Key result
Minimally invasive cardiac surgery significantly increased postoperative physical activity compared to conventional surgery, with a greater increase in daily steps (793.28 vs 181.96, p<0.001).
Why the study?
The study was conducted to evaluate and compare physical activity levels between minimally invasive cardiac surgery and conventional surgery in patients with valvular heart disease.
Does minimally invasive cardiac surgery improve post-operative physical activity and rehabilitation in patients with valvular heart disease?
Cohort (n=50)
No
Does minimally invasive cardiac surgery improve post-operative physical activity and rehabilitation in patients with valvular heart disease?
Absolute Event Rate: 793.28% vs 181.96%
p-value: p=<0.001
Minimally invasive cardiac surgery for mitral valve replacement is associated with faster recovery, less pain, and greater postoperative physical activity compared to conventional median sternotomy.
May indicate faster recovery after minimally invasive valvular surgery; hypothesis-generating and should not change practice without RCTs.
Background Minimally invasive cardiac surgery (MICS) has steadily become more and more popular. MICS is less invasive and has a faster return to normality after surgery. Patients who had MICS continue to exercise more frequently than those who had the conventional median sternotomy surgery. It is generally established that physical activity lowers mortality and the risk of cardiac disease. The purpose of the study: is to evaluate and compare physical activity levels in MICS and conventional surgery. Result The level of preoperative physical activity did not significantly differ between the two groups. However, the MICS group significantly exceeded the conventional group in terms of postoperative progress, amount of physical activity, and 6-minute walking test. Also, Visual Analog Scale (VAS) score was significantly less. Conclusion Minimally invasive cardiac surgery has a higher margin of benefit, and speedy recovery to normality, which is accompanied by a lower VAS score and increased physical activity in comparison to conventional surgery.
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Labib et al. (2023) conducted a cohort in Valvular heart disease (n=50). Minimally invasive cardiac surgery (MICS) vs. Conventional surgery (median sternotomy) was evaluated on Increase in daily physical activity (postoperative vs preoperative daily steps) (p=<0.001). Minimally invasive cardiac surgery significantly increased postoperative physical activity compared to conventional surgery, with a greater increase in daily steps (793.28 vs 181.96, p<0.001).
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