Determining Factors for Independent Walking in Patients Undergoing Cardiovascular Surgery: Differences between Coronary Artery Bypass Grafting, Heart Valve Surgery, and Aortic Surgery

Physical deconditioning often occurs during the acute phase after cardiovascular surgery, and unassisted walking is required to achieve independence, to manage cardiac diseases, and to prevent recurrences. This study aims to investigate the characteristics of independent walking after cardiovascular...

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Autores principales:	Yui Sakamoto, Yosuke Morimoto, Masatoshi Hanada, Yudai Yano, Terumitsu Sawai, Takashi Miura, Kiyoyuki Eishi, Ryo Kozu
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	cardiac rehabilitation thoracic surgery cardiac surgical procedures aortic disease walking mobility limitation Medicine R
Acceso en línea:	https://doaj.org/article/57d1ca714d9b4db1ac0306aeff8c0717
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spelling	oai:doaj.org-article:57d1ca714d9b4db1ac0306aeff8c07172021-11-25T17:44:29ZDetermining Factors for Independent Walking in Patients Undergoing Cardiovascular Surgery: Differences between Coronary Artery Bypass Grafting, Heart Valve Surgery, and Aortic Surgery10.3390/healthcare91114752227-9032https://doaj.org/article/57d1ca714d9b4db1ac0306aeff8c07172021-10-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1475https://doaj.org/toc/2227-9032Physical deconditioning often occurs during the acute phase after cardiovascular surgery, and unassisted walking is required to achieve independence, to manage cardiac diseases, and to prevent recurrences. This study aims to investigate the characteristics of independent walking after cardiovascular surgery. We conducted a retrospective cohort study in patients who underwent cardiovascular surgeries (total of 567 patients): 153 in the coronary artery bypass grafting (CABG) group, 312 in the heart valve surgery group, and 102 in the aortic surgery group. We evaluated the effect of each surgery group on the cardiac rehabilitation (CR) progression. The factors associated with independent walking were age, renal diseases, intensive care unit (ICU) length of stay, and post-operative respiratory complications in the CABG group. In the heart valve surgery group, the factors were New York Heart Association functional classification, renal and respiratory diseases, ICU length of stay, duration of mechanical ventilatory support, and post-operative cardiovascular and respiratory complications. In the aortic surgery group, these were ICU length of stay and acute kidney injury. The CR progression in patients who underwent aortic surgery was significantly longer than those who underwent CABG and heart valve surgery (<i>p</i> < 0.001). New intervention strategies are needed for patients with prolonged ICU stays.Yui SakamotoYosuke MorimotoMasatoshi HanadaYudai YanoTerumitsu SawaiTakashi MiuraKiyoyuki EishiRyo KozuMDPI AGarticlecardiac rehabilitationthoracic surgerycardiac surgical proceduresaortic diseasewalkingmobility limitationMedicineRENHealthcare, Vol 9, Iss 1475, p 1475 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cardiac rehabilitation thoracic surgery cardiac surgical procedures aortic disease walking mobility limitation Medicine R
spellingShingle	cardiac rehabilitation thoracic surgery cardiac surgical procedures aortic disease walking mobility limitation Medicine R Yui Sakamoto Yosuke Morimoto Masatoshi Hanada Yudai Yano Terumitsu Sawai Takashi Miura Kiyoyuki Eishi Ryo Kozu Determining Factors for Independent Walking in Patients Undergoing Cardiovascular Surgery: Differences between Coronary Artery Bypass Grafting, Heart Valve Surgery, and Aortic Surgery
description	Physical deconditioning often occurs during the acute phase after cardiovascular surgery, and unassisted walking is required to achieve independence, to manage cardiac diseases, and to prevent recurrences. This study aims to investigate the characteristics of independent walking after cardiovascular surgery. We conducted a retrospective cohort study in patients who underwent cardiovascular surgeries (total of 567 patients): 153 in the coronary artery bypass grafting (CABG) group, 312 in the heart valve surgery group, and 102 in the aortic surgery group. We evaluated the effect of each surgery group on the cardiac rehabilitation (CR) progression. The factors associated with independent walking were age, renal diseases, intensive care unit (ICU) length of stay, and post-operative respiratory complications in the CABG group. In the heart valve surgery group, the factors were New York Heart Association functional classification, renal and respiratory diseases, ICU length of stay, duration of mechanical ventilatory support, and post-operative cardiovascular and respiratory complications. In the aortic surgery group, these were ICU length of stay and acute kidney injury. The CR progression in patients who underwent aortic surgery was significantly longer than those who underwent CABG and heart valve surgery (<i>p</i> < 0.001). New intervention strategies are needed for patients with prolonged ICU stays.
format	article
author	Yui Sakamoto Yosuke Morimoto Masatoshi Hanada Yudai Yano Terumitsu Sawai Takashi Miura Kiyoyuki Eishi Ryo Kozu
author_facet	Yui Sakamoto Yosuke Morimoto Masatoshi Hanada Yudai Yano Terumitsu Sawai Takashi Miura Kiyoyuki Eishi Ryo Kozu
author_sort	Yui Sakamoto
title	Determining Factors for Independent Walking in Patients Undergoing Cardiovascular Surgery: Differences between Coronary Artery Bypass Grafting, Heart Valve Surgery, and Aortic Surgery
title_short	Determining Factors for Independent Walking in Patients Undergoing Cardiovascular Surgery: Differences between Coronary Artery Bypass Grafting, Heart Valve Surgery, and Aortic Surgery
title_full	Determining Factors for Independent Walking in Patients Undergoing Cardiovascular Surgery: Differences between Coronary Artery Bypass Grafting, Heart Valve Surgery, and Aortic Surgery
title_fullStr	Determining Factors for Independent Walking in Patients Undergoing Cardiovascular Surgery: Differences between Coronary Artery Bypass Grafting, Heart Valve Surgery, and Aortic Surgery
title_full_unstemmed	Determining Factors for Independent Walking in Patients Undergoing Cardiovascular Surgery: Differences between Coronary Artery Bypass Grafting, Heart Valve Surgery, and Aortic Surgery
title_sort	determining factors for independent walking in patients undergoing cardiovascular surgery: differences between coronary artery bypass grafting, heart valve surgery, and aortic surgery
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/57d1ca714d9b4db1ac0306aeff8c0717
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Determining Factors for Independent Walking in Patients Undergoing Cardiovascular Surgery: Differences between Coronary Artery Bypass Grafting, Heart Valve Surgery, and Aortic Surgery

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