Key result
Early rehabilitation improves functional independence over usual care, raising Barthel Index scores by ~14 points.
Why the study?
The effectiveness, feasibility, and safety of early rehabilitation after coronary artery bypass graft surgery were evaluated due to limited evidence.
Does early rehabilitation improve functional outcomes (Barthel Index scores) in patients after coronary artery bypass graft surgery?
RCT
randomly assigned
Does early rehabilitation improve functional outcomes (Barthel Index scores) in patients after coronary artery bypass graft surgery?
Absolute Event Rate: 89.1% vs 75.3%
Early rehabilitation implemented during the ICU stay or on the general ward significantly improves functional independence in patients recovering from CABG surgery.
Supports early post-CABG rehabilitation to boost functional independence; confirms RCT benefit of ICU or ward initiation.
OBJECTIVE: This study evaluated the effectiveness, feasibility, and safety of early rehabilitation for patients after coronary artery bypass graft (CABG) surgery. METHODS: In a three-arm randomized controlled trial, patients who underwent CABG from January 2018 to June 2018 were randomly assigned to one of three groups: (i) usual care (UC group); (ii) UC + single general ward rehabilitation (SGR group); and (iii) UC + general ward rehabilitation and intensive care unit (ICU) rehabilitation (IGR group). The primary outcome was the Barthel Index scores. RESULTS: The Barthel Index score for UC (75.3 ± 12.1) was significantly lower than that of both SGR (86.2 ± 14.1) and IGR (89.1 ± 15.5). There was no significant difference in the Barthel Index scores between the SGR and IGR groups. Statistically significant differences were found in the length of ICU stay and post-operative hospital stay but not in post-operative pulmonary complications (PPC) or atrial fibrillation between the three groups. CONCLUSION: Early rehabilitation implemented during ICU stay and on the general ward resulted in significant improvements in functional independence and could be a safe part of routine care post-CABG.
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Han et al. (2022) conducted an RCT in coronary artery bypass graft (CABG) surgery. Early rehabilitation (general ward and ICU) vs. Usual care was evaluated on Barthel Index scores. Early rehabilitation on the general ward and in the ICU significantly improved functional independence compared to usual care (Barthel Index score 89.1 vs 75.3).
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