Cargando…

Impact of early ambulation on functionality in patients undergoing valve replacement surgery

BACKGROUND: Cardiac surgery is a highly complex procedure that aims to increase and prolong the quality of life of patients. The role of physiotherapy in early mobilization after cardiac surgery has shown several benefits to the patient when he presents impairments in terms of functionality. AIM: To...

Descripción completa

Detalles Bibliográficos
Autores principales: Cordeiro, André Luiz Lisboa, Reis, Jaildes Reis Dos, Cruz, Huendy Borges Da, Guimarães, André Raimundo, Gardenghi, Giulliano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Whioce Publishing Pte. Ltd. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8710356/
https://www.ncbi.nlm.nih.gov/pubmed/34988326
_version_ 1784623134176968704
author Cordeiro, André Luiz Lisboa
Reis, Jaildes Reis Dos
Cruz, Huendy Borges Da
Guimarães, André Raimundo
Gardenghi, Giulliano
author_facet Cordeiro, André Luiz Lisboa
Reis, Jaildes Reis Dos
Cruz, Huendy Borges Da
Guimarães, André Raimundo
Gardenghi, Giulliano
author_sort Cordeiro, André Luiz Lisboa
collection PubMed
description BACKGROUND: Cardiac surgery is a highly complex procedure that aims to increase and prolong the quality of life of patients. The role of physiotherapy in early mobilization after cardiac surgery has shown several benefits to the patient when he presents impairments in terms of functionality. AIM: To evaluate the impact of early ambulation on the functionality of patients undergoing cardiac valve replacement surgery. MATERIALS AND METHODS: Prospective cohort study in patients undergoing cardiac valve replacement surgery. Patients had their functionality assessed preoperatively using the Functional Independence Measurement (FIM) and Perme Intensive Care Unit (ICU) Mobility Score scales. At ICU discharge, they were divided into two groups: walking group (WG) and non-WG (NWG). At discharge, the two functional scales were reapplied in these patients. Pre- and postoperative values were assessed using the independent Student’s t-test. It was considered statistically significant when P<0.05. RESULTS: One hundred and seventy patients were evaluated, 110 (65%) male, with a mean age of 48±2 years. In relation to Perme Score, the WG had a decrease of 11±2 and the NWG had a decrease of 13±2 (P=0.34). Regarding FIM, those who walked had a decrease of 27±3 against those who did not walk, which showed a reduction of 36±5, with a significance level of P<0.001. CONCLUSION: Based on the FIM data found, patients undergoing cardiac valve replacement surgery who underwent early mobilization had less decrease of functionality compared to patients who did not ambulate. RELEVANCE FOR PATIENTS: Based on this article, we can demonstrate that walking while still in the ICU environment favors less loss of functionality for patients after valve replacement surgery.
format Online
Article
Text
id pubmed-8710356
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Whioce Publishing Pte. Ltd.
record_format MEDLINE/PubMed
spelling pubmed-87103562022-01-04 Impact of early ambulation on functionality in patients undergoing valve replacement surgery Cordeiro, André Luiz Lisboa Reis, Jaildes Reis Dos Cruz, Huendy Borges Da Guimarães, André Raimundo Gardenghi, Giulliano J Clin Transl Res Original Article BACKGROUND: Cardiac surgery is a highly complex procedure that aims to increase and prolong the quality of life of patients. The role of physiotherapy in early mobilization after cardiac surgery has shown several benefits to the patient when he presents impairments in terms of functionality. AIM: To evaluate the impact of early ambulation on the functionality of patients undergoing cardiac valve replacement surgery. MATERIALS AND METHODS: Prospective cohort study in patients undergoing cardiac valve replacement surgery. Patients had their functionality assessed preoperatively using the Functional Independence Measurement (FIM) and Perme Intensive Care Unit (ICU) Mobility Score scales. At ICU discharge, they were divided into two groups: walking group (WG) and non-WG (NWG). At discharge, the two functional scales were reapplied in these patients. Pre- and postoperative values were assessed using the independent Student’s t-test. It was considered statistically significant when P<0.05. RESULTS: One hundred and seventy patients were evaluated, 110 (65%) male, with a mean age of 48±2 years. In relation to Perme Score, the WG had a decrease of 11±2 and the NWG had a decrease of 13±2 (P=0.34). Regarding FIM, those who walked had a decrease of 27±3 against those who did not walk, which showed a reduction of 36±5, with a significance level of P<0.001. CONCLUSION: Based on the FIM data found, patients undergoing cardiac valve replacement surgery who underwent early mobilization had less decrease of functionality compared to patients who did not ambulate. RELEVANCE FOR PATIENTS: Based on this article, we can demonstrate that walking while still in the ICU environment favors less loss of functionality for patients after valve replacement surgery. Whioce Publishing Pte. Ltd. 2021-11-06 /pmc/articles/PMC8710356/ /pubmed/34988326 Text en Copyright: © Whioce Publishing Pte. Ltd. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY-NC-ND 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Cordeiro, André Luiz Lisboa
Reis, Jaildes Reis Dos
Cruz, Huendy Borges Da
Guimarães, André Raimundo
Gardenghi, Giulliano
Impact of early ambulation on functionality in patients undergoing valve replacement surgery
title Impact of early ambulation on functionality in patients undergoing valve replacement surgery
title_full Impact of early ambulation on functionality in patients undergoing valve replacement surgery
title_fullStr Impact of early ambulation on functionality in patients undergoing valve replacement surgery
title_full_unstemmed Impact of early ambulation on functionality in patients undergoing valve replacement surgery
title_short Impact of early ambulation on functionality in patients undergoing valve replacement surgery
title_sort impact of early ambulation on functionality in patients undergoing valve replacement surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8710356/
https://www.ncbi.nlm.nih.gov/pubmed/34988326
work_keys_str_mv AT cordeiroandreluizlisboa impactofearlyambulationonfunctionalityinpatientsundergoingvalvereplacementsurgery
AT reisjaildesreisdos impactofearlyambulationonfunctionalityinpatientsundergoingvalvereplacementsurgery
AT cruzhuendyborgesda impactofearlyambulationonfunctionalityinpatientsundergoingvalvereplacementsurgery
AT guimaraesandreraimundo impactofearlyambulationonfunctionalityinpatientsundergoingvalvereplacementsurgery
AT gardenghigiulliano impactofearlyambulationonfunctionalityinpatientsundergoingvalvereplacementsurgery