PTSurveyArchives of physiotherapy2017

Physiotherapy in upper abdominal surgery - what is current practice in Australia?

Shane Patman, Alice Bartley, Allex Ferraz and 1 others

PMID 29340205

WHAT IT FOUND

Most surveyed Australian physiotherapists mobilise upper abdominal surgery patients away from the bedside from day one, but still add routine breathing and cough treatments.

Pre-operative screening was uncommon.

Key findings

0151% of respondents never screened patients before upper abdominal surgery, and 37% rarely did.

0293% of respondents initiated intervention on day one post-operatively, and 85% aimed to mobilise patients away from the bedside on day one.

0393% of respondents always prescribed respiratory interventions post-operatively, and 77% reported aiming to incorporate chest treatment as standard practice.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

This is a self-reported survey of physiotherapists, not direct observation of patient care, so it cannot confirm what actually happened at the bedside. Only 57 of 178 invited physiotherapists completed the survey, and the 35% response rate means the results may not represent all Australian physiotherapists. Not every respondent answered every question, so percentages are based on different totals for different items. The survey was anonymous, so more than one physiotherapist from the same hospital could have responded. The paper reports practice patterns, not patient outcomes or complication rates. Some response categories were collapsed for reporting, which can make differences between never, rarely, sometimes, often and always harder to interpret.

The easy way to misread this

Do not read this as evidence that adding breathing exercises to early mobilisation prevents complications. It is a self-reported survey of physiotherapists' usual practice, with 57 respondents and no patient outcomes measured.

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