Impact of sarcopenia on the progress of cardiac rehabilitation and discharge destination after cardiovascular surgery.

Cardiovascular surgery Discharge destination Sarcopenia

Journal

Journal of physical therapy science
ISSN: 0915-5287
Titre abrégé: J Phys Ther Sci
Pays: Japan
ID NLM: 9105359

Informations de publication

Date de publication:
Mar 2021
Historique:
received: 23 10 2020
accepted: 01 12 2020
entrez: 5 4 2021
pubmed: 6 4 2021
medline: 6 4 2021
Statut: ppublish

Résumé

[Purpose] To investigate the factors that affect the progress of cardiac rehabilitation, length of stay in the hospital, and discharge destination after cardiovascular surgery. [Participants and Methods] This was a prospective observational study. Sixty-seven patients scheduled to undergo open-heart surgery were included in the study. We evaluated physical and psychiatric functions pre- and post-surgery. Sarcopenia was defined as a short physical performance battery score of <9.5. [Results] Sarcopenia was a significant factor of delay of the day of the first rehabilitation, independence in 100-m walking, and exercise training at the rehabilitation gym. Comparisons between pre- and post-surgery were performed in the sarcopenia group. No significant decreases in physical and psychiatric functions were found. The discharge transfer rate was significantly different between the sarcopenia and non-sarcopenia groups. Sarcopenia and the decline in balance score significantly correlated with discharge transfer. [Conclusion] Cardiac rehabilitation can achieve recovery of physical and psychiatric functions even in patients with sarcopenia; however, the discharge transfer rate among the patients with sarcopenia was high. Improving balance ability may result in early home discharge.

Identifiants

pubmed: 33814707
doi: 10.1589/jpts.33.213
pii: 2020-220
pmc: PMC8012189
doi:

Types de publication

Journal Article

Langues

eng

Pagination

213-221

Informations de copyright

2021©by the Society of Physical Therapy Science. Published by IPEC Inc.

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Auteurs

Yosuke Morimoto (Y)

Department of Physical Therapy, Faculty of Rehabilitation, Kobe Gakuin University: 518 Ikawadanicho, Arise, Nishi-ku, Kobe, Hyogo 651-2180, Japan.

Tomohiro Matsuo (T)

Department of Rehabilitation, Nishi Memorial Port-island Rehabilitation Hospital, Japan.

Yudai Yano (Y)

Department of Rehabilitation Medicine, Nagasaki University Hospital, Japan.

Takuya Fukushima (T)

Department of Musculoskeletal Oncology and Rehabilitation, National Cancer Center Hospital, Japan.

Kiyoyuki Eishi (K)

Department of Cardiovascular Surgery, Nagasaki University Hospital, Japan.

Ryo Kozu (R)

Department of Rehabilitation Medicine, Nagasaki University Hospital, Japan.
Department of Cardiopulmonary Rehabilitation Science, Nagasaki University Graduate School of Biomedical Sciences, Japan.

Classifications MeSH