Reaching consensus on the physiotherapeutic management of patients following upper abdominal surgery: a pragmatic approach to interpret equivocal evidence

Postoperative pulmonary complications remain the most significant cause of morbidity following open upper abdominal surgery despite advances in perioperative care. However, due to the poor quality primary research uncertainty surrounding the value of prophylactic physiotherapy intervention in the ma...

Full description

Saved in:
Bibliographic Details
Published in:BMC medical informatics and decision making 2012-02, Vol.12 (1), p.5-5, Article 5
Main Authors: Hanekom, Susan D, Brooks, Dina, Denehy, Linda, Fagevik-Olsén, Monika, Hardcastle, Timothy C, Manie, Shamila, Louw, Quinette
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Cavity - surgery
Abdominal surgery
Algorithms
Clinical medicine
Complications
Critical Illness
Decision making
Delphi method
Delphi Technique
Evidence-Based Medicine
Exercise Therapy - methods
Health aspects
Health sciences
Hospitals
Humans
Informatics
Lung
Management decisions
Morbidity
Patient outcomes
Patients
Physical therapy
Surgery
Therapeutics, Physiological
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Postoperative pulmonary complications remain the most significant cause of morbidity following open upper abdominal surgery despite advances in perioperative care. However, due to the poor quality primary research uncertainty surrounding the value of prophylactic physiotherapy intervention in the management of patients following abdominal surgery persists. The Delphi process has been proposed as a pragmatic methodology to guide clinical practice when evidence is equivocal. The objective was to develop a clinical management algorithm for the post operative management of abdominal surgery patients. Eleven draft algorithm statements extracted from the extant literature by the primary research team were verified and rated by scientist clinicians (n=5) in an electronic three round Delphi process. Algorithm statements which reached a priori defined consensus-semi-interquartile range (SIQR)
ISSN:1472-6947
1472-6947
DOI:10.1186/1472-6947-12-5