Document Detail

Icf-based approach to evaluating functionality in cardiac rehabilitation patients after heart surgery.
MedLine Citation:
PMID:  25184802     Owner:  NLM     Status:  Publisher    
BACKGROUND: Heart surgery is a frequent reason for admission to in--patient cardiac rehabilitation programmes. ICF approach has never been used to evaluate cardiac patients after major heart surgery.
AIM: The aim was to evaluate and measure functionality in cardiac patients who have undergone heart surgery, using for the first time the ICF--based approach and to assess whether such approach can be feasible and useful in cardiac rehabilitation.
DESIGN: Observational study SETTING: In--patients cardiac Rehabilitation Unit in Milan.
POPULATION: Fifty consecutively admitted patients who had undergone heart surgery (34 males, 16 females; mean age 65.7 ± 12.5 years) .
METHODS: We prepared a ICF--core set short enough to be feasible and practical. Patients were individually interviewed by different healthcare professionals (randomly selected from a group of two physicians, two physiotherapists and two psychologists) at the beginning (T1) and end of cardiac rehabilitation (T2) RESULTS: The sum of the scores of each ICF body function, body structure, activity and participation code significantly decreased between T1 and T2 (P<0,001). The environmental code scores significantly decreased in the case of facilitators between T1 and T2 (p=0.0051), but not in the case of barriers. There were significant correlations between the ICF body function scores and Barthel's index (ρ=0.381;; p=0.006), NYHA class (ρ=0.404;; p=0.004) and plasma Cr--P levels (r=0.31; p=0.03), between the ICF body structure codes and the Conley scale (ρ=0.306; p=0.02), and between the activity/participation codes and SpO2 (ρ=0.319;; p=0.04). There were no correlations between the ICF environmental codes and clinical parameters.
CONCLUSION: The ICF--based data provided functional information that was consistent with the patients' clinical course.
CLINICAL REHABILITATION IMPACT: The core set used allowed to quantify important body functions and activities, including some areas that are generally insufficiently considered by healthcare professionals during cardiac rehabilitation, and document their improvement.
V Racca; M Di Rienzo; P Mazzini; V Ripamonti; G Gasti; R Spezzaferri; M Modica; M Ferratini
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-9-03
Journal Detail:
Title:  European journal of physical and rehabilitation medicine     Volume:  -     ISSN:  1973-9095     ISO Abbreviation:  Eur J Phys Rehabil Med     Publication Date:  2014 Sep 
Date Detail:
Created Date:  2014-9-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101465662     Medline TA:  Eur J Phys Rehabil Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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