Lower extremity performance predicts length of hospital stay in older candidates to elective cardiac surgery

医学 心脏外科 前瞻性队列研究 外科 人口 队列 择期手术 内科学 环境卫生
作者
Samuele Baldasseroni,Mauro Di Bari,Pierluigi Stefàno,Alessandra Pratesi,Enrico Mossello,Andrea Ungar,Stefano Del Pace,Francesco Orso,Andrea Herbst,Giulia Lucarelli,Carlo Fumagalli,Giuseppe Olivo,Niccolò Marchionni
出处
期刊:Experimental Gerontology [Elsevier BV]
卷期号:164: 111801-111801
标识
DOI:10.1016/j.exger.2022.111801
摘要

Prolonged hospital stay must be considered as risk factor for poor outcomes after cardiac surgery; different variables have been advocated as predictors of in-hospital stay. Nevertheless, most patients requiring prolonged hospital stay are frail older subjects; thus, we hypothesized a significant influence of pre-operative physical performance, as a frailty measure, on in-hospital stay after elective cardiac surgery.In a prospective, single-center, cohort study we enrolled patients aged 75+ years referred to our Division of Cardiac Surgery at Careggi University Hospital, for their first elective cardiac surgery. All participants were preoperatively evaluated by a team composed by a cardiac surgeon, a cardiologist, an anaesthesist, and a geriatrician to assess global cardiac surgery risk; lower extremity performance was measured with the Short Physical Performance Battery-SPPB.A total of 518 patients were included in the study. Mean age was 79.5 ± 3.3 years; 256 (49.4%) were women. Isolated coronary by pass graft was performed in 37 patients (7.1%), isolated valve surgery in 115 (22.0%), and combined cardiac surgery procedures in 366 (70,9%). In a multivariable model, SPPB score was strongly associated with hospital length of stay both as continuous, categorized and dichotomous variable (p < 0.001; p = 0.002; p = 0.002 respectively) in all study population, and in subgroup of patients candidate to cardiac surgery considered by the Society of Thoracic Surgeons calculator score (p = 0.023; p = 0.056; p = 0.013 respectively).Our findings support the use of pre-operative SPPB evaluation before elective cardiac surgery based on the independent ability to predict length of hospital stay.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
1秒前
顺利白安完成签到,获得积分10
2秒前
孝顺的雁芙完成签到,获得积分10
2秒前
2秒前
ca完成签到,获得积分10
2秒前
pl656完成签到,获得积分10
3秒前
3秒前
3秒前
腼腆的冷玉完成签到,获得积分10
5秒前
共享精神应助Maerang采纳,获得10
5秒前
小雪完成签到,获得积分10
6秒前
不知完成签到 ,获得积分10
6秒前
7秒前
xinxinbaby完成签到,获得积分10
7秒前
老刘不吃香菜完成签到,获得积分10
7秒前
野原完成签到,获得积分10
7秒前
8秒前
8秒前
junjun2011完成签到,获得积分10
8秒前
9秒前
9秒前
轩辕中蓝完成签到 ,获得积分10
9秒前
Youdge完成签到,获得积分10
9秒前
英俊的采萱完成签到,获得积分10
9秒前
梅子黄时雨完成签到,获得积分10
10秒前
现代的访曼完成签到,获得积分0
10秒前
sunshine完成签到,获得积分10
10秒前
纪外绣完成签到,获得积分10
10秒前
1028181661完成签到,获得积分10
10秒前
11秒前
丑麒完成签到,获得积分10
11秒前
Nara2021完成签到,获得积分10
11秒前
石斑鱼完成签到,获得积分10
11秒前
周天发布了新的文献求助10
13秒前
浑灵安完成签到,获得积分10
13秒前
wangke完成签到,获得积分10
14秒前
hugh完成签到,获得积分10
15秒前
田様应助A1采纳,获得10
16秒前
DJ完成签到,获得积分10
16秒前
18秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Cognitive Neuroscience: The Biology of the Mind 1000
Technical Brochure TB 814: LPIT applications in HV gas insulated switchgear 1000
Immigrant Incorporation in East Asian Democracies 600
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
A Preliminary Study on Correlation Between Independent Components of Facial Thermal Images and Subjective Assessment of Chronic Stress 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3968637
求助须知:如何正确求助?哪些是违规求助? 3513552
关于积分的说明 11168493
捐赠科研通 3248935
什么是DOI,文献DOI怎么找? 1794554
邀请新用户注册赠送积分活动 875188
科研通“疑难数据库(出版商)”最低求助积分说明 804691