scholarly journals 6 Minute Walk Test (6-MWT) as a Tool for Predicting Post Operative Pulmonary Complications in Abdominal Surgeries

Author(s):  
K. Janani ◽  
K. Rajkumaran ◽  
S. Niranjani

Background: Post operative pulmonary complications (PPC) contribute to increased morbidity and mortality. Thus pre operative assessment is required. Six minute walk test (6-MWT) is a simple and reliable test which is recently being included in pre operative evaluation. Objectives: The objective of this study is to determine the value of the six minute walk test as a reliable tool in detecting post operative pulmonary complications in patients undergoing abdominal surgery. Materials and Methods: It is a prospective observational study conducted in a tertiary care centre for a period of 3 months. 66 patients in the age group of 40-60 years undergoing elective abdominal surgery under general anaesthesia were included in this study based on universal sampling method. Patients with recent coronary syndrome, uncontrolled hypertension, cardiac diseases, pregnancy and conditions which impair walking (eg. Arthiritis) were excluded from the study.     6 minute walk test was performed before the surgery. The procedure was explained to the patients and consent was obtained. The test was conducted on a flat surface of 20m near our pre anaesthetic clinic and the patient was asked to walk for a period of 6 minutes in their own comfortable pace. The distance covered by the patients in the 6 minutes was noted. Vitals such a SpO2, heart rate, systolic and diastolic blood pressures were recorded before and after the test. The patients were followed up for the development of pulmonary complications in the post operative period. Results: Out of the 66 patients included in the study, 35 patients did not develop        PPC (Group 1) and 31 patients developed PPC (Group2) including one death due to respiratory failure. The six minute walk distance in the PPC group was significantly less (p=0.0001) when compared to that of the non PPC group. Patients in the PPC group also required prolonged hospital stay. Pneumonia was the most commonly developed post operative pulmonary complication. Conclusion: Six minute walk test is a useful tool in predicting post operative pulmonary complication in patients undergoing abdominal surgery.  

2021 ◽  
Vol 11 (1) ◽  
pp. 204589402098843
Author(s):  
Kevin M. Swiatek ◽  
Charnetta Lester ◽  
Nicole Ng ◽  
Saahil Golia ◽  
Janet Pinson ◽  
...  

Our objective was to establish the impact of wearing a face mask on the outcome of six-minute walk test in healthy volunteers. In a study of 20 healthy volunteers who each completed two 6MWTs, one with a mask and one without, there was no difference in distance walked. However, there was a significant difference in perception of dyspnea between the two groups.


2020 ◽  
Vol 19 (6) ◽  
pp. 2460
Author(s):  
A. V. Budnevsky ◽  
A. Ya. Kravchenko ◽  
R. E. Tokmachev ◽  
T. A. Chernik ◽  
E. V. Tokmachev ◽  
...  

The six-minute walk test (6MWT) is a well-known exercise test used in medical practice to assess the functional status of patients with various chronic cardiovascular and respiratory diseases. The results of modern research describe new potential of 6MWT, which allow a more accurate interpretation and predict the course of diseases. Heart failure (HF) is the outcome of many structural and functional heart disorders. To improve the prognosis of patients with HF, early diagnosis, appropriate therapy and effective control of the disease course are important components. This review describes the diagnostic, prognostic and therapeutic potential of 6MWT in patients with HF.


2015 ◽  
Vol 10 (1) ◽  
pp. 18-25 ◽  
Author(s):  
Warangkana Keeratichananont ◽  
Chokchai Thanadetsuntorn ◽  
Suriya Keeratichananont

2019 ◽  
Vol 12 (1) ◽  
pp. 31699
Author(s):  
Fernanda Cabral Xavier Sarmento De Figueiredo ◽  
Luanna Oliveira Leal ◽  
Bianca Dana Horongozo Itaborahy ◽  
Fabiana De Figueiredo Ribeiro ◽  
Antônio Manoel Gulart ◽  
...  

Introdução: O teste de caminhada de seis minutos (TC 6 ) é comumente utilizado na faixa etária pediátrica, e variáveis preditivas e valores de referência têm sido estudados para o teste.Objetivo: Apresentar os achados na literatura sobre a determinação de variáveis preditivas e valores de referência para o TC 6 na população pediátrica.Materiais e Métodos: Revisão de literatura através de pesquisa nas bases de dados eletrônicas PubMed e EBSCO utilizando as palavras-chave: “child”, “six minute walk test”, “reference values” e “6-minute walk test”, buscando estudos que apresentassem valores e/ou equações de referência e apresentação de variáveis preditivas. Não foi utilizada restrição temporal e de idioma nas publicações.Resultados: De um total de 20 estudos, foram selecionados 11, os quais incluíram indivíduos entre 4 e 18 anos. A idade foi a variável de mais frequente relação com o desempenho no teste, seguida de massa corporal, estatura, sexo, variação da frequência cardíaca, índice de massa corporal e nível de atividade física . A altura foi a única variável preditiva comum em todos os estudos. Nota-se que diferentes metodologias e modificações são empregadas na realização do TC 6 .Conclusão: Diferentes equações de referência, bem como variáveis preditivas, são identificadas, sendo apenas a estatura comum nas diferentes publicações analisadas. Mesmo o TC 6 sendo um teste comumente utilizado, não há metodologia de aplicação e padronização em pediatria.


2020 ◽  
pp. 1-2
Author(s):  
Manish Meena ◽  
Aashish Kumar Singh* ◽  
Shashi Prakash Agnihotri

Background: Six minute walk test (6MWT), represent a useful marker for exercise capacity and dynamic hyperination of COPD patients.Highresolution computed tomography (HRCT) has allowed in detection of airway wall abnormalities and emphysema, whose extent may correlate with the clinical severity of the disease in COPD patients. Material & methods: A cross sectional study was carried in 100 COPD patients attending Department of Respiratory Medicine, Institute of respiratory diseases, SMS Medical College, Jaipur, during June 2018 to May 2019.All patients underwent clinically (Modied Medical Research Council), radiologically (HRCT) &6MWT. Results:The 6MWTshowed that a negative correlation to dyspnea (mMRC grading), emphysema score & post FEV1% predicted (p<0.0001). Conclusion:The HRCTemphysema score can be used as an initial parameter for identify patients with high risk for COPD.


2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Marietta L. van der Linden ◽  
Georgia Andreopoulou ◽  
Judy Scopes ◽  
Julie E. Hooper ◽  
Thomas H. Mercer

Foot drop is a common gait impairment in people with MS (pwMS) but in some foot drop may only occur after a period of prolonged walking and may be a sign of motor fatigability. The purpose of the study was to explore whether, for pwMS, an adapted six-minute walk test (6minWT) would result in an increase in foot drop as measured using electrogoniometry. Sagittal ankle kinematics were recorded for fifteen participants (10 females and 5 males, aged 37-64) with MS (EDSS 4-6) throughout the 6minWT. Ankle kinematics and temporal stride parameters were compared between the first and last 10 gait cycles of the 6minWT. Peak dorsiflexion in swing was significantly reduced at the end of the 6minWT compared to the start, with six of the fifteen participants having a decrease of two degrees or more. Statistically significant changes in temporal stride parameters suggested a decrease in walking speed. Our results suggest that with the protocol used in this study it is feasible to identify patients who experience increased foot drop as a result of a prolonged exercise task.


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