Outcome after valve surgery in octogenarians and efficacy of early mobilization with early cardiac rehabilitation

Nakamura, Kunihide; Nakamura, Eisaku; Niina, Katsuhiko; Kojima, Kazushi

doi:10.1007/s11748-010-0665-0

Cited by 20 publications

(8 citation statements)

References 20 publications

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“…However, the postoperative outcome in group Idid not significantly differ from those reported by other authors [7][8][9][10][11][12][13][14][15][16][17][18].…”

Section: Discussioncontrasting

confidence: 65%

There is no significant difference in the operative risk between octogenarians compared with patients younger than 60 years in cardiac surgery*

et al. 2011

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“…However, the postoperative outcome in group Idid not significantly differ from those reported by other authors [7][8][9][10][11][12][13][14][15][16][17][18].…”

Section: Discussioncontrasting

confidence: 65%

There is no significant difference in the operative risk between octogenarians compared with patients younger than 60 years in cardiac surgery*

et al. 2011

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“…Frailty appeared to have more of an impact on mortality in what were generally considered to be lower risk operations and may also affect a patents' ability to recover from a complication once it had occurred [24]. Nakamura et al [25] expected the clinical efficacy of early mobilization and cardiac rehabilitation to reduce the incidence of postoperative delirium and confusion and increased the return to the home directly in elderly patients; therefore, these perioperative managements need to be mandatory in order to take care of frail patients and improve clinical outcomes following cardiac surgery.…”

Section: Frailty and Cardiac Surgerymentioning

confidence: 99%

Frailty in cardiothoracic surgery: systematic review of the literature

Furukawa

Tanemoto

2015

Gen Thorac Cardiovasc Surg

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A preoperative surgical risk analysis is necessary and important for predicting clinical and surgical outcomes in a clinical setting. Various tools for evaluating the patient characteristics in order to forecast perioperative clinical outcomes have previously been described; however, an objective and precise preoperative risk assessment has not yet been established. In the last decade, the concept of frailty, which is a geriatric assessment that identifies disabilities and weaknesses in patients, has been used in order to predict clinical mortality and morbidity following invasive surgical interventions because the prevalence of elderly patients among those undergoing surgical interventions is increasing. Since there is currently no single generally accepted clinical definition of frailty, many clinical modalities are needed to evaluate the patients' geriatric activity of daily living. Quantifying the quality of frailty is an evolving challenge for predicting surgical risks preoperatively. In recent years, with the development of transcatheter aortic valve implantation (TAVI), this newly definitive preoperative surgical risk assessment tool, frailty, has become more important and is attracting interest in cardiothoracic surgical settings. Thus, this review summarized current consideration on the preoperative risk analysis by frailty as well as future perspectives and the potential of an ideal frailty risk assessment in cardiothoracic surgery, including the management of elderly patients and high-risk aortic valve stenosis by TAVI.

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“…In the study by Nakamura et al (21), with elderly patients submitted to heart surgery, a reduction in delirium index in the postoperative period with an earlier return to their homes was observed.…”

Section: Resultsmentioning

confidence: 90%

Time influence of mechanical ventilation on functional independence in patients submitted to cardiac surgery: literature review

et al. 2015

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Infl uência do tempo de ventilação mecânica sobre a independência funcional em pacientes submetidos à cirurgia cardíaca: uma revisão da literatura [A] André Luiz Cordeiro [a] , Thiago Araújo de Melo [b] , Andriele Medeiros Santos [a] , Gisele Freitas Lopes [a] * [a] Faculdade Nobre de Feira de Santana (FAN), Feira de Santana, BA, Brazil [b] Universidade Salvador (UNIFACS), Salvador, BA, Brazil [R] Abstract Introduction: Patients submitted to cardiovascular surgery present motor and respiratory complications mainly due to high surgery manipulation and the use of mechanical ventilation. Reducing the weaning start time and disconnecting patient's ventilation system prematurely can decrease the pulmonary complications and hospitalization time. Motor complications are the most relevant as they have a direct effect on functional independence provoked by immobility time. Objectives: Identify if mechanical ventilation time has an impact on functional capacity on patients submitted to cardiac surgery in order to contribute to the establishment of reliable evidence to practice through this patient's profile. Materials and methods:

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Outcome after valve surgery in octogenarians and efficacy of early mobilization with early cardiac rehabilitation

Cited by 20 publications

References 20 publications

There is no significant difference in the operative risk between octogenarians compared with patients younger than 60 years in cardiac surgery*

There is no significant difference in the operative risk between octogenarians compared with patients younger than 60 years in cardiac surgery*

Frailty in cardiothoracic surgery: systematic review of the literature

Time influence of mechanical ventilation on functional independence in patients submitted to cardiac surgery: literature review

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