Effects of Length of Bed Rest during Hospitalization on Skeletal Muscle in Patients with Conservatively Treated Acute Aortic Dissection

Takahashi, Keiko; Soyama, Yuko; Sasanuma, Naoki; Domen, Kazuhisa; Masuyama, Tohru; Ishihara, Masaharu; Suzuki, Keiichiro

doi:10.4172/2329-9096.1000395

Cited by 1 publication

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References 17 publications

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“…Muscle atrophic processes begin within 72 h and muscle strength is reduced by 10-30% after 1 week of bed rest. 35 Takahashi et al reported that muscle strength is rapidly lost during hospitalization for cardiovascular disease, 36 and Fan et al noted that patients with documented ICUAW had worse physical functioning and health-related quality of life. 37 Clearly, ICUAW affects long-term physical function and ADL after cardiovascular surgery.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Functional Decline in Activities of Daily Living at Discharge in Patients After Cardiovascular Surgery

Honda

Takahashi

Sasanuma

et al. 2021

Circ J

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Background: This study aimed to investigate the trajectory of functional recovery of activities of daily living (ADL) from the time of admission up to hospital discharge, and explored which preoperative and postoperative variables were independently associated with functional decline in ADL at discharge of patients after cardiovascular surgery. Methods and Results:In this observational study, we evaluated ADL preoperatively and at discharge using the Functional Independence Measure (FIM) in patients after cardiovascular surgery. Functional decline in ADL was defined as scoring 1-5 on any one of the FIM items at discharge. Multiple logistic regression was performed to predict the functional decline in ADL at discharge. We found that 18.8% of elective cardiovascular surgery patients suffered from decreased ADL at discharge. The Mini-Mental State Examination (odds ratio (OR): 0.573, 95% confidence interval (CI): 0.420-0.783), gait speed (OR: 0.032, 95% CI: 0.003-0.304) and initiation of walking around the bed (OR: 1.277, 95% CI: 1.103-1.480) were independently associated with decreased ADL at discharge. Conclusions:A functional decline in ADL at discharge can be predicted using preoperative measures of cognitive function, preoperative gait speed and postoperative day of initiation of walking. These results show that preoperative cognitive screening and gait speed assessments can be used to identify patients who might require careful postoperative planning, and for whom early postoperative rehabilitation is needed to prevent serious functional ADL deficits.

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Section: Discussionmentioning

confidence: 99%