Document Detail

Cardiac rehabilitation after cardiac surgery is limited by gender and length of hospitalisation.
MedLine Citation:
PMID:  21267964     Owner:  NLM     Status:  In-Data-Review    
Background: Cardiac rehabilitation (CR) is recommended after cardiac surgery. Secondary prevention through exercise training is one of the best scientifically-proven ways of decreasing mortality and enhancing quality of life in cardiovascular disorders. Studies into the use of CR in different groups of patients after cardiac surgery are limited. Aim: To find the factors determining the reasons for the lack of CR in cardiac surgery patients. Methods: The study group consisted of 82 patients (mean age 58.6 years, 80.7% male) in stable II/III NYHA class, who had undergone coronary artery bypass graft surgery, valvular surgery, or both. The following were analysed: age, gender, body mass index, basic laboratory results such as serum lipids level, cholesterol ratio LDL/HDL, creatinine and glucose levels, results of electrocardiography, echocardiography and coronary arteriography, presence of hypertension, diabetes, coronary artery disease, renal failure, previous stroke, obliteration of peripheral arteries, EuroSCORE and length of hospitalisation. Patients were divided into two groups: those referred for CR (n = 46, the CR group) and those referred for CR but who did not receive it (n = 36, non-CR group). Results: From multiple logistic regression analysis with backward stepwise, only female gender (p = 0.0208, OR = 0.07) and length of hospitalisation (p = 0.0198, OR = 1.17) were significant for non-CR patients. Conclusions: We found a lower rate of use of CR after cardiac surgery in those patients hospitalised for longer periods, and in women. Kardiol Pol 2011; 69, 1: 42-46.
Bogdan Jegier; Inga Pietka; Karolina Wojtczak-Soska; Ryszard Jaszewski; Małgorzata Lelonek
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Kardiologia polska     Volume:  69     ISSN:  0022-9032     ISO Abbreviation:  Kardiol Pol     Publication Date:  2011  
Date Detail:
Created Date:  2011-01-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376352     Medline TA:  Kardiol Pol     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  42-6     Citation Subset:  IM    
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