Determining predictors of delayed recovery and the need for transitional cardiac rehabilitation after cardiac surgery
Determining predictors of delayed recovery and the need for transitional cardiac rehabilitation after cardiac surgery
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DOI：
10.1111/j.1745-7599.2006.00152.x
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发表时间：
2006-08-01
影响因子：
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通讯作者：
Willson, Pamela
中科院分区：
文献类型：
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作者：
Anderson, Jane A.;Petersen, Nancy J.;Willson, Pamela
目的：探讨术后住院时间（PLOS）大于7天的心脏手术患者的人口学特征与临床特征之间的关系，并确定心脏手术后过渡性心脏康复（TCR）需求的人口学、社会和临床预测因素。对304例连续24个月接受心脏手术的患者进行特征、临床指标、护理人员可用性和患者状态（是否独居）的回顾性研究。采用单因素分析和多变量logistic回归模型评估大于7天的PLOS的危险因素特征，并预测其出院处置到TCR或家庭。结论：老年患者、术前有合并症的患者以及家中没有护理人员的患者在功能恢复和出院方面会出现延迟，更有可能需要TCR服务。实践意义：我们的研究结果支持在心脏手术术前风险评估中增加功能恢复和社会支持风险项目。
Purpose: To examine the relationship between demographic and clinical characteristics of cardiac surgery patients with postoperative length of stay (PLOS) greater than 7 days and determine the demographic, social, and clinical predictors of the need for transitional cardiac rehabilitation (TCR) after cardiac surgery.Dat sources: A retrospective review of characteristics, clinical indices, caregiver availability, and patient status (whether living alone) was completed for 304 patients undergoing cardiac surgery over 24 consecutive months. Univariate analyses and multivariable logistic regression models were used to evaluate risk factor characteristics for PLOS greater than 7 days and to predict discharge disposition to TCR or home.Conclusions: Older patients, those with preoperative comorbidities, and those without a caregiver at home experience delays in functional recovery and discharge and are more likely to need TCR services.Implications for practice: Our findings support the addition of functional recovery and social support risk items to the preoperative cardiac surgery risk assessment.