BACKROUND: surgical procedure and postoperative bed rest lead to musculoskeletal system alterations with a possibility of new walking dependence of patients who undergo cardio--thoracic surgery, which is sometimes associated with prolonged hospitalization and arised health expenditure. AIM: the aim of this study was to assess the postoperative motor disability in inpatients admitted to the cardiothoracic surgical ward, and the results of customized rehabilitation in terms of recovery of postural changes and walking capacity with respect to the preoperative condition and destination after discharge. DESIGN: a p rospective observational study was conducted. SETTING AND POPULATION: 417 inpatients, who had undergone cardiothoracic surgery , were enrolled between March 2011 and January 2012 in the Cardiothoracic Surgical Unit at the IRCCS San Matteo Hospital Foundation (Pavia, Italy). METHODS: a computerized system was used to collect data about deambulation at home, type and number of rehabilitation sessions proposed, deambulation at discharge, destination after discharge from ward of origin. All patients, who give their consent, undergone rehabilitative treatment on the ward of origin with an expert Physiotherapist. RESULTS: 375 inpatients were examinated in Cardiac Surgery. One patient (0.26%) refused rehabilitative treatment. Two patients (0.53%) died. At the time of discharge 236 (74.45%) patients had recovered the ability to walk independently. After discharge 87.64% of patients was transferred to a specialist ward for intensive rehabilitation. In Thoracic Surgery were enrolled 42 inpatients. Two patients died whilst in hospital. At the time of discharge, 36 patients (94.73%) were able to walk independently. After discharge 80% of patients returned home. CONCLUSION: in our study, the application of an early and simple rehabilitation program on the ward of origin after surgery has made possible the recovery of deambulation of most inpatients who referred independence at home in a few days, limiting hospitalization and health expenditure. CLINICAL REHABILITATION IMPACT: data about recovery of deambulation with respect to the preoperative condition and destination after discharge resume the importance of identifying motor impairment after surgery, in order to apply an adequate, early and feasible rehabilitation protocol to inpatients, limiting hospitalization and health expenditure .

Recovery of deambulation after cardio-thoracic surgery: a single center experience

DALLA TOFFOLA, ELENA;D'ARMINI, ANDREA MARIA;PETRUCCI, LUCIA
2015-01-01

Abstract

BACKROUND: surgical procedure and postoperative bed rest lead to musculoskeletal system alterations with a possibility of new walking dependence of patients who undergo cardio--thoracic surgery, which is sometimes associated with prolonged hospitalization and arised health expenditure. AIM: the aim of this study was to assess the postoperative motor disability in inpatients admitted to the cardiothoracic surgical ward, and the results of customized rehabilitation in terms of recovery of postural changes and walking capacity with respect to the preoperative condition and destination after discharge. DESIGN: a p rospective observational study was conducted. SETTING AND POPULATION: 417 inpatients, who had undergone cardiothoracic surgery , were enrolled between March 2011 and January 2012 in the Cardiothoracic Surgical Unit at the IRCCS San Matteo Hospital Foundation (Pavia, Italy). METHODS: a computerized system was used to collect data about deambulation at home, type and number of rehabilitation sessions proposed, deambulation at discharge, destination after discharge from ward of origin. All patients, who give their consent, undergone rehabilitative treatment on the ward of origin with an expert Physiotherapist. RESULTS: 375 inpatients were examinated in Cardiac Surgery. One patient (0.26%) refused rehabilitative treatment. Two patients (0.53%) died. At the time of discharge 236 (74.45%) patients had recovered the ability to walk independently. After discharge 87.64% of patients was transferred to a specialist ward for intensive rehabilitation. In Thoracic Surgery were enrolled 42 inpatients. Two patients died whilst in hospital. At the time of discharge, 36 patients (94.73%) were able to walk independently. After discharge 80% of patients returned home. CONCLUSION: in our study, the application of an early and simple rehabilitation program on the ward of origin after surgery has made possible the recovery of deambulation of most inpatients who referred independence at home in a few days, limiting hospitalization and health expenditure. CLINICAL REHABILITATION IMPACT: data about recovery of deambulation with respect to the preoperative condition and destination after discharge resume the importance of identifying motor impairment after surgery, in order to apply an adequate, early and feasible rehabilitation protocol to inpatients, limiting hospitalization and health expenditure .
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11571/1096388
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