Key result
Postoperative cardiac rehabilitation after open heart surgery improved physiological functioning, reduced mortality and readmission rates, and enhanced mental status across 21 reviewed studies.
Why the study?
Although postoperative cardiac rehabilitation is increasingly recommended after open heart surgery, only a minority of patients participate and participation rates appear to be declining.
Does postoperative cardiac rehabilitation improve clinical and functional outcomes in patients who have undergone open heart surgery?
Systematic Review
Does postoperative cardiac rehabilitation improve clinical and functional outcomes in patients who have undergone open heart surgery?
Postoperative cardiac rehabilitation after open heart surgery improves physiological and psychological outcomes and reduces mortality and readmissions, though significant participation barriers remain.
Supports routine postoperative cardiac rehabilitation after open heart surgery; reinforces Level 1 evidence for better outcomes.
BACKGROUND: Postoperative cardiac rehabilitation (CR) programs are increasingly recommended by clinicians, but only a minority of patients who have undergone open heart surgery participate in such programs. Participation rates in postoperative CR, if anything, appear to be declining. This systematic review examines the effectiveness of post-operative CR and reveals possible participation barriers. METHODS: A search of two scholarly databases for primary research papers published in the last decade examining the impact of post-operative CR was conducted and the resultant papers reviewed. RESULTS: The 21 resulting studies revealed physiological functioning improvement and a reduction in mortality and readmission rates, while highlighting an enhancement in mental status. Some of the studies recognized the need for nutritional support and suggested that age, gender, access to CR centers, and socioeconomic variables impact participation in CR. CONCLUSIONS: Post-operative CR participation rates continue to decline despite increasing evidence of the value of the approach.
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Delimanoli et al. (2024) conducted a systematic review in Open heart surgery. Postoperative cardiac rehabilitation was evaluated on Physiological functioning, mortality, readmission rates, and mental status. Postoperative cardiac rehabilitation after open heart surgery improved physiological functioning, reduced mortality and readmission rates, and enhanced mental status across 21 reviewed studies.
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