Rehabilitation of the post-cardiac surgery stroke patient: Analysis of cognitive and functional assessment

Oden, Kathryn E.; Kevorkian, C George; Levy, Joel K.

doi:10.1016/s0003-9993(98)90211-8

Cited by 9 publications

(8 citation statements)

References 25 publications

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“…Many studies were carried out using the FIM scale [8,[14][15][16], but in heart surgery few have been performed among which, one by Sansone et al [17] assessed patients involved in heart surgery rehabilitation programs and demonstrated the validity of the instrument.…”

Section: Introductionmentioning

confidence: 99%

Avaliação da intensidade de dor e da funcionalidade no pós-operatório recente de cirurgia cardíaca

Borges

Ferreira

Carvalho

et al. 2006

Rev Bras Cir Cardiovasc

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RBCCV 44205-847 Avaliação da intensidade de dor e da funcionalidade no pós-operatório recente de cirurgia cardíacaPain intensity and postoperative functional assessment after heart surgery Abstract Objective: To evaluate, in patients submitted to heart surgery, the intensity of pain and the level of functionality during the preoperative period, on the 7 th postoperative day and at hospital discharge. A secondary objective was to evaluate any possible relationship between pain and functionality taking into account the following variables: gender, age, first heart surgery or re-interventions, use of cardiopulmonary bypass (CPB), type of surgery and physiotherapeutic follow-up.Method: Forty-one patients who had undergone elective heart surgery at the Teaching Hospital of Botucatu/UNESP were studied. Pain intensity was measured using the VAS scale and functionality by the FIM scale (Functional Independence Measure) in the physical domain.Results: It was observed that the intensity of pain was higher on the 7 th postoperative day when compared with the preoperative period and at hospital discharge. No pain rating score was shown in the preoperative period, while a median pain intensity of 3 (moderate pain), was noted at hospital discharge. The highest levels of functional loss occurred on the 7 th postoperative day compared to the total scores obtained in the preoperative period and at hospital discharge. A significant correlation between pain and functionality was observed; a decrease in level of pain between the 7 th postoperative day and hospital discharge contributed to an increase in the functional levels.Conclusion: The evaluations performed in the BORGES, JBC ET AL -Pain intensity and postoperative functional assessment after heart surgery Braz J Cardiovasc Surg 2006; 21(4): 393-402

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Section: Introductionmentioning

confidence: 99%

Avaliação da intensidade de dor e da funcionalidade no pós-operatório recente de cirurgia cardíaca

Borges

Ferreira

Carvalho

et al. 2006

Rev Bras Cir Cardiovasc

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“…Although FIM scores in the cognitive category were relatively unchanged, our previous study showed that this stability did not impair functional progress on the rehabilitation unit. 16 In the PCSS group, 35% developed a stroke either intraoperatively or within the first 24 hr postoperatively, whereas in the remaining 65%, the cerebral insult occurred over the next 6 days. Our findings on the temporal onset of a stroke broadly concurs with that of other authors.…”

Section: Discussionmentioning

confidence: 92%

“…Wide variation in methodology and follow-up (if any) were characteristic of this group of studies. 10,[13][14][15][16] Several recent reports have indicated an overall rate of stroke and/or other cerebral morbidity of close to 6%. A prospective multi-institutional study of Ͼ2100 patients indicated a stroke rate of approximately 3% associated with coronary artery bypass grafting.…”

mentioning

confidence: 99%

“…Furthermore, information on the long-term quality of life of PCSS victims is absent. Oden et al 16 studied the functional, neuropsychological, and medical progress of 19 post-CABG stroke patients on a rehabilitation unit. The authors found that such patients made functional improvement similar to that of other stroke (OS) patients and essentially had the same rate of return to the community.…”

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confidence: 99%

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Rehabilitation of Postcardiac Surgery Stroke Patients

Kevorkian

Kaldis

Mahajan

et al. 2003

American Journal of Physical Medicine & Rehabilitation

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“…Nursing alone has been replaced by active and early mobilization by physiotherapists and nurses even in critically ill patients [26]. Stroke patients undergo early neuro-rehabilitation thereby minimizing the long-term defects [27].…”

Section: Partnersmentioning

confidence: 99%

The ageing population – a challenge for cardiovascular surgery

Podesser

2011

Eur Surg

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Rehabilitation of the post-cardiac surgery stroke patient: Analysis of cognitive and functional assessment

Cited by 9 publications

References 25 publications

Avaliação da intensidade de dor e da funcionalidade no pós-operatório recente de cirurgia cardíaca

Avaliação da intensidade de dor e da funcionalidade no pós-operatório recente de cirurgia cardíaca

Rehabilitation of Postcardiac Surgery Stroke Patients

The ageing population – a challenge for cardiovascular surgery

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