Early and late rehabilitation and physical training in elderly patients after cardiac surgery

Claudio Macchi, Francesco Fattirolli, Raffaele Molino Lova, Andrea A. Conti, Maria Luisa Eliana Luisi, Rosanna Intini, Renato Zipoli, Costanza Burgisser, Lorenzo Guarducci, Giulio Masotti, Gian Franco Gensini

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

OBJECTIVE: Few randomized trials have enrolled patients who have undergone cardiac surgery, and even fewer have included patients aged 75 yrs or more. Furthermore, the optimal timing of cardiac rehabilitation for postsurgical patients has not yet been codified. The aim of this study was to verify whether rehabilitation outcomes are also favorable in postsurgical patients aged 75 yrs or more and whether an early rehabilitation program is as effective and safe as a late one. DESIGN: Three hundred patients who underwent cardiac surgery, 27.7% of whom were at least 75 yrs old, were randomly assigned to a rehabilitation program starting within the second week after operation or within the fourth week. All events occurring during the rehabilitation program or in the following year were recorded. RESULTS: During the rehabilitation program, new-onset atrial fibrillation was significantly more frequent in the early rehabilitation group, independent of age class, and anemia was significantly more frequent in older patients, independent of rehabilitation timing. At the end of the rehabilitation program, more than 90% of patients showed significant increases in walking distance, and during the follow-up, no significant difference was found with regard to mortality, nonfatal events, functional ability, or control of cardiovascular risk factors, independent of rehabilitation timing and age class. CONCLUSIONS: This study provides evidence that in selected patients who have undergone cardiac surgery, rehabilitation outcomes are also favorable in patients aged 75 yrs or more, and an early rehabilitation program is as effective and safe as a traditionally late one.

Original languageEnglish
Pages (from-to)826-834
Number of pages9
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume86
Issue number10
DOIs
Publication statusPublished - Oct 2007

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Thoracic Surgery
Rehabilitation
Atrial Fibrillation
Walking
Anemia
Age Groups
Mortality

Keywords

  • Cardiac Rehabilitation
  • Cardiac Surgery
  • Elderly
  • Physical Activity
  • Secondary Prevention

ASJC Scopus subject areas

  • Rehabilitation
  • Health Professions(all)
  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Early and late rehabilitation and physical training in elderly patients after cardiac surgery. / Macchi, Claudio; Fattirolli, Francesco; Lova, Raffaele Molino; Conti, Andrea A.; Luisi, Maria Luisa Eliana; Intini, Rosanna; Zipoli, Renato; Burgisser, Costanza; Guarducci, Lorenzo; Masotti, Giulio; Gensini, Gian Franco.

In: American Journal of Physical Medicine and Rehabilitation, Vol. 86, No. 10, 10.2007, p. 826-834.

Research output: Contribution to journalArticle

Macchi, Claudio ; Fattirolli, Francesco ; Lova, Raffaele Molino ; Conti, Andrea A. ; Luisi, Maria Luisa Eliana ; Intini, Rosanna ; Zipoli, Renato ; Burgisser, Costanza ; Guarducci, Lorenzo ; Masotti, Giulio ; Gensini, Gian Franco. / Early and late rehabilitation and physical training in elderly patients after cardiac surgery. In: American Journal of Physical Medicine and Rehabilitation. 2007 ; Vol. 86, No. 10. pp. 826-834.
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