Impact of preoperative regular physical activity on postoperative course after open abdominal aortic aneurysm surgery.
Impact of preoperative regular physical activity on postoperative course after open abdominal aortic aneurysm surgery.
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术前定期体力活动对开腹腹主动脉瘤术后术后病程的影响。
DOI：
10.1007/s00380-015-0644-6
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发表时间：
2016
期刊：
影响因子：
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通讯作者：
Murohara T
中科院分区：
文献类型：
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作者：
49.Hayashi K;Hirashiki A;Kodama A;Kobayashi K;Yasukawa Y;Shimizu M;Kondo T;Komori K;Murohara T
开放性腹主动脉瘤（AAA）手术后的早期Amberment被认为在预防术后并发症和缩短住院时间方面起着关键作用。然而，预测开放式AAA手术后早期动脉瘤的因素尚未得到充分研究。在这里，我们研究了哪些术前和术中变量与开放性AAA手术后患者的Ambestion开始时间相关。本研究共纳入了67例接受开放性AAA手术的连续患者[男性，62例（92%）;平均年龄68岁（范围47-82岁），平均AAA直径53 mm（范围28-80 mm）]。通过6分钟步行距离（6 MWD）和医学访谈检查术前体力活动。根据患者独立行走的时间分为早期组<3d（n= 36）和晚期组≥ 3d（n= 31），比较术前、术中、术后恢复情况。两组之间的患者基线特征或术中数据无显著差异。早期组中进行术前定期体力活动和6分钟步行距离的患者数量明显多于晚期组（分别为p= 0.042和p = 0.034）。此外，早期组的出院时间显著短于晚期组（p= 0.031）。二元Logistic回归分析显示，术前规律体力活动是早期组患者的唯一独立因素（优势比2.769，95%可信区间1.024- 7.487，p = 0.045）。这些结果表明，定期进行体力活动是开放式AAA手术后早期Ampere的有效预测因素。
Early ambulation after open abdominal aortic aneurysm (AAA) surgery is assumed to play a key role in preventing postoperative complications and reducing hospital length of stay. However, the factors predicting early ambulation after open AAA surgery have not yet been sufficiently investigated. Here, we investigated which preoperative and intraoperative variables are associated with start time for ambulation in patients after open AAA surgery. A total of 67 consecutive patients undergoing open AAA surgery were included in the study [male, 62 (92 %); mean age, 68 years (range, 47–82 years), mean AAA diameter, 53 mm (range, 28–80 mm)]. Preoperative physical activity was examined by means of 6-min walk distance (6MWD) and a medical interview. Patients were divided into two groups, according to when independence in walking was attained: early group <3 days (n= 36) and late group ≥3 days (n= 31), and the pre-, intra-, and postoperative recovery data were compared. There were no significant differences in patient baseline characteristics or intraoperative data between the two groups. The number of patients engaging in preoperative regular physical activity and 6MWD were significantly greater (p= 0.042 andp= 0.034, respectively) in the early group than in the late group. In addition, time to hospital discharge was significantly shorter in the early group than in the late group (p= 0.031). Binary logistic regression analysis showed that preoperative regular physical activity was the only independent factor for identifying patients in the early group (odds ratio 2.769, 95 % confidence interval 1.024–7.487,p= 0.045). These results suggest that engaging in regular physical activity is an effective predictor of early ambulation after open AAA surgery.