[Functional evaluation of ultra-octogenarian patients undergoing cardiac rehabilitation: correlation between six minute walking test and Rivermead mobility index].
[Functional evaluation of ultra-octogenarian patients undergoing cardiac rehabilitation: correlation between six minute walking test and Rivermead mobility index].
复制标题
接受心脏康复的超高龄患者的功能评估：六分钟步行测试与Rivermead活动指数的相关性
DOI：
10.4081/monaldi.2010.256
复制
发表时间：
2010
期刊：
影响因子：
--
通讯作者：
A. Salustri
中科院分区：
文献类型：
--
作者：
Federica Scimia;Isabella Casadei;E. Cerquetani;M. Piccoli;A. Villa;Salvatore La Carrubba;A. Salustri
背景
越来越需要八十几岁的老人参加心脏康复计划。本研究的目的是评估 Rivermead 活动指数 (RMI)（活动量表）是否与 6 分钟步行测试 (6MWT) 评估的功能能力相关。
方法
我们连续选择了 108 名年龄 > 80 岁的患者（M = 53，平均年龄 82.5 +/- 2.7 岁，心脏手术后 n = 72，心力衰竭 n = 36）入组到我们的心脏康复部门。所有患者均在入院时（RMI（1）和6MWT（1）以及一段时间的日常体能训练后（RMI2和6MWT（2））进行RMI评估和6MWT。计算RMI（2）/RMI（1）和6MWT（2）/6MWT（1）比值作为功能改善（IM）指标。
结果
平均住院时间为 20 +/- 11 天，每位患者平均接受 11.9 次培训。 6MWT(1) 和 6MWT(2) 的平均步行距离分别为 193 +/- 116 和 278 +/- 122 m (p <0.001)。 RMI1 和 RMI2 的平均得分分别为 8.5 +/- 3.4 和 13.1 +/- 2.9 (p <0.001)。 6MWT(1) 和 RMI(1) 结果的值显着相关（r = 0.56，p <0.001）。 RMI IM 与 6MWT IM 显着相关（r = 0.309，p = 0.002）。在多变量分析中，即使在校正年龄、性别、住院时间和训练次数后，RMI IM 仍可预测 6MWT IM。
结论
对于八旬老人，心脏康复可显着改善 RMI 和 6MWT。 RMI IM 与 6MWT IM 独立相关。因此，即使对于无法接受 6MWT 的患者，RMI 也可以成为评估功能能力改善情况的有用工具。
BACKGROUND
There is an increasing need for admission of octogenarians to cardiac rehabilitation programs. The aim of this study was to evaluate if the Rivermead Mobility Index (RMI) (scale of mobility) is related to the functional capacity assessed by the 6 Minute Walking Test (6MWT).
METHODS
We selected 108 consecutive patients > 80 years (M = 53, mean age 82.5 +/- 2.7 years, after cardiac surgery n = 72, heart failure n = 36) enrolled to our cardiac rehabilitation unit. All patients were evaluated with the RMI and underwent 6MWT both at admission (RMI(1) and 6MWT(1) and after a period of daily physical training (RMI2 and 6MWT(2)). The RMI(2)/RMI(1) and 6MWT(2)/6MWT(1) ratios were calculated as indexes of functional improvement (IM).
RESULTS
The average in hospital stay was 20 +/- 11 days with an average of 11.9 training sessions per patient. The average distance walked at 6MWT(1) and 6MWT(2) was 193 +/- 116 and 278 +/- 122 m, respectively (p <0.001). The average score of RMI1 and RMI2 was 8.5 +/- 3.4 and 13.1 +/- 2.9, respectively (p <0.001). The values of 6MWT(1) and RMI(1) results were significantly correlated (r = 0.56, p <0.001). The RMI IM was significantly correlated to 6MWT IM (r = 0.309, p = 0.002). At multivariate analysis, RMI IM was found to be predictive of 6MWT IM even after correction for age, gender, length of hospitalization and number of sessions of training.
CONCLUSIONS
In octogenarians, cardiac rehabilitation results in a significant improvement of both RMI and 6MWT. RMI IM is independently correlated to 6MWT IM. Therefore, RMI could be a useful tool for evaluating the improvement of functional capacity even in patients who cannot undergo 6MWT.