Benefits of Multiple-Intervention Pulmonary Rehabilitation to Older Adults with High-Risk Multimorbidity after Coronary Artery Bypass Grafting
| Autor: | Tien-Pei Fang, Hsiu-Mei Lee, Hui-Ling Lin, Jui-O Chen, Yu-Mu Chen, Jui-Fang Liu, Chien-Ming Lo, Shih-Feng Liu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Vital capacity
Bypass grafting multimorbidity Leadership and Management medicine.medical_treatment multiple-intervention pulmonary rehabilitation coronary artery bypass grafting lcsh:Medicine Health Informatics 030204 cardiovascular system & hematology Article Pulmonary function testing older adult 03 medical and health sciences FEV1/FVC ratio 0302 clinical medicine Health Information Management medicine Respiratory muscle Pulmonary rehabilitation 030212 general & internal medicine business.industry Health Policy lcsh:R surgical procedures operative medicine.anatomical_structure Anesthesia business Artery Cohort study |
| Zdroj: | Healthcare Healthcare, Vol 8, Iss 368, p 368 (2020) Volume 8 Issue 4 |
| ISSN: | 2227-9032 |
| Popis: | Objective: Multimorbidity in elderly patients increases complications and retards the recovery of pulmonary function after coronary artery bypass grafting (CABG) surgery. We aimed to evaluate the impact of multiple-intervention pulmonary rehabilitation (PR) on respiratory muscle strength and dyspnea scores after CABG in adult patients aged &ge 65 years who had multimorbidity. Methods: A cohort study was retrospectively conducted with 95 adults aged &ge 65 years who underwent CABG surgery and completed a multiple-intervention PR program. Results: Patients in the non-multimorbidity (n = 56) and multimorbidity groups (n = 39) were evaluated on the basis of their muscle strength, degree of dyspnea, and pulmonary function. Postoperative complications were compared after the completion of PR. Between extubation days 1 and 14, the multimorbidity group showed significant improvements in maximal inspiratory pressure (16.91 vs. 24.95 cmH2O, P < 0.001), Borg Scale score (0.99 vs. 2.3, P < 0.001), and the ratio of forced expiratory volume in 1 s to forced vital capacity (FEV1/FVC ratio) of 7.02% vs. 13.4% (P = 0.01). The incidence rates of pulmonary complications were similar between the two groups. Conclusions: Multi-interventional PR program significantly improved the maximal inspiratory pressure, Borg scale score, and FEV1/FVC ratio in the adult patients aged &ge 65 years who had multimorbidity after undergoing CABG surgery. |
| Databáze: | OpenAIRE |
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