Key result
Slower preoperative gait speed was associated with an increased likelihood of discharge to a skilled nursing facility compared to discharge home.
Why the study?
The study was conducted to examine the relationship between gait speed measured before open heart surgery and post-surgery discharge disposition.
Does preoperative gait speed predict discharge disposition in patients undergoing open heart surgery?
Observational (n=720)
Does preoperative gait speed predict discharge disposition in patients undergoing open heart surgery?
Slower preoperative gait speed is significantly associated with an increased likelihood of discharge to a rehabilitation or skilled nursing facility after open heart surgery.
Answers are grounded in this paper and cite their sources.
May aid discharge planning after open-heart surgery; leaves open whether gait-speed screening should alter preoperative pathways.
Purpose: To examine the relationship between gait speed before open heart surgery and discharge disposition. The hypothesis was that slower gait speeds before surgery may increase the likelihood of discharge to a skilled nursing facility after surgery and faster gait speeds may predict that patients were more likely to discharge home. Methods: Retrospective analysis of 720 medical records. Gait speed was measured through a 5-m walk test before cardiac surgery. Discharge disposition was examined for a relationship to gait speed. Results: Slower gait speeds before surgery increased the likelihood of discharge to a rehabilitation facility or a skilled nursing facility while faster gait speeds increased the likelihood of discharge home. Mean gait speed for discharge home (5.2 seconds) was statistically significantly different from discharge to rehab or institution (6.9 seconds, P < .0001). There was also a significant correlation between discharge disposition and preoperative assistive device use ( P < .0001). Conclusions: Slower gait speeds before surgery showed an increased likelihood of discharge to a skilled nursing facility after surgery, and faster gait speeds lead to patients being able to go home after the surgery.
No takes yet. Share an insight, caveat, or question.
Wilson et al. (2020) conducted an observational in Open heart surgery (n=720). Preoperative gait speed was evaluated on Discharge disposition (p=<.0001). Slower preoperative gait speed was associated with an increased likelihood of discharge to a skilled nursing facility compared to discharge home.
Synapse has enriched 10 related papers. Consider them for comparative context: