Key result
Higher levels of physiotherapist-supervised physical activity in the first five days after cardiac surgery were significantly correlated with a reduced length of hospital stay (R = -0.70).
Why the study?
Does physical activity in the first five days after cardiac surgery improve functional capacity and reduce hospital length of stay in adult patients?
Observational (n=83)
No
Does physical activity in the first five days after cardiac surgery improve functional capacity and reduce hospital length of stay in adult patients?
Higher levels of physiotherapist-supervised and independent physical activity in the first five days after cardiac surgery correlate with improved functional capacity and shorter hospital stays.
Answers are grounded in this paper and cite their sources.
May encourage early supervised activity post-cardiac surgery; hypothesis-generating, requires RCTs before practice change.
OBJECTIVES: To quantify physiotherapist-supervised and independent physical activity undertaken from the first to the fifth day after cardiac surgery (POD1 to POD5), and to relate the amount of physical activity undertaken with hospital stay and postoperative physiological functional capacity on POD6. METHODS: Physiotherapist-supervised and independent physical activity were monitored in 83 adult patients undergoing cardiac surgery, using a bi-axial accelerometer and skin sensors that measured, galvanic skin response and body temperature. Patients completed a 6-min walk test (6MWT) on POD6. Step count and physical activity intensity (METs; metbolic equivalents) were the main outcome measures. RESULTS: Males exhibited significantly higher physiotherapist-supervised and independent physical activity step counts and time ≥ 3 METS (p < 0.0001). The 6MWT distance on POD6 was greater in men (mean 393 m, standard deviation (SD) 108 m) than women (mean 300 m, SD 121 m) (p = 0.005). Mean length of stay in hospital was 9 days (SD 3 days) and was negatively correlated with overall physiotherapist-supervised (R = -0.70), independent physical activity step counts (R = -0.62), and combined physiotherapist-supervised (R = -0.65) and independent (R = -0.43) physical activity time ≥ 3 METs. CONCLUSION: Physiotherapist-supervised activity fosters improvements in postoperative physiological functional capacity and reduces length of stay in hospital following cardiac surgery.
No takes yet. Share an insight, caveat, or question.
Mungovan et al. (2016) conducted an observational in Cardiac surgery (n=83). Physiotherapist-supervised and independent physical activity was evaluated on Correlation between overall physiotherapist-supervised step counts and length of stay in hospital (R = -0.70, p=<0.001). Higher levels of physiotherapist-supervised physical activity in the first five days after cardiac surgery were significantly correlated with a reduced length of hospital stay (R = -0.70).
Synapse has enriched 10 related papers. Consider them for comparative context: