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

• Morimoto Yosuke

  Department of Physical Therapy, Faculty of Rehabilitation, Kobe Gakuin University: 518 Ikawadanicho, Arise, Nishi-ku, Kobe, Hyogo 651-2180, Japan

• Matsuo Tomohiro

  Department of Rehabilitation, Nishi Memorial Port-island Rehabilitation Hospital, Japan

• Yano Yudai

  Department of Rehabilitation Medicine, Nagasaki University Hospital, Japan

• Fukushima Takuya

  Department of Musculoskeletal Oncology and Rehabilitation, National Cancer Center Hospital, Japan

• Eishi Kiyoyuki

  Department of Cardiovascular Surgery, Nagasaki University Hospital, Japan

• Kozu Ryo

  Department of Rehabilitation Medicine, Nagasaki University Hospital, Japan Department of Cardiopulmonary Rehabilitation Science, Nagasaki University Graduate School of Biomedical Sciences, Japan

抄録

[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.

収録刊行物

• Ｊ　Ｐｈｙｓ　Ｔｈｅｒ　Ｓｃｉ

  Ｊ　Ｐｈｙｓ　Ｔｈｅｒ　Ｓｃｉ 33 (3), 213-221, 2021

  理学療法科学学会

キーワード

• Cardiovascular surgery
• Sarcopenia
• Discharge destination

詳細情報

• CRID: 1390568848973127168
• NII論文ID: 130007999442
• DOI: 10.1589/jpts.33.213
• ISSN: 21875626
• ISSN: 09155287
• Web Site: https://www.jstage.jst.go.jp/article/jpts/33/3/33_2020-220/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2022019520
• 本文言語コード: en
• データソース種別:
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