Determining Factors for Independent Walking in Patients Undergoing Cardiovascular Surgery: Differences between Coronary Artery Bypass Grafting, Heart Valve Surgery, and Aortic Surgery

• 資料種別: 博士論文
• ISSN: 2227-9032
• タイトル: Determining Factors for Independent Walking in Patients Undergoing Cardiovascular Surgery: Differences between Coronary Artery Bypass Grafting, Heart Valve Surgery, and Aortic Surgery
• 巻次・部編番号: 9
• 著者・編者: 坂本, 優衣
• 著者標目: 坂本, 優衣
• 出版事項: MDPI
• 出版年月日等: 2022-03-02
• 出版年（W3CDTF）: 2022-03-02
• 並列タイトル等: 心臓血管外科手術後患者の自立歩行獲得を決定する要因：冠動脈バイパス術，心臓弁手術，大動脈手術の違いについて
• タイトル（掲載誌）: Healthcare
• 授与機関名: Nagasaki University (長崎大学)
• 授与年月日: 2022-03-02
• 授与年月日（W3CDTF）: 2022-03-02
• 報告番号: 甲医歯薬第1413号
• 学位: 博士(医学)
• 博論授与番号: 甲医歯薬第1413号
• 本文の言語コード: eng
• 件名標目: cardiac rehabilitation; thoracic surgery; cardiac surgical procedures; aortic disease; walking; mobility limitation; early ambulation; postoperative care
• 対象利用者: 一般
• 一般注記: Physical deconditioning often occurs during the acute phase after cardiovascular surgery, and unassisted walking is required to achieve independence, to manage cardiac diseases, and to prevent recurrences. This study aims to investigate the characteristics of independent walking after cardiovascular surgery. We conducted a retrospective cohort study in patients who underwent cardiovascular surgeries (total of 567 patients): 153 in the coronary artery bypass grafting (CABG) group, 312 in the heart valve surgery group, and 102 in the aortic surgery group. We evaluated the effect of each surgery group on the cardiac rehabilitation (CR) progression. The factors associated with independent walking were age, renal diseases, intensive care unit (ICU) length of stay, and post-operative respiratory complications in the CABG group. In the heart valve surgery group, the factors were New York Heart Association functional classification, renal and respiratory diseases, ICU length of stay, duration of mechanical ventilatory support, and post-operative cardiovascular and respiratory complications. In the aortic surgery group, these were ICU length of stay and acute kidney injury. The CR progression in patients who underwent aortic surgery was significantly longer than those who underwent CABG and heart valve surgery (p < 0.001). New intervention strategies are needed for patients with prolonged ICU stays.; 長崎大学学位論文 学位記番号:博(医歯薬)甲第1413号 学位授与年月日:令和4年3月2日; Author: Yui Sakamoto, Yosuke Morimoto, Masatoshi Hanada, Yudai Yano, Terumitsu Sawai, Takashi Miura, Kiyoyuki Eishi and Ryo Kozu; Citation: Healthcare, 9, art.no. 1475; 2021; identifier:Nagasaki University (長崎大学), 博士(医学) (2022-03-02); http://hdl.handle.net/10069/00041416
• DOI: info:doi/10.3390/healthcare9111475; https://doi.org/info:doi/10.3390/healthcare9111475
• 国立国会図書館永続的識別子: info:ndljp/pid/12296825; https://dl.ndl.go.jp/pid/12296825
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2022-06-05T18:01:14+09:00
• 作成日（W3CDTF）: 2022-05-13
• 記録形式（IMT）: PDF
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 関連情報（URI）: http://hdl.handle.net/10069/00041416
• 掲載誌（URI）: http://hdl.handle.net/10069/00041521
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp