Physical performance as a predictor of midterm outcome after mitral valve surgery
Physical performance as a predictor of midterm outcome after mitral valve surgery
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DOI：
10.1007/s00380-019-01397-y
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发表时间：
2019-10-01
影响因子：
1.5
通讯作者：
Isobe, Mitsuaki
中科院分区：
文献类型：
--
作者：
Ashikaga, Kohei;Saji, Mike;Isobe, Mitsuaki
已报告了进行身体功能评估以评价所有心脏手术后的临床结局的有用性。然而，还没有研究评估二尖瓣返流（MR）患者接受心脏开放手术后身体功能与预后之间的关系。本研究调查了体格评估（如短期体能测试（SPPB））是否可以预测因二尖瓣返流而接受二尖瓣手术的患者的计划外再入院事件。SPPB可以预测因二尖瓣返流而接受二尖瓣手术的患者的计划外再入院事件。本回顾性研究纳入了168例接受二尖瓣手术的患者。术前1.6 +/- 1.1天进行SPPB。主要终点是计划外再入院。平均随访期为762 ± 480天，平均年龄为73.8 ± 6.3岁，43%的患者为女性。在研究患者中，46例需要计划外再入院;其中29例患者需要在1年内再入院。多变量考克斯回归分析表明SPPB与主要终点独立相关。受试者操作特性分析表明，SPPB的曲线下面积为0.71，最佳截止值为11。研究患者被分层为SPPB 12或SPPB
The usefulness of performing physical function assessments for evaluating clinical outcomes after all cardiac surgeries has been reported. However, no studies have evaluated the relationship between physical function and prognosis in patients undergoing cardiac open surgery with mitral valve regurgitation (MR). This study investigated whether physical assessment, such as the short physical performance battery (SPPB), could predict unplanned readmission events in patients undergoing mitral valve surgery due to MR. SPPB could predict unplanned admission events in patients undergoing mitral valve surgery due to MR. This retrospective study included 168 patients who underwent mitral valve surgery. SPPB was performed 1.6 +/- 1.1 days before surgery. The primary endpoint was unplanned readmission. The mean follow-up period was 762 +/- 480 days, mean age was 73.8 +/- 6.3 years, and 43% of the patients were women. Of the study patients, 46 required unplanned readmissions; 29 of these patients required readmissions within 1 year. Multivariate Cox regression analysis demonstrated that SPPB was independently associated with the primary endpoint. Receiver-operating characteristic analysis showed that SPPB had an area under the curve of 0.71, with an optimal cutoff of 11. The study patients were stratified into SPPB 12 or SPPB