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ABSTRACT: Background
Functional limitation is relatively common and can negatively influence the postoperative outcome of patients after cardiac surgery.Objective
To identify the predictive factors of functional limitation in patients undergoing elective cardiac surgery.Methods
Retrospective cohort study was performed to evaluate patients undergoing elective cardiac surgery. All patients underwent a cardiovascular rehabilitation protocol. Functional limitation was defined based on performance in the rehabilitation protocol following cardiac surgery. Poor performance in the cardiac surgery rehabilitation protocol defined functional limitation, whereas good performance indicated no limitation.Results
Data were collected from 548 patients; of these, 190 (34.7%) had functional limitation. In multivariate analysis, the factors associated with postoperative functional limitation were as follows: hospitalization by the public healthcare system [OR: 2.14; 95% confidence interval (CI): 1.73, 2.65]; age (OR 1.23; 95% CI: 1.15, 1.31); length of hospitalization in the intensive care unit (OR 1.03; 95% CI: 1.01, 1.05); history of previous acute myocardial infarction (OR 1.40; 95% CI: 1.13, 1.73); presence of previous comorbidities [chronic kidney disease (OR 1.56; 95% CI: 1.15, 2.10); cerebrovascular disease (OR 1.57; 95% CI: 1.19, 2.07)]; presence of expiratory muscle weakness (OR 1.54; 95% CI: 1.08, 2.20); and intercurrence of cardiorespiratory arrest during hospitalization (OR 1.76; 95% CI: 1.40, 2.22).Conclusion
Functional limitation after cardiac surgery could be predicted by multiple pre and postoperative factors, except for preoperative functionality, which does not suggest to be an independent factor for functional limitation after surgery.
SUBMITTER: Bauer PDS
PROVIDER: S-EPMC10562669 | biostudies-literature | 2023 Sep
REPOSITORIES: biostudies-literature
Bauer Patrícia da Silva PDS Teixeira Cassiano C Leão Bruna Muller BM Rosa Regis Goulart RG
Brazilian journal of physical therapy 20230921 5
<h4>Background</h4>Functional limitation is relatively common and can negatively influence the postoperative outcome of patients after cardiac surgery.<h4>Objective</h4>To identify the predictive factors of functional limitation in patients undergoing elective cardiac surgery.<h4>Methods</h4>Retrospective cohort study was performed to evaluate patients undergoing elective cardiac surgery. All patients underwent a cardiovascular rehabilitation protocol. Functional limitation was defined based on ...[more]