An elderly-centered, personalized, physiotherapy program early after cardiac surgery

Cristina Opasich, Anna Patrignani, Antonio Mazza, Alessandra Gualco, Franco Cobelli, Gian Domenico Pinna

Research output: Contribution to journalArticle

Abstract

Background: Early post-surgery in-hospital rehabilitation in elderly patients should be aimed at accelerating the recovery of the highest level of functional autonomy and reducing the hospital stay. Design: We designed a personalized physiotherapy program tailored to the frailty level of over-70-year-old patients soon after cardiac surgery. The aims of this study were (a) to validate our frailty-based approach for functional stratification of the patients, and (b) to assess the effect of the individualized program on independence and mobility, and compare it with our usual program. Methods: We followed 224 consecutive patients aged 70-87 years, who followed either the personalized (n=150) or usual (n=74) program. All patients underwent a comprehensive physical functioning evaluation at the baseline and at the end of hospitalization. Results: The frailty-based stratification was successful in identifying those patients at higher risk of falls, with heavy nursing needs, greater dependency, and poorer heath status perception. On discharge, both groups had significantly improved on all measures of independence and mobility, but most of these changes (nursing needs, mobility, balance, and muscle strength) were significantly greater (P

Original languageEnglish
Pages (from-to)582-587
Number of pages6
JournalEuropean Journal of Cardiovascular Prevention and Rehabilitation
Volume17
Issue number5
DOIs
Publication statusPublished - Oct 2010

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Thoracic Surgery
Nursing
Muscle Strength
Length of Stay
Hospitalization
Rehabilitation

Keywords

  • Cardiac rehabilitation
  • disability
  • elderly
  • physiotherapy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Epidemiology

Cite this

An elderly-centered, personalized, physiotherapy program early after cardiac surgery. / Opasich, Cristina; Patrignani, Anna; Mazza, Antonio; Gualco, Alessandra; Cobelli, Franco; Pinna, Gian Domenico.

In: European Journal of Cardiovascular Prevention and Rehabilitation, Vol. 17, No. 5, 10.2010, p. 582-587.

Research output: Contribution to journalArticle

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