo SV, Andrade JML, Nakano EY, Valduga R, Paz LPS, et al. Analysis of functional status and muscle strength in adults and older adults in an intensive care unit: a prospective cohort study. Ci\u00eanc sa\u00fade Coletiva. 2021;26(7):2899\u2013910. https:\/\/doi.org\/10.1590\/1413-81232021267.21422019.","journal-title":"Ci\u00eanc sa\u00fade Coletiva"},{"key":"2538_CR18","unstructured":"Cristhine CK, Bonorino KC, Gulart AA, Pal\u00fa M, Karloh M, Mayer AF. Pulmonary complications after coronary artery bypass surgery: factors associated factors. ASSOBRAFIR Ci\u00eancia. 2017 Ago;8(2):41\u201350."},{"key":"2538_CR19","doi-asserted-by":"publisher","unstructured":"Beccaria LM, Cesarino CB, Werneck AL, Correio NCG, Correio KSS, Correio MNM. Postoperative complications in patients undergoing cardiac surgery at a teaching hospital. Ci\u00eanc. Sa\u00fade. 2015 jul-set; 22(3) 37\u201341. https:\/\/doi.org\/10.17696\/2318-3691.22.3.2015.216.","DOI":"10.17696\/2318-3691.22.3.2015.216"},{"issue":"1","key":"2538_CR20","doi-asserted-by":"publisher","first-page":"27","DOI":"10.5935\/0103-507X.20190006","volume":"31","author":"TA Melo","year":"2019","unstructured":"Melo TA, Duarte ACM, Bezerra TS, Fran\u00e7a F, Soares NS, Brito D. The five Times sit-to-stand test: safety and reliability with older intensive care unit patients at discharge. Rev Bras Ter Intensiva. 2019;31(1):27\u201333. https:\/\/doi.org\/10.5935\/0103-507X.20190006.","journal-title":"Rev Bras Ter Intensiva"},{"key":"2538_CR21","doi-asserted-by":"publisher","first-page":"1","DOI":"10.25248\/reac.e7543.2021","volume":"26","author":"AOF Silva","year":"2021","unstructured":"Silva AOF, Costa FA, Gon\u00e7alves JF, Bastos LMG, Ribeiro LFP, Soares MLCF. Complica\u00e7\u00f5es pulmonares ap\u00f3s cirurgia de revasculariza\u00e7\u00e3o do mioc\u00e1rdio. Revista Eletr\u00f4nica Acervo Cient\u00edfico. 2021;26:1\u20136. https:\/\/doi.org\/10.25248.","journal-title":"Revista Eletr\u00f4nica Acervo Cient\u00edfico"},{"issue":"2","key":"2538_CR22","doi-asserted-by":"publisher","first-page":"2217","DOI":"10.21037\/apm-20-2259","volume":"10","author":"J Chen","year":"2021","unstructured":"Chen J, Zhang T, Bao W, Zhao G, Chen Z. The effect of in-hospital physiotherapy on handgrip strength and physical activity levels after cardiac valve surgery: a randomized controlled trial. Ann Palliat Med. 2021;10(2):2217\u201323. https:\/\/doi.org\/10.21037\/apm-20-2259.","journal-title":"Ann Palliat Med"},{"issue":"4","key":"2538_CR23","doi-asserted-by":"publisher","first-page":"479","DOI":"10.5935\/0103-507X.20180069","volume":"30","author":"TC Menezes","year":"2018","unstructured":"Menezes TC, Bassi D, Cavalcanti RC, Barros JESL, Granja KSB, Calles ACN, et al. Comparisons and correlations of pain intensity and respiratory and peripheral muscle strength in the pre- and postoperative periods of cardiac surgery. Rev Bras Ter Intensiva. 2018;30(4):479\u201386. https:\/\/doi.org\/10.5935\/0103-507X.20180069.","journal-title":"Rev Bras Ter Intensiva"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02538-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-024-02538-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02538-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T05:09:33Z","timestamp":1707887373000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-024-02538-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,14]]},"references-count":23,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2538"],"URL":"https:\/\/doi.org\/10.1186\/s13019-024-02538-9","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,14]]},"assertion":[{"value":"16 April 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 January 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 February 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Our study was submitted and approved by the Ethics and Research Committee of Nobre University Center at Feira de Santana \u2013 Bahia, Brazil obtaining opinion number 2.382.707.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"92"}}