Analysis of bedside entertainment services’ effect on post cardiac surgery physical activity: a prospective, randomised clinical trial

Papaspyros, Sotiris; Uppal, Sandeep; Khan, Shakeeb; Paul, Sanjoy K.; O’Regan, David

doi:10.1016/j.ejcts.2008.05.042

Cited by 19 publications

(19 citation statements)

References 22 publications

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“…In our study, most of the participants engaged in bedside entertainment (the hospital provided Internet and television). This finding was similar to the result reported in previous studies (Dodge et al 2008, Karjalainen et al 2008, Papaspyros et al 2008, Bier et al 2009, Couture et al 2010, Li et al 2010a, O'Sullivan & Chard 2010. Enabling participants to maintain contact via the Internet with their families who were living far away was especially important as social support plays a critical role in rehabilitation, such as provides sense of encouragement, care and connection (Reed et al 2010).…”

Section: Discussionsupporting

confidence: 87%

“…A few studies discussed leisure for patients in hospital. Papaspyros et al (2008) studied entertainment services at the bedside of patients with cardiac surgery using a randomised clinical trial and reported that bedside entertainment including net surfing, taking phone calls, sending e-mail, watching television and listen to the radio; gaming affected the ambulation of patients after cardiac surgery, contributing to a longer stay in hospital. One study in Finland explored school-age children's experience in hospital and suggested that leisure could reduce their worries and fears, in turn benefitting pain management (Pelander & Leino-Kilpi 2010).…”

Section: Introductionmentioning

confidence: 99%

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Getting through the day: exploring patients’ leisure experiences in a private hospital

Chan

Yip

et al. 2012

Journal of Clinical Nursing

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Getting through the day: exploring patients’ leisure experiences in a private hospital

Chan

Yip

et al. 2012

Journal of Clinical Nursing

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“…Thus, one can justify, in our study, the significant negative correlation of the 6-MWT distance walked by the patient with the time of hospital stay, because it suggests that the patient who presents more deambulation ability has a functional capacity more suitable for hospital discharge, reflecting better the functionality than the lung function alone. The significant correlation of FVC and FEV 1 with the 6-MWT also suggests that deambulation ability may better reflect overall functional capacity and can be justified by the fact that greater deambulation capacity is associated with higher stimulation of ventilation, increased pulmonary perfusion and detachment of secretions and oxygenation improvement [24].…”

Section: Discussionmentioning

confidence: 99%

Relação do teste de caminhada pós-operatório e função pulmonar com o tempo de internação da cirurgia cardíaca

Oliveira¹,

Maldaner²,

Turquetto³

2009

Rev Bras Cir Cardiovasc

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Relação do teste de caminhada pós-operatório e função pulmonar com o tempo de internação da cirurgia cardíacaRelationship of postoperative walk test and lung function with the length of heart surgery hospital stay Abstract Objective: The lung function is identified as a predictor of time of hospital stay in heart surgery. Meanwhile six-minute walk test has been used to establish functional capacity of cardiac patients, however there are few studies that correlate it with the length of hospital stay. The aim of this study was to determine whether there is correlation of preoperative and postoperative lung function and the postoperative deambulation ability with postoperative hospital stay.Methods: A prospective cohort with 18 patients was performed, being 8 males and 10 females, with age above 40 years (mean 64.89 ± 6.95 years). Patients where admitted for coronary artery bypass graft surgery and/or valve replacement. To characterize the pulmonary function, patients had undergone spirometry in preoperative and at 5th postoperative day. In the latter period was also performed a test for 6 minutes walk (6MWT) to characterize the deambulation ability.Results: There was not significant correlation of preoperative and postoperative lung function with length of postoperative hospital stay. Only the distance covered in 6MWT showed a significant negative correlation (rho=-0.62) with length postoperative hospital of stay. The distance in 6MWT obtained a significant positive correlation with forced vital capacity (r=0.59) and first second of a maximal forced expiratory maneuver (r=0.52). Conclusion:These results suggest that patients with increased postoperative deambulation capacity have a shorter time of hospital stay and it also suggests that the distance in the 6MWT can better represent the functional capacity of these patients than lung function alone. Descriptors: Respiratory function tests. Early ambulation. Length of stay. Cardiovascular surgical procedures.Resumo Objetivo: A função pulmonar é apontada como preditora do tempo de hospitalização na cirurgia cardíaca. E o teste de caminhada de seis minutos (TC6') tem sido utilizado para caracterizar a capacidade funcional em pacientes cardiopatas, porém há poucos estudos que o correlacione com tempo de internação hospitalar. O objetivo desta pesquisa foi verificar se há correlação da função pulmonar pré e pós-operatória e da capacidade da deambulação pós-operatória com tempo de internação pós-operatória.Métodos: Foi realizada uma coorte prospectiva com 18 pacientes, sendo 8 do gênero masculino e 10 do gênero feminino, com idade acima de 40 anos (média 64,89 ± 6,95 anos), internados para a submissão de cirurgias de revascularização do miocárdio e/ou troca valvar. Para caracterizar a função pulmonar, os pacientes foram submetidos a uma espirometria no pré-operatório e ao 5°C orrespondence address: Vinicius Zacarias Maldaner da Silva

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“…It is also known that immobility post cardiac surgery contributes to an increased risk of postoperative complications and an increased hospital stay [5, 6]. However, not much is known about the influence of the preoperative PA status on the postoperative outcome after cardiac surgery.…”

Section: Introductionmentioning

confidence: 99%

Decreased physical activity is a predictor for a complicated recovery post cardiac surgery

Laar

Timman

Noyez

2017

Health Qual Life Outcomes

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BackgroundPhysical activity (PA) reduces the risk of cardiovascular disease and physically active survivors of a cardiac event are at lower risk of recurrent events. We hypothesized that patients with a decreased PA, undergoing cardiac surgery, are at higher risk for a postoperative complicated recovery (PCR).MethodsThree thousand three hundred eighty two patients undergoing elective cardiac surgery between January 2007 and December 2013 were included. The group was divided into three subgroups: group A, aged ≤ 65 years (N = 1329); group B, aged > 65 years and ≤ 75 years (N = 1250); and group C aged >75 years (N = 803). To assess PA, the criteria of the Corpus Christy Heart Project were used. A PCR consists of the occurrence of a major postoperative event, defined as any of the following complications: reoperation, deep sternal wound infection, renal failure, stroke, postoperative ventilation > 2 days, intensive care stay ≥ 5 days, hospital stay ≥ 10 days, or hospital mortality.ResultsOne thousand three hundred sixty seven patients (40%) were considered as patients with a decreased PA. Both in group B (p = 0.001) and in group C (p = 0.003), patients with a decreased PA were significantly associated with an increased risk of a PCR, which was not the case in group A (p = 0.28). Logistic regression analysis identified a decreased PA as an independent predictor for PCR in groups B (p = 0.003, odds 1.71) and C (p = 0.033, odds 1.48), but not in group A (p = 0.11, odds 0.71).ConclusionDecreased physical activity is an independent predictor for a PCR in patients aged 65 years or older undergoing elective cardiac surgery.

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Analysis of bedside entertainment services’ effect on post cardiac surgery physical activity: a prospective, randomised clinical trial

Abstract: We have demonstrated that the bedside entertainment systems may have an adverse effect on post cardiac surgery patient ambulation and may contribute to an increase in hospital stay.

Cited by 19 publications

References 22 publications

Getting through the day: exploring patients’ leisure experiences in a private hospital

Getting through the day: exploring patients’ leisure experiences in a private hospital

Relação do teste de caminhada pós-operatório e função pulmonar com o tempo de internação da cirurgia cardíaca

Decreased physical activity is a predictor for a complicated recovery post cardiac surgery

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