Effectiveness of early rehabilitation following aortic surgery: a nationwide inpatient database study

Nakamura, Kensuke; Ohbe, Hiroyuki; Uda, Kazuaki; Matsui, Hiroki; Yasunaga, Hideo

doi:10.1007/s11748-022-01786-7

Cited by 5 publications

(3 citation statements)

References 41 publications

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“…[23][24][25][26][27] The study by Zhou et al 27 was identified by forward citation searching (ie, identified through other sources). Thirteen studies were excluded on the basis of wrong intervention (ie, no CR [28][29][30][31][32][33] or phase I inpatient CR 34 ), wrong study type (ie, cross-sectional study [35][36][37] ), or conference proceeding (ie, no data available on request [38][39][40] ).…”

Section: Resultsmentioning

confidence: 99%

Improved Maximal Workload and Systolic Blood Pressure After Cardiac Rehabilitation Following Thoracic Aortic Repair

Koenders

Zetten

Smulders

et al. 2023

Journal of Cardiopulmonary Rehabilitation and Prevention

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Purpose: It is of clinical importance to gain more knowledge about the risks and benefits of exercise in patients recovering from thoracic aortic repair. Therefore, the aim of this review was to perform a meta-analysis on changes in cardiorespiratory fitness, blood pressure, and the incidence of adverse events during cardiac rehabilitation (CR) in patients recovering from thoracic aortic repair. Review Methods: We performed a systematic review and random-effects meta-analysis of outcomes before versus after outpatient CR in patients recovering from thoracic aortic repair. The study protocol was registered (PROSPERO CRD42022301204) and published. MEDLINE, EMBASE, and CINAHL were systematically searched for eligible studies. Overall certainty of evidence was scored with Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Summary: We included five studies with data from in total 241 patients. Data from one study could not be used in our meta-analysis because they were provided in a different unit of measure. Four studies with data of 146 patients were included in the meta-analysis. The mean maximal workload increased with 28.7 W (95% CI: 21.8-35.6 W, n = 146, low certainty of evidence). The mean systolic blood pressure during exercise testing increased with 25.4 mm Hg (95% CI: 16.6-34.3, n = 133, low certainty of evidence). No exercise-induced adverse events were reported. These outcomes indicate that CR seems beneficial and safe to improve exercise tolerance in patients recovering from thoracic aortic repair, although outcomes were based on data from a small, heterogeneous group of patients.

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Section: Resultsmentioning

confidence: 99%

Improved Maximal Workload and Systolic Blood Pressure After Cardiac Rehabilitation Following Thoracic Aortic Repair

Koenders

Zetten

Smulders

et al. 2023

Journal of Cardiopulmonary Rehabilitation and Prevention

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“…The patient's family members were taught of abdominal massage techniques to give the patients massage every morning and evening, and the correct way of defecation was educated, avoiding excessive force that may trigger cardiac arrhythmia. All of these can further improve the health behavior of patients and promote rapid recovery [31,32].…”

Section: Discussionmentioning

confidence: 99%

Effect of exercise-nutrition-psychology oriented nursing in patients undergoing interventional embolization for intracranial aneurysm

Lin

2024

Am J Transl Res

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Aim: To investigate the effect of exercise-nutrition-psychology oriented nursing in patients underwent interventional embolization for intracranial aneurysm. Methods: In this retrospective study, 60 patients diagnosed with intracranial aneurysm who underwent interventional embolization between January 2021 and June 2023 at Yichun People's Hospital were included. Among them, 28 patients received routine nursing intervention (control group), and the other 32 patients received exercise-nutrition-psychology oriented nursing (observational group). Quality of life, psychological state, self-management capacity, postoperative complications, patient satisfaction and medication compliance were compared between the two groups. Results: The self-management ability scores in the observation group were higher than those of the control group after the intervention (P<0.05). The overall satisfaction rate in the observation group was higher than that of the control group (P<0.05). The SF-36 scores of patients (psychological function, physiological function, physical symptoms, and social function) in the observation group improved more significantly compared with those of the control group (P<0.05). Moreover, the total occurrence rate of postoperative complication in the observation group was lower than that in the control group (3.1% VS. 10.7%, P<0.05). The results of multivariate regression analysis showed that exercise-nutrition-psychology oriented nursing and postoperative complication were independent factors affecting the prognosis of patients who underwent interventional embolization for intracranial aneurysm. Conclusions: Exercise-nutrition-psychology oriented nursing can improve patients' self-management ability and quality of life, reduce the risk of complications, and promote the recovery of the condition.

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“…In our study, patients in the intervention group exhibited enhanced muscle strength, physical function levels, and activities of daily living, which was similar to the results from a previous study. 22 However, some studies have not reported a difference between the groups, 23,24 which could be related to the inconsistent planning of early activities, and the usual care (control) group receiving a high level of exercise due to existing local practices. However, our study differed from previous reports as we investigated a group of patients who underwent extracorporeal circulation.…”

Section: Discussionmentioning

confidence: 99%

Early goal-directed mobilization in patients with acute type A aortic dissection: A randomized controlled trial

et al. 2023

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Objective To determine the safety and efficacy of early postoperative mobilization in patients who have undergone surgical repair of acute type A aortic dissection. Design Randomized controlled trial. Setting Heart Medical Center. Subjects Seventy-seven patients with acute type A aortic dissection were assessed. Intervention Patients were randomly allocated into: (1) the control group (usual care) ( n = 38) and (2) the intervention group (early goal-directed mobilization) ( n = 39). Main Measures The primary outcome was the patient's functional status. The secondary outcomes included vital signs, serious adverse events, muscle strength, intensive care unit-acquired weakness, grip strength, duration of mechanical ventilation, length of stay, readmission rate, and health-related quality of life after 3 months. Results The vital signs of the patients were within the tolerable ranges during the entire intervention. No serious exercise-related adverse events were observed in the intervention group. The Barthel Index score ( P = 0.013), Medical Research Council score ( P = 0.001), grip strength ( P = 0.001), and health-related quality of life ( P = 0.001) were higher in the intervention group. Intensive care unit acquired weakness ( P = 0.019), duration of mechanical ventilation ( P = 0.002), intensive care unit stay ( P = 0.002), and total length of stay ( P = 0.010) were lower in the intervention group. Patients in the intervention group had a higher physical health-related quality of life ( P = 0.015) at 3 months post-surgery. There was no difference in readmission rates. Conclusions Delivery of early goal-directed mobilization in acute type A aortic dissection was safe and facilitated the recovery of daily living ability, shorter hospital stay, and improved quality of life after discharge.

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Effectiveness of early rehabilitation following aortic surgery: a nationwide inpatient database study

Cited by 5 publications

References 41 publications

Improved Maximal Workload and Systolic Blood Pressure After Cardiac Rehabilitation Following Thoracic Aortic Repair

Improved Maximal Workload and Systolic Blood Pressure After Cardiac Rehabilitation Following Thoracic Aortic Repair

Effect of exercise-nutrition-psychology oriented nursing in patients undergoing interventional embolization for intracranial aneurysm

Early goal-directed mobilization in patients with acute type A aortic dissection: A randomized controlled trial

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