Five-year hospitalisations and survival in patients admitted to inpatient cardiac rehabilitation after cardiac surgery

Marcassa, Claudio; Giordano, Andrea; Giannuzzi, Pantaleo

doi:10.1177/2047487316655452

Cited by 15 publications

(6 citation statements)

References 33 publications

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“…Motoki et al [19] also reported that a low ADL status at discharge and poor improvement in ADL capacity during hospitalization predicted all-cause mortality after discharge in patients with acute decompensated heart failure; however, few previous studies have reported an association between ADL and prognosis in patients who underwent cardiovascular surgery. Marcassa et al [7] reported the BI to be a major predictor of survival and hospitalization during a 5-year follow-up in patients admitted for inpatient cardiac rehabilitation after cardiac surgery (mean age: 68 ± 11 years; time from surgery to inpatient cardiac rehabilitation admission: 9.7 ± 11.2 days).…”

Section: Discussionmentioning

confidence: 99%

Decreased activities of daily living at discharge predict mortality and readmission in elderly patients after cardiac and aortic surgery

et al. 2021

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Recently, activities of daily living (ADL) were identified as a prognostic factor among elderly patients with heart disease; however, a specific association between ADL and prognosis after cardiac and aortic surgery is not well established. We aimed to clarify the impact of ADL capacity at discharge on prognosis in elderly patients after cardiac and aortic surgery.This retrospective cohort study included 171 elderly patients who underwent open operation for cardiovascular disease in a single center (median age: 74 years; men: 70%). We used the Barthel Index (BI) as an indicator for ADL. Patients were classified into 2 groups according to the BI at discharge, indicating a high (BI ≥ 85) or low (BI < 85) ADL status. All-cause mortality and unplanned readmission events were observed after discharge.Thirteen all-cause mortality and 44 all-cause unplanned readmission events occurred during the median follow-up of 365 days. Using Kaplan–Meier analysis, a low ADL status was determined to be significantly associated with all-cause mortality and unplanned readmission. In the multivariable Cox proportional hazard models, a low ADL status was an independent predictor of all-cause mortality and unplanned readmission after adjusting for age, sex, length of hospital stay, and other variables (including preoperative status, surgical parameter, and postoperative course).A low ADL status at discharge predicted all-cause mortality and unplanned readmission in elderly patients after cardiac and aortic surgery. A comprehensive approach from the time of admission to postdischarge to improve ADL capacity in elderly patients undergoing cardiac and aortic surgery may improve patient outcomes.

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Section: Discussionmentioning

confidence: 99%

Decreased activities of daily living at discharge predict mortality and readmission in elderly patients after cardiac and aortic surgery

et al. 2021

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“…Previous data on patients with cardiovascular disability accumulated in our Institute [15] showed that even when performing all these additional and IC types of procedures, the level of disability at discharge correlated with all-cause mortality.…”

mentioning

confidence: 87%

Integrated care of chronic degenerative non-communicable diseases and rehabilitation: the odd couple?

Balbi

Marcassa

Pisani

et al. 2017

Monaldi Arch Chest Dis

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“…Patients that attended the most sessions tended to have the best outcomes; Shook et al reported significantly lower 180-day readmission rates post-discharge for subjects participating in Phase II CR ( 23 ). A longitudinal 5-year data analysis indicated that 75% of patients with severe disability were able to improve functional status and was associated with a 50% decrease in mortality ( 24 ).…”

Section: Pros and Cons Of Pac Settingsmentioning

confidence: 99%

Perspectives of Post-Acute Transition of Care for Cardiac Surgery Patients

Stoicea

You

Eiterman

et al. 2017

Front. Cardiovasc. Med.

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Post-acute care (PAC) facilities improve patient recovery, as measured by activities of daily living, rehabilitation, hospital readmission, and survival rates. Seamless transitions between discharge and PAC settings continue to be challenges that hamper patient outcomes, specifically problems with effective communication and coordination between hospitals and PAC facilities at patient discharge, patient adherence and access to cardiac rehabilitation (CR) services, caregiver burden, and the financial impact of care. The objective of this review is to examine existing models of cardiac transitional care, identify major challenges and social factors that affect PAC, and analyze the impact of current transitional care efforts and strategies implemented to improve health outcomes in this patient population. We intend to discuss successful methods to address the following aspects: hospital-PAC linkages, improved discharge planning, caregiver burden, and CR access and utilization through patient-centered programs. Regular home visits by healthcare providers result in decreased hospital readmission rates for patients utilizing home healthcare while improved hospital-PAC linkages reduced hospital readmissions by 25%. We conclude that widespread adoption of improvements in transitional care will play a key role in patient recovery and decrease hospital readmission, morbidity, and mortality.

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Five-year hospitalisations and survival in patients admitted to inpatient cardiac rehabilitation after cardiac surgery

Cited by 15 publications

References 33 publications

Decreased activities of daily living at discharge predict mortality and readmission in elderly patients after cardiac and aortic surgery

Decreased activities of daily living at discharge predict mortality and readmission in elderly patients after cardiac and aortic surgery

Integrated care of chronic degenerative non-communicable diseases and rehabilitation: the odd couple?

Perspectives of Post-Acute Transition of Care for Cardiac Surgery Patients

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