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

[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...

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Autores principales: Morimoto, Yosuke, Matsuo, Tomohiro, Yano, Yudai, Fukushima, Takuya, Eishi, Kiyoyuki, Kozu, Ryo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Society of Physical Therapy Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8012189/
https://www.ncbi.nlm.nih.gov/pubmed/33814707
http://dx.doi.org/10.1589/jpts.33.213
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author Morimoto, Yosuke
Matsuo, Tomohiro
Yano, Yudai
Fukushima, Takuya
Eishi, Kiyoyuki
Kozu, Ryo
author_facet Morimoto, Yosuke
Matsuo, Tomohiro
Yano, Yudai
Fukushima, Takuya
Eishi, Kiyoyuki
Kozu, Ryo
author_sort Morimoto, Yosuke
collection PubMed
description [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.
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spelling pubmed-80121892021-04-03 Impact of sarcopenia on the progress of cardiac rehabilitation and discharge destination after cardiovascular surgery Morimoto, Yosuke Matsuo, Tomohiro Yano, Yudai Fukushima, Takuya Eishi, Kiyoyuki Kozu, Ryo J Phys Ther Sci Original Article [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. The Society of Physical Therapy Science 2021-03-17 2021-03 /pmc/articles/PMC8012189/ /pubmed/33814707 http://dx.doi.org/10.1589/jpts.33.213 Text en 2021©by the Society of Physical Therapy Science. Published by IPEC Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Original Article
Morimoto, Yosuke
Matsuo, Tomohiro
Yano, Yudai
Fukushima, Takuya
Eishi, Kiyoyuki
Kozu, Ryo
Impact of sarcopenia on the progress of cardiac rehabilitation and discharge destination after cardiovascular surgery
title Impact of sarcopenia on the progress of cardiac rehabilitation and discharge destination after cardiovascular surgery
title_full Impact of sarcopenia on the progress of cardiac rehabilitation and discharge destination after cardiovascular surgery
title_fullStr Impact of sarcopenia on the progress of cardiac rehabilitation and discharge destination after cardiovascular surgery
title_full_unstemmed Impact of sarcopenia on the progress of cardiac rehabilitation and discharge destination after cardiovascular surgery
title_short Impact of sarcopenia on the progress of cardiac rehabilitation and discharge destination after cardiovascular surgery
title_sort impact of sarcopenia on the progress of cardiac rehabilitation and discharge destination after cardiovascular surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8012189/
https://www.ncbi.nlm.nih.gov/pubmed/33814707
http://dx.doi.org/10.1589/jpts.33.213
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