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

Abstract

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.

Clinical implications of severe sarcopenia in Japanese patients with acute heart failure

“…Sarcopenia is a risk factor for the delay of rehabilitation and the decline in physical ability 27,28 . However, our study's findings did not show any significant differences in the in‐hospital rehabilitation‐related outcomes and basic daily activities.…”

“…Sarcopenia is a risk factor for the delay of rehabilitation and the decline in physical ability. 27,28 However, our study's findings did not show any significant differences in the in-hospital rehabilitation-related outcomes and basic daily activities. This would be because a multidisciplinary team approach, including early ambulation and exercise training, nutritional support, disease education and medication guidance, is systematically used for all patients who were hospitalized for HF in our hospital.…”

Effect of sarcopenia on hospital stay from post cardiac surgery to discharge

“…Sarcopenia had the most significant effect on the length of hospital stay from after surgery to discharge, followed by prolonged intubation time. Morimoto et al [13] reported that sarcopenia was the most influential factor in slowing the progress of cardiac rehabilitation and increasing hospital transfer rates. At our hospital, the sarcopenia group had slow cardiac rehabilitation progress.…”

“…Sarcopenia is an important factor affecting postoperative cardiac rehabilitation, slowing the progression of rehabilitation, and affecting hospital transfer [13] , [14] . However, data from Japan on the factors that influence prolonged hospital stay in patients with sarcopenia undergoing cardiovascular surgery are lacking.…”

Relationship between Perme ICU Mobility Score and length of stay in patients after cardiac surgery

“…Additionally, our findings showed that the preoperative pulmonary function (D1, D2 and D3); LVEF and CPBT (D1); age and LVEF (D2) and maximum expiratory pressure (D3) were independent predictors of mobility status. It is known that physical function may decrease immediately after surgery, especially in elderly patients, and impairment of functional status is associated with prolonged ICU stay in patients after cardiovascular surgery 31 . Different methods and instruments have been used to evaluate physical functioning in the critical care setting 12 .…”