Effectiveness of early rehabilitation following aortic surgery: a nationwide inpatient database study.
Aortic aneurysm
Aortic dissection
Aortic surgery
Exercise
Rehabilitation
Journal
General thoracic and cardiovascular surgery
ISSN: 1863-6713
Titre abrégé: Gen Thorac Cardiovasc Surg
Pays: Japan
ID NLM: 101303952
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
received:
14
12
2021
accepted:
03
02
2022
pubmed:
20
2
2022
medline:
23
7
2022
entrez:
19
2
2022
Statut:
ppublish
Résumé
Exercise immediately after aortic surgery is controversial with limited evidence. The present study aimed to assess whether early rehabilitation commencing within 3 days of aortic surgery improves physical functions at discharge more than usual care in patients after aortic surgery. We used the Japanese Diagnosis Procedure Combination database, a nationwide inpatient database from more than 1600 acute care hospitals that covers approximately 75% of all intensive care unit (ICU) beds in Japan. We identified patients who underwent open or endovascular aortic surgery and were admitted to the ICU between July 2010 and March 2018. Patients beginning rehabilitation within 3 days of aortic surgery were defined as the early rehabilitation group and the remaining patients as the usual care group. We used inverse probability of treatment weighting analyses to compare outcomes between the two groups. Among 121,024 eligible patients, there were 44,746 (37.0%) in the early rehabilitation group and 76,278 (63.0%) in the usual care group. In inverse probability of treatment weighting analyses, Barthel index scores at discharge were significantly higher in the early rehabilitation group than in the usual care group (difference, 4.0; 95% confidence interval, 2.8-5.2). The early rehabilitation group had significantly lower in-hospital mortality, lower total hospitalization costs, shorter ICU stay, and shorter hospital stay than the usual care group. Early rehabilitation within 3 days of aortic surgery was associated with improved physical functions at discharge, shorter ICU and hospital stays, and lower hospitalization costs without increased mortality.
Identifiants
pubmed: 35182302
doi: 10.1007/s11748-022-01786-7
pii: 10.1007/s11748-022-01786-7
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
721-729Subventions
Organisme : Ministry of Health, Labour and Welfare
ID : 21AA2007
Organisme : Ministry of Health, Labour and Welfare
ID : 20AA2005
Organisme : Ministry of Education, Culture, Sports, Science and Technology
ID : 20H03907
Informations de copyright
© 2022. The Author(s), under exclusive licence to The Japanese Association for Thoracic Surgery.
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