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The Impact of Coronary Artery Bypass Grafting on Respiratory Function: A Systematic Review

2026-04-07Artigo de investigação Acesso aberto
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datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg04:Educação de Qualidade
datacite.subject.sdg09:Indústria, Inovação e Infraestruturas
dc.contributor.authorFlores, Gonçalo
dc.contributor.authorDuarte-Mendes, Pedro
dc.contributor.authorFonseca, Hélder
dc.contributor.authorMonteiro, Diogo
dc.contributor.authorSilva, Fernanda M.
dc.contributor.authorCouto, Nuno
dc.contributor.authorSilva, Ana Maria
dc.contributor.authorVilas-Boas, João Paulo
dc.date.accessioned2026-04-10T09:21:30Z
dc.date.available2026-04-10T09:21:30Z
dc.date.issued2026-04-07en_US
dc.date.updated2026-04-08T08:27:35Z
dc.description.abstractBackground: Cardiovascular diseases are the main cause of mortality and morbidity in Portugal, with coronary artery bypass grafting (CABG) being one of the most performed surgeries in cardiothoracic centers. After cardiac surgery, patients often experience a decrease in physical capacity, which results in an increased risk of mortality or hospitalization expenditures. The objective of this systematic review was to characterize changes in respiratory function in patients undergoing CABG. Methods: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. Web of Science, Pubmed, SCOPUS, and Sport Discus were searched using a predefined research strategy to identify relevant original studies published until August 2025. To be included, studies must have assessed adult patients submitted to CABG who evaluated the respiratory function before and after cardiac surgery. Studies that reported other types of cardiac surgery were excluded. The Risk of Bias in Non-randomized Studies-of-Exposure and the Cochrane risk-of-bias tool for randomized trials were used to analyze the risk of bias of the selected studies. Results: After screening 1184 potential articles, six studies met the inclusion criteria. The studies included participants who underwent CABG (n = 324), with a mean age ranging from 54.05 ± 13.6 to 67 ± 10 years. Conclusions: All included studies reported significant postoperative reductions in respiratory function following CABG, including forced vital capacity, forced expiratory volume in one second, maximal inspiratory pressure, and maximal expiratory pressure. Although these findings consistently indicate a decline in pulmonary function, the limited number of available studies limits the strength of the conclusions. This systematic review suggests that monitoring respiratory impairments after CABG may be clinically relevant to improve health-related quality of life.eng
dc.description.sponsorshipThis research was funded by SPRINT—Sport Physical Activity and Health Research Innovation Center—Portuguese Foundation for Science and Technology|UID/06185/2025 (https://doi.org/10.54499/UID/06185/2025)|UID/PRR/06185/2025 (https://doi.org/10.54499/UID/PRR/06185/2025)|UID/PRR2/06185/2025. We would like to express our sincere gratitude to Isabele M. N. Lavado (CILCE, Polytechnic Institute of Castelo Branco) for proofreading the language and grammar in this article. The review improved the clarity and readability of the text.
dc.description.versioninfo:eu-repo/semantics/publishedVersion
dc.identifier.citationFlores, G., Duarte-Mendes, P., Fonseca, H., Monteiro, D., Silva, F. M., Couto, N., Silva, A. M., & Vilas-Boas, J. P. (2026). The Impact of Coronary Artery Bypass Grafting on Respiratory Function: A Systematic Review. Journal of Clinical Medicine, 15(7), 2793. https://doi.org/10.3390/jcm15072793
dc.identifier.doi10.3390/jcm15072793en_US
dc.identifier.issn2077-0383en_US
dc.identifier.slugcv-prod-5012570
dc.identifier.urihttp://hdl.handle.net/10400.8/16088
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relationUID/PRR/06185/2025
dc.relation.hasversionhttps://www.mdpi.com/2077-0383/15/7/2793
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectpulmonary functionen_US
dc.subjectrespiratory muscle strengthen_US
dc.subjecthealth outcomesen_US
dc.subjectcoronary artery bypass surgeryen_US
dc.subjectcardiac surgeryen_US
dc.titleThe Impact of Coronary Artery Bypass Grafting on Respiratory Function: A Systematic Revieweng
dc.typeresearch articleen_US
dspace.entity.typePublication
oaire.citation.issue7en_US
oaire.citation.startPage2793
oaire.citation.titleJournal of Clinical Medicineen_US
oaire.citation.volume15en_US
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameMonteiro
person.familyNameCouto
person.givenNameDiogo
person.givenNameNuno
person.identifierF-1202-2015
person.identifier.ciencia-idED1F-6228-E26F
person.identifier.ciencia-idBA1A-9D35-31B5
person.identifier.orcid0000-0002-7179-6814
person.identifier.orcid0000-0001-8529-5546
person.identifier.scopus-author-id56437945500
rcaap.cv.cienciaidED1F-6228-E26F | Diogo Manuel Teixeira Monteiro
rcaap.rightsopenAccessen_US
relation.isAuthorOfPublication79dcae83-d54a-4acc-a9a1-8268c7776ab9
relation.isAuthorOfPublication2c6b7416-730e-40e8-a072-ed59448fdf91
relation.isAuthorOfPublication.latestForDiscovery79dcae83-d54a-4acc-a9a1-8268c7776ab9

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