The Effect of Postoperative Incentive Spirometry on Pulmonary Function and Pulmonary Complications in Bariatric Surgery

NCT ID: NCT02431455

Last Updated: 2016-08-25

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

224 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-30

Study Completion Date

2016-05-31

Brief Summary

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This study evaluates the omission of incentive spirometry use following bariatric surgery. Half of participants will receive an incentive spirometer while the other half will not. Oxygen saturation and pulmonary complications after surgery will be measured to examine the effectiveness of incentive spirometry.

Detailed Description

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Incentive spirometry is speculated to improve pulmonary function in the postoperative period, though data to support this is lacking. Patients undergoing bariatric surgery are at increased risk for pulmonary compromise as they are obese and undergoing foregut surgery.

This study aims to examine the effect of incentive spirometry after bariatric surgery by performing a prospective randomized trial. Subjects will be randomized to either receive an incentive spirometer or not. The primary outcome measure of oxygen saturation off of supplemental oxygen will be taken preoperatively and at 6,12, and 24 hours postoperatively. Secondary outcome measures include rate of pulmonary complications, and time to wean off of supplemental oxygen.

Conditions

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Obesity, Morbid Complications of Bariatric Procedures Pulmonary Atelectasis Pneumonia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Incentive Spirometry

Incentive spirometry 10 times per hour while awake

Group Type ACTIVE_COMPARATOR

Incentive spirometer

Intervention Type DEVICE

Incentive spirometer is provided to the patient, this is the current standard of care, and is the control arm.

No Incentive Spirometry

No incentive spirometer provided

Group Type EXPERIMENTAL

No incentive spirometer

Intervention Type DEVICE

No incentive spirometer is provided to the patient, this is the study arm.

Interventions

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Incentive spirometer

Incentive spirometer is provided to the patient, this is the current standard of care, and is the control arm.

Intervention Type DEVICE

No incentive spirometer

No incentive spirometer is provided to the patient, this is the study arm.

Intervention Type DEVICE

Other Intervention Names

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Control Study

Eligibility Criteria

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Inclusion Criteria

* Patients medically cleared to undergo bariatric surgery per the usual screening process

Exclusion Criteria

* None
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Lahey Clinic

OTHER

Sponsor Role lead

Responsible Party

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Dmitry Nepomnayshy

Assistant Professor of Surgery TUFTS Medical School

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dmitry Nepomnayshy, MD

Role: PRINCIPAL_INVESTIGATOR

Lahey Clinic General Surgery

Locations

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Lahey Hospital & Medical Center

Burlington, Massachusetts, United States

Site Status

Countries

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United States

References

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Pantel H, Hwang J, Brams D, Schnelldorfer T, Nepomnayshy D. Effect of Incentive Spirometry on Postoperative Hypoxemia and Pulmonary Complications After Bariatric Surgery: A Randomized Clinical Trial. JAMA Surg. 2017 May 1;152(5):422-428. doi: 10.1001/jamasurg.2016.4981.

Reference Type DERIVED
PMID: 28097332 (View on PubMed)

Other Identifiers

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2015-019

Identifier Type: -

Identifier Source: org_study_id

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