Comparison of early inpatient rehabilitation in patients after coronary artery bypass grafting without cardiopulmonary bypass by means of the so-called minithoracotomy with patients after conventional cardiac surgery – authors’ experience
Journal Title: Rehabilitacja Medyczna - Year 2007, Vol 11, Issue 1
Abstract
There is some evidence that focused and intense rehabilitation improve clinical outcome following conventional open-heart surgery. Recent developments in surgical techniques, which focused on the improvement in patient comfort, reduction in hospital stay and costs, has resulted in minimally invasive techniques, including Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) and Endoscopic Atraumatic Coronary Artery Bypass (EACAB). EACAB is safer than on-pump coronary artery bypass graft (CABG), especially in high risk patients. Its use, however, is limited to a small subgroup of patients: those with suitable anatomy of coronary pathology, younger patients with rapidly progressing coronary artery disease or elderly patients with substantial co-morbidities, whom sternotomy and cardiopulmonary bypass pose significant risks to. In this latter group of patients, effective rehabilitation is, therefore, even more important. Prevention of disturbances in homeostasis resulting from reduced physical activity, and thus rate of recovery and effectiveness of cardiac surgery, are not dependent on early physical activity and the intensiveness of the inpatient rehabilitation only but also on psychological therapy, dietary advice and health-promoting education. In this study, we explore differences in inpatient rehabilitation methods and outcomes between the groups of patients who underwent on-pump CABG and MIDCAB operations. Our data show that inpatient rehabilitation following MIDCAB operations may be shorter than after on-pump CABG by 2 days on average.
Authors and Affiliations
Agnieszka Storch-Uczciwek, Krystyna Bochenek-Klimczyk, Zbigniew Nowak, Andrzej Bochenek, Marek Cisowski
Keywords
Related Articles
- EP ID EP82078
- DOI -
- Views 59
- Downloads 0
Functional electrical stimulation for foot drop syndrome: The effect on velocity and gait endurance – preliminary data
Introduction: Foot-drop is a frequent symptom of the Central Nervous System diseases (CNS) that may cause walking disorder. The primary therapeutic choice for foot-drop disease are the various classical Ankle-Foot Orthos...
Accelerometric testing of selected points of the human locomotor system
Aim: The purpose of the paper was to determine changes in acceleration of the body parts while walking.Material and methods: A tri-axial accelerometric sensor which was fastened to the foot, shank, knee, thigh, hip, L3 a...
The influence of a six week rehabilitation programme of low intensity on the functional fitness of elderly patients suffering from circulatory system diseases
Introduction: The preservation of functional performance and the independence of elderly people is a challenge for rehabilitation today. Aim of the study: We aimed to investigate the effects of a 6-week, low-intensity re...
Niezawodność i trafność baterii testów Simmondsa oceniających sprawność fizyczną wśród Nigeryjczyków cierpiących na przewlekłe bóle dolnego odcinka kręgosłupa
Wstęp: Badania dotyczące niezawodności i trafności baterii testów sprawności fizycznej wśród pacjentów cierpiących z powodu przewlekłego bólu dolnego odcinka kręgosłupa (Chronic Low Back Pain, CLBP) nie są liczne, natomi...
Aktualne metody oceny czynności życia codziennego w chorobie Alzheimera
Starzenie się społeczeństw doprowadzi do wzrostu zapadalności na chorobę Alzheimera. W zaawansowanym stadium choroba uniemożliwia samodzielne wykonywanie nawet prostych czynności codziennych i osoba chorująca na chorobę...