Determination of Treatment Efficacy after Revascularization of Intermittent Claudication Patients by Physical Function Assessment.

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-25 Epub Date: 2023-07-01 DOI:10.5761/atcs.oa.23-00069

Masaharu Nakajima, Hiroki Mitsuoka, Yuki Orimoto, Shota Otsuka, Tomoyuki Morisawa, Tetsuya Takahashi, Hiroyuki Ishibashi

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Abstract

Purpose: There have been few reports examining changes in physical activity (PA) after revascularization of lower extremities from the perspective of physical function at discharge. The purpose of this study was to clarify the effects of physical function before discharge on the amount of PA after discharge in patients who underwent revascularization.

Methods: The subjects were 34 Fontaine class II patients admitted for elective surgical revascularization or endovascular treatment at two hospitals from September 2017 to October 2019. Triaxial accelerometers were used to measure changes in sedentary behavior (SB) before admission and 1 month after discharge. Multiple regression analysis was performed on the 6-min walking distance (6MWD) at the time of discharge and the change in SB 1 month after discharge; the cutoff value was calculated from the receiver operating characteristic (ROC) curve.

Results: SB 1 month after discharge significantly decreased in the decreased SB group compared to the increased SB group (575.5 [400-745.2] vs. 649.5 [453.8-809.2], p <0.01). ROC curve was plotted with SB increase/decrease as the dependent variable and 6MWD at discharge as the independent variable; the cutoff value was 357.5 m.

Conclusion: 6MWD measurement at discharge may help predict changes in SB after discharge.

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通过身体功能评估确定间歇性跛行患者血管再通术后的治疗效果

目的：很少有报告从出院时身体功能的角度研究下肢血管再通术后体力活动（PA）的变化。本研究旨在明确接受血管再通术的患者出院前的身体功能对出院后体力活动量的影响：研究对象为2017年9月至2019年10月在两家医院接受择期手术血管重建或血管内治疗的34名方丹II级患者。使用三轴加速度计测量入院前和出院后1个月的久坐行为（SB）变化。对出院时的6分钟步行距离（6MWD）和出院后1个月的SB变化进行了多元回归分析；根据接收器操作特征曲线（ROC）计算出了临界值：结论：出院时的 6MWD 测量有助于预测出院后 SB 的变化。

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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