Factors determining achievement of early postoperative cardiac rehabilitation goal in patients with or without preoperative kidney dysfunction undergoing isolated cardiac surgery

Saitoh, Masakazu; Takahashi, Toshio; Sakurada, Koji; Kumamaru, Megumi; Hanafusa, Yusuke; Iwatsu, Kotaro; Tahara, Masayuki; Oura, Keisuke; Yuguchi, Satoshi; Morisawa, Tomoyuki

doi:10.1016/j.jjcc.2012.12.014

Cited by 21 publications

(22 citation statements)

References 15 publications

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“…Poorer renal function in the post-operative period has been shown to be associated with a delayed rate of physical recovery [9,10] and early mortality following cardiac surgery [11].…”

Section: Discussionmentioning

confidence: 99%

In-patient step count predicts re-hospitalization after cardiac surgery

Takahashi

Kumamaru

Jenkins

et al. 2015

Journal of Cardiology

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“…Poorer renal function in the post-operative period has been shown to be associated with a delayed rate of physical recovery [9,10] and early mortality following cardiac surgery [11].…”

Section: Discussionmentioning

confidence: 99%

In-patient step count predicts re-hospitalization after cardiac surgery

Takahashi

Kumamaru

Jenkins

et al. 2015

Journal of Cardiology

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“…Studies have reported that early rehabilitation significantly reduced both the length of hospital stay and medical costs while providing similar clinical outcomes after cardiac surgery 3,4) . However, early rehabilitation can be delayed by various postoperative complications, such as heart failure, pulmonary complications, neurologic deficits, and acute kidney dysfunction 5,6) . Postoperative atrial fibrillation (POAF) is a common complication in patients who have undergone heart valve surgery 7) .…”

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confidence: 99%

Postoperative atrial fibrillation is associated with delayed early rehabilitation after heart valve surgery: a multicenter study

et al. 2019

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Postoperative atrial fibrillation (POAF) is a common complication after cardiac surgery. The aim of this multicenter study was to determine the relationship between POAF and patients' progress in early rehabilitation after heart valve surgery. Methods: We enrolled 302 patients (mean age, 69 10 years) who had undergone heart valve surgery. POAF was monitored using continuous electrocardiogram telemetry, and the Short Physical Performance Battery (SPPB) was used to assess lower-extremity function before surgery and at the time of discharge. Progress in early rehabilitation was evaluated by the duration from the surgery to independent walking. We determined factors associated delayed early rehabilitation and evaluated the interplay of POAF and delayed early rehabilitation in increasing the risk of decline in lower-extremity function from preoperatively to hospital discharge. Results: Multivariate analysis determined POAF to be independent predictors of delayed early rehabilitation after heart valve surgery (OR: 3.906, P = .01). The association between delayed early rehabilitation and decline in lower extremity function was stronger in patients with POAF (OR: 2.73, P = .041) than in those without (OR: 2.22, P = .052). Conclusions: POAF was clinical predictors of delayed early rehabilitation in patients undergoing heart valve surgery. The combination of POAF with delayed early rehabilitation conferred a high risk of decline in lowerextremity function during hospitalization.

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“…Even in the normal heart, the transmitral pressure gradient is highly dependent on transvalvular flow and diastolic filling period. This gradient greatly varies with changes in heart rate, and is an important predictor of functional capacity [24,25]. In the current study, patients with a 26-mm prosthesis had a significantly higher mPG, despite a significantly smaller BSA than patients with a larger size of prosthesis.…”

Section: Discussionmentioning

confidence: 45%