Effects of cycle ergometer use in the postoperative period on functional capacity and hospitalization time in adults undergoing cardiac surgery: systematic review protocol
DOI:
https://doi.org/10.33233/fb.v24i3.5362Keywords:
aerobic exercise, cardiac surgery, postoperative periodAbstract
Introduction: Among patients undergoing cardiac surgery, some pulmonary and cardiac complications can be observed, which can increase the length of hospital stay. The cycle ergometer is used to try to improve this clinical scenario. However, some inconsistencies can be observed in the literature. Objective: To synthesize evidence on the effects of cycle ergometer use in the in-hospital postoperative period in relation to control therapy without cycle ergometer use on functional capacity and length of hospital stay in adults undergoing cardiac surgery. Methods: Systematic review of randomized clinical trials with patients undergoing cardiac surgery, to evaluate the effects of cycle ergometer use compared to control without cycle ergometer use. Primary outcomes: functional capacity and length of hospital stay. Searches: Medline, EMBASE, PEDro, Pubmed, Allied and AMED, Cinahl, Lilacs, Scielo, Scopus and Cochrane Central, ClinicalTrials.gov, ReBEC, and the references of included studies. Study selection will be conducted by three authors. The risk of bias will be assessed by two independent authors using the Cochrane Risk of Bias 2 (RoB 2) tool and conflicts will be resolved through consensus (in the absence of consensus, a third author will make the decision). The inverse variance method and random effects model will be considered in the meta-analysis. Continuous variables will be analyzed by weighted mean difference and dichotomous variables by relative risk (RR). We will use I2 statistics to estimate the amount of heterogeneity between studies. Discussion: Different cardiac surgeries are performed all over the world, and have been widely investigated. However, some gaps and controversies can be observed. Therefore, a systematic review is essential to clarify existing gaps.
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