Correlation between Surgical Risk Scales with Respiratory Muscle Strength and Functional Independence in Patients Submitted to Coronary Artery Bypass Grafting

Author(s):  
André Luiz Lisboa Cordeiro ◽  
Átila Darlan Queiroz de Brito ◽  
Graziele Freitas Almeida ◽  
Leilane Souza Jesus ◽  
Flávia de Araújo Oliveira ◽  
...  

2016 ◽  
Vol 13 (9) ◽  
pp. 946-951 ◽  
Author(s):  
Daniel L. Borges ◽  
Mayara Gabrielle Silva ◽  
Luan Nascimento Silva ◽  
João Vyctor Fortes ◽  
Erika Thalita Costa ◽  
...  

Background:Physical activity is beneficial in several clinical situations and recommended for patients with ischemic heart disease, as well as for those undergoing cardiac surgery.Methods:In a randomized controlled trial, 34 patients underwent coronary artery bypass grafting. A randomized control group (n = 15) submitted to conventional physiotherapy. The intervention group (n = 19) received the same protocol plus additional aerobic exercise with cycle ergometer. Pulmonary function by spirometry, respiratory muscle strength by manovacuometry, and functional capacity through 6-minute walking test was assessed before surgery and at hospital discharge.Results:There was significant reduction in pulmonary function in both groups. In both groups, inspiratory muscle strength was maintained while expiratory muscle strength significantly decreased. Functional capacity was maintained in the intervention group (364.5 [324.5 to 428] vs. 348 [300.7 to 413.7] meters, P = .06), but it decreased significantly in control group patients (320 [288.5 to 393.0] vs. 292 [237.0 to 336.0] meters, P = .01). A significant difference in functional capacity was also found in intergroup analyses at hospital discharge (P = .03).Conclusion:Aerobic exercise applied early on coronary artery bypass grafting patients may promote maintenance of functional capacity, with no impact on pulmonary function and respiratory muscle strength when compared with conventional physiotherapy.



2011 ◽  
Vol 58 (2) ◽  
pp. 173-180 ◽  
Author(s):  
Miho Nishitani ◽  
Kazunori Shimada ◽  
Satoshi Sunayama ◽  
Yoshiyuki Masaki ◽  
Atsumi Kume ◽  
...  




2021 ◽  
Vol 8 ◽  
Author(s):  
Sandro Gelsomino ◽  
Cecilia Tetta ◽  
Francesco Matteucci ◽  
Stefano del Pace ◽  
Orlando Parise ◽  
...  

Graphical AbstractFactors increasing post CABG incidence of ischemic stroke (red) and those which were not significant at the multi-model multifactorial analysis that analyzed all technical factors alone or in different combinations (green).



2011 ◽  
Vol 129 (2) ◽  
pp. 99-106 ◽  
Author(s):  
Márcio Niemeyer Martins de Queiroz Guimarães ◽  
Clineu de Mello Almada Filho

CONTEXT AND OBJECTIVE: Increased life expectancy has resulted in growing numbers of elderly patients undergoing heart surgery. This study aimed to identify changes in functional status among older adults undergoing coronary artery bypass grafting. DESIGN AND SETTING: Prospective observational cohort study conducted at a level IV private hospital in Brazil. METHODS: Patients were assessed using the Katz and Lawton scales and the Functional Independence Measure before admission, at hospital discharge and one month after discharge. Repeated-measurement analysis of variance was used. RESULTS: Two patients died during hospitalization. Among the 31 patients included, the Functional Independence Measure ranged from 121.7 ± 7.4 (pre-admission) to 91.1 ± 20.5 (discharge) and 109.0 ± 21.7 (one month after discharge); the Katz scale from 5.92 ± 0.32 to 4.18 ± 1.04 and 5.13 ± 1.30; and the Lawton scale from 24.3 ± 4.6 to 12.8 ± 2.0 and 16.5 ± 4.6 (P = 0.0001). When subgroups with (18) and without (13) complications were compared, the Functional Independence Measure (P = 0.085) showed a trend, although not significantly, toward recovery one month after discharge. Delirium and blood transfusion were the intercurrent events found. There was a correlation between the scales and age (P = 0.008), APACHE II (P = 0.051), EuroSCORE (P = 0.064), intensive care unit stay (P = 0.024) and overall hospital length of stay (P = 0.040). CONCLUSION: The Functional Independence Measure proved to be a promising tool for monitoring the functional status of elderly patients undergoing coronary artery bypass grafting, especially in the subgroup with complications.





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