Cargando…
Reduced exercise capacity and self-perceived health status in high-risk patients undergoing lung resection
BACKGROUND: Lung resection represents the main curative treatment modality of non-small cell lung cancer. Patients with high-risk to develop postoperative pulmonary complications have been classified as “high-risk patients.” Characterizing this population could be important to improve their approach...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8462024/ https://www.ncbi.nlm.nih.gov/pubmed/34616659 http://dx.doi.org/10.5492/wjccm.v10.i5.232 |
_version_ | 1784572112041672704 |
---|---|
author | Rodríguez-Torres, Janet Cabrera-Martos, Irene López-López, Laura Quero-Valenzuela, Florencio Cahalin, Lawrence Patrick Valenza, Marie Carmen |
author_facet | Rodríguez-Torres, Janet Cabrera-Martos, Irene López-López, Laura Quero-Valenzuela, Florencio Cahalin, Lawrence Patrick Valenza, Marie Carmen |
author_sort | Rodríguez-Torres, Janet |
collection | PubMed |
description | BACKGROUND: Lung resection represents the main curative treatment modality of non-small cell lung cancer. Patients with high-risk to develop postoperative pulmonary complications have been classified as “high-risk patients.” Characterizing this population could be important to improve their approach and rehabilitation. AIM: To identify the differences between high and low-risk patients in exercise capacity and self-perceived health status after hospitalization. METHODS: A longitudinal observational prospective cohort study was carried out. Patients undergoing lung resection were recruited from the “Hospital Virgen de las Nieves” (Granada) and divided into two groups according to the risk profile criteria (age ≥ 70 years, forced expiratory volume in 1 s ≤ 70% predicted, carbon monoxide diffusion capacity ≤ 70% predicted or scheduled pneumonectomy). Outcomes included were exercise capacity (Fatigue Severity Scale, Unsupported Upper-Limb Exercise, handgrip dynamometry, Five Sit-to-stand test, and quadriceps hand-held dynamometry) and patient-reported outcome (Euroqol-5 dimensions 5 Levels Visual Analogue Scale). RESULTS: In total, 115 participants were included in the study and divided into three groups: high-risk, low-risk and control group. At discharge high-risk patients presented a poorer exercise capacity and a worse self-perceived health status (P < 0.05). One month after discharge patients in the high-risk group maintained these differences compared to the other groups. CONCLUSION: Our results show a poorer recovery in high-risk patients at discharge and 1 mo after surgery, with lower self-perceived health status and a poorer upper and lower limb exercise capacity. These results are important in the rehabilitation field. |
format | Online Article Text |
id | pubmed-8462024 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-84620242021-10-05 Reduced exercise capacity and self-perceived health status in high-risk patients undergoing lung resection Rodríguez-Torres, Janet Cabrera-Martos, Irene López-López, Laura Quero-Valenzuela, Florencio Cahalin, Lawrence Patrick Valenza, Marie Carmen World J Crit Care Med Observational Study BACKGROUND: Lung resection represents the main curative treatment modality of non-small cell lung cancer. Patients with high-risk to develop postoperative pulmonary complications have been classified as “high-risk patients.” Characterizing this population could be important to improve their approach and rehabilitation. AIM: To identify the differences between high and low-risk patients in exercise capacity and self-perceived health status after hospitalization. METHODS: A longitudinal observational prospective cohort study was carried out. Patients undergoing lung resection were recruited from the “Hospital Virgen de las Nieves” (Granada) and divided into two groups according to the risk profile criteria (age ≥ 70 years, forced expiratory volume in 1 s ≤ 70% predicted, carbon monoxide diffusion capacity ≤ 70% predicted or scheduled pneumonectomy). Outcomes included were exercise capacity (Fatigue Severity Scale, Unsupported Upper-Limb Exercise, handgrip dynamometry, Five Sit-to-stand test, and quadriceps hand-held dynamometry) and patient-reported outcome (Euroqol-5 dimensions 5 Levels Visual Analogue Scale). RESULTS: In total, 115 participants were included in the study and divided into three groups: high-risk, low-risk and control group. At discharge high-risk patients presented a poorer exercise capacity and a worse self-perceived health status (P < 0.05). One month after discharge patients in the high-risk group maintained these differences compared to the other groups. CONCLUSION: Our results show a poorer recovery in high-risk patients at discharge and 1 mo after surgery, with lower self-perceived health status and a poorer upper and lower limb exercise capacity. These results are important in the rehabilitation field. Baishideng Publishing Group Inc 2021-09-09 /pmc/articles/PMC8462024/ /pubmed/34616659 http://dx.doi.org/10.5492/wjccm.v10.i5.232 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
spellingShingle | Observational Study Rodríguez-Torres, Janet Cabrera-Martos, Irene López-López, Laura Quero-Valenzuela, Florencio Cahalin, Lawrence Patrick Valenza, Marie Carmen Reduced exercise capacity and self-perceived health status in high-risk patients undergoing lung resection |
title | Reduced exercise capacity and self-perceived health status in high-risk patients undergoing lung resection |
title_full | Reduced exercise capacity and self-perceived health status in high-risk patients undergoing lung resection |
title_fullStr | Reduced exercise capacity and self-perceived health status in high-risk patients undergoing lung resection |
title_full_unstemmed | Reduced exercise capacity and self-perceived health status in high-risk patients undergoing lung resection |
title_short | Reduced exercise capacity and self-perceived health status in high-risk patients undergoing lung resection |
title_sort | reduced exercise capacity and self-perceived health status in high-risk patients undergoing lung resection |
topic | Observational Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8462024/ https://www.ncbi.nlm.nih.gov/pubmed/34616659 http://dx.doi.org/10.5492/wjccm.v10.i5.232 |
work_keys_str_mv | AT rodrigueztorresjanet reducedexercisecapacityandselfperceivedhealthstatusinhighriskpatientsundergoinglungresection AT cabreramartosirene reducedexercisecapacityandselfperceivedhealthstatusinhighriskpatientsundergoinglungresection AT lopezlopezlaura reducedexercisecapacityandselfperceivedhealthstatusinhighriskpatientsundergoinglungresection AT querovalenzuelaflorencio reducedexercisecapacityandselfperceivedhealthstatusinhighriskpatientsundergoinglungresection AT cahalinlawrencepatrick reducedexercisecapacityandselfperceivedhealthstatusinhighriskpatientsundergoinglungresection AT valenzamariecarmen reducedexercisecapacityandselfperceivedhealthstatusinhighriskpatientsundergoinglungresection |