PMID- 22647324
OWN - NLM
STAT- MEDLINE
DCOM- 20120809
LR  - 20120531
IS  - 0021-5252 (Print)
IS  - 0021-5252 (Linking)
VI  - 65
IP  - 6
DP  - 2012 Jun
TI  - [Initial clinical experience of early cardiac rehabilitation for very elderly 
      patients over 85 years old following open heart surgery].
PG  - 440-5
AB  - In this study, we evaluated the initial clinical experience of early cardiac 
      rehabilitation( CR) for very elderly patients over 85 years old after open heart 
      surgery. From September 2007 to January 2011, 7 consecutive patients (85~90 
      years, mean 85.9 years, male:female=4:3) who underwent cardiac surgery in our 
      institute were selected. Preoperative activity of daily living (ADL) scores were 
      similar in all cases, and 1 patient used a cane for walking. Preoperative New 
      York Heart Association (NYHA) classification was class III :3, class IV:4. Three 
      patients were admitted for acute congestive heart failure approximately 1 month 
      prior to surgery. Standard open heart surgery using bioprosthesis was performed: 
      3 patients underwent mitral valve replacement( MVR), 3 had aortic valve 
      replacement( AVR), and 1 had tricuspid valve replacement (TVR). Postoperative 
      clinical course was uneventful, and the mean time of ventilator support was 12.1 
      hours. Thereafter, early CR was introduced at the intensive care unit( ICU) in 
      all patients, and the mean time of introduction of early rehabilitation was 1.7 
      days. In the last 4 cases, early CR was done the 1st day following surgery. CR 
      was effectively performed in all cases without any problems or cardiac events, 
      and all patients improved enough to leave their beds at 3~7 days, a mean of 4.4 
      days after surgery. The mean hospital stay after surgery was 30.9 days( 23 ~ 42 
      days), almost all patients were able to walk independently, and ADL scores at 
      discharge were improved. Only 2 patients required a cane for walking. 
      Postoperative NYHA classification was improved to class I :5, class II :2. From 
      these results, early CR for very elderly patients over 85 years old could be a 
      safe and effective tool to improve and maintain the ADL and quality of life 
      following surgical intervention.
FAU - Furukawa, Hiroshi
AU  - Furukawa H
AD  - Department of Cardiovascular Surgery, Okayama Central Hospital, Okayama, Japan.
FAU - Kangai, Keisuke
AU  - Kangai K
FAU - Minami, Kouhei
AU  - Minami K
FAU - Ohura, Keisuke
AU  - Ohura K
FAU - Ochi, Yusuke
AU  - Ochi Y
FAU - Ikumoto, Hiroko
AU  - Ikumoto H
FAU - Fujimoto, Masumi
AU  - Fujimoto M
FAU - Aono, Hitoshi
AU  - Aono H
FAU - Samukawa, Masanobu
AU  - Samukawa M
LA  - jpn
PT  - English Abstract
PT  - Journal Article
PL  - Japan
TA  - Kyobu Geka
JT  - Kyobu geka. The Japanese journal of thoracic surgery
JID - 0413533
SB  - IM
MH  - Aged, 80 and over
MH  - Cardiac Surgical Procedures/*rehabilitation
MH  - *Early Ambulation
MH  - Female
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Quality of Life
EDAT- 2012/06/01 06:00
MHDA- 2012/08/10 06:00
CRDT- 2012/06/01 06:00
PHST- 2012/06/01 06:00 [entrez]
PHST- 2012/06/01 06:00 [pubmed]
PHST- 2012/08/10 06:00 [medline]
PST - ppublish
SO  - Kyobu Geka. 2012 Jun;65(6):440-5.