Exercise Capacity at Discharge of Postoperative Cardiac Surgery Patients: Influence of Pre-hospital Frailty

Q4 Health Professions
Hikaru Sambongi, Hiroaki Fujita, Mitsuru Yamamoto
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引用次数: 0

Abstract

: [Purpose] This study assessed the influence of frailty at one month pre-hospitalization on exercise capacity at discharge of postoperative cardiac surgery patients. [Participants and Methods] The participants were 32 postoperative cardiac surgery patients aged over 60 years who underwent scheduled open heart surgery. The subjects were categorized into two groups, a frail group (11 patients) and a non-frail group (21 patients), based on a cutoff of 8 points on the Kihon Check List (KCL). Pre-hospital frailty was investigated postoperatively using the KCL with a recall method. The groups were compared in terms of 6-minute walking distance, 4-m walking speed, grip strength, and knee extension muscle strength at hospital discharge. [Results] Patients with pre-hospital frailty accounted for 34.4% of the total. The frail group showed significantly lower 6-minute walking distance, 4-m walking speed, grip strength, and knee extension muscle strength. Multiple regression analysis revealed that the KCL score was a factor affecting the 6-minute walking distance. [Conclusion] The results suggest that the exercise tolerance of cardiac surgery patients at hospital discharge is affected by pre-hospital frailty.
心脏手术患者出院时的运动能力:院前虚弱的影响
【目的】本研究评估住院前1个月的虚弱对心脏手术术后患者出院时运动能力的影响。【对象与方法】研究对象为32例60岁以上的心脏手术术后患者,均行心脏直视手术。根据Kihon检查表(KCL) 8分的截止值,将受试者分为两组,虚弱组(11例)和非虚弱组(21例)。采用带召回法的KCL对院前虚弱进行术后调查。比较两组在出院时的6分钟步行距离、4米步行速度、握力和膝关节伸展肌力。[结果]院前虚弱患者占34.4%。体弱组6分钟步行距离、4米步行速度、握力、膝关节伸展肌力明显降低。多元回归分析显示,KCL评分是影响6分钟步行距离的一个因素。[结论]院前虚弱影响心脏手术患者出院时的运动耐量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Rigakuryoho Kagaku
Rigakuryoho Kagaku Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
0.10
自引率
0.00%
发文量
58
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