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

• Material Type: 博士論文
• Title: Determining Factors for Independent Walking in Patients Undergoing Cardiovascular Surgery: Differences between Coronary Artery Bypass Grafting, Heart Valve Surgery, and Aortic Surgery
• Author/Editor: 坂本, 優衣
• Author Heading: 坂本, 優衣
• Publication, Distribution, etc.: MDPI
• Publication Date: 2022-03-02
• Publication Date (W3CDTF): 2022-03-02
• Alternative Title: 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
• Periodical title: Healthcare
• No. or year of volume/issue: 9
• Volume: 9
• Pages: 1475-
• ISSN (Periodical Title): ISSN : 2227-9032
• Degree grantor/type: Nagasaki University (長崎大学)
• Date Granted: 2022-03-02
• Dissertation Number: 甲医歯薬第1413号
• Degree Type: 博士(医学)
• Text Language Code: eng
• Subject Heading: cardiac rehabilitation; thoracic surgery; cardiac surgical procedures; aortic disease; walking; mobility limitation; early ambulation; postoperative care
• Target Audience: 一般
• Note (General): 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)
• Source: https://nagasaki-u.repo.nii.ac.jp/?action=repository_action_common_download&item_id=27384&item_no=1&attribute_id=70&file_no=1 （fulltext）; https://nagasaki-u.repo.nii.ac.jp/?action=repository_action_common_download&item_id=27384&item_no=1&attribute_id=70&file_no=1
• Access Restrictions: インターネット公開
• Rights (production): Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
• Related Material: http://hdl.handle.net/10069/00041416
• Related Material (DOI): 10.3390/healthcare9111475
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 長崎大学 : 長崎大学学術研究成果リポジトリ