Celli 1984.
Methods | Design: randomized controlled trial Multicentre or single‐centre: not reported Period: not reported Sample size: not reported. Generation of allocation: not reported. Allocation concealment: not reported. Blinding of assessment of treatment effect: not reported. Withdrawals: reported (less than 20%). Intention‐to‐treat analysis: not used. Follow up: until the fourth postoperative day |
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Participants | 172 participants. Sex (male/female): 59/113. Age (mean): 46.95 years. Setting: private hospital in Maracaibo, Venezuela. Inclusion criteria: patients undergoing abdominal surgery. Exclusion criteria: not reported | |
Interventions | Control group (no respiratory treatment): n = 44 patients. IPPB group (intermittent positive pressure breathing therapy for 15 minutes, four times daily): n = 45 patients). IS group (incentive spirometry four times daily): n = 42 patients). DBE group (deep breathing exercises under supervision for 15 min, four times daily): n = 41 patients) | |
Outcomes | Patients' body temperature, heart rate, forced vital capacity, forced expiratory volume in one second, forced expiratory flow from 25% to 75% of vital capacity, postoperative pulmonary complications, and length of stay | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Drawing of a number to either the control or treatment groups |
Allocation concealment (selection bias) | Unclear risk | Not reported |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Not reported |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not reported |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Less than 20% of the total of the participants |
Selective reporting (reporting bias) | Low risk | No evidence |
Other bias | Unclear risk | Conflict of interest: not reported |