Kato Yuki, Ushida Kenta, Shimizu Miho, Momosaki Ryo
Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Tsu, Japan.
Department of Rehabilitation, Mie University Hospital, Tsu, Japan.
Prog Rehabil Med. 2024 Jun 8;9:20240021. doi: 10.2490/prm.20240021. eCollection 2024.
The prevalence of peripheral arterial disease (PAD) is on the rise, with endovascular treatment being a widely accepted surgical intervention. Patients with PAD often experience reduced activities of daily living (ADL). Therefore, we conducted a retrospective cohort study to investigate the impact of early rehabilitation after endovascular treatment in patients with PAD.
Using data from the JMDC hospital database, the study included 529 patients who were hospitalized for PAD and underwent endovascular treatment. Patients were classified into two independent variables: early rehabilitation group (rehabilitation started within 2 days postoperatively) and control group (rehabilitation started within 3-7 days postoperatively). The outcome measures were the occurrence of hospital-associated disability (HAD) and duration of hospitalization.
Unadjusted data showed that the early rehabilitation group (n=469) had fewer HAD events (8.5% vs. 23.3%, P <0.001) and a shorter mean hospitalization duration (4.4 vs. 18.9 days, P <0.001) than the control group (n=60). The difference remained significant after adjustment by propensity score analysis.
In patients with PAD, early rehabilitation after endovascular treatment may be beneficial in preventing the development of HAD and reducing the duration of hospitalization.
外周动脉疾病（PAD）的患病率呈上升趋势，血管内治疗是一种被广泛接受的外科干预措施。PAD患者常出现日常生活活动（ADL）能力下降。因此，我们进行了一项回顾性队列研究，以调查血管内治疗后早期康复对PAD患者的影响。
利用JMDC医院数据库的数据，该研究纳入了529例因PAD住院并接受血管内治疗的患者。患者被分为两个独立变量组：早期康复组（术后2天内开始康复）和对照组（术后3 - 7天开始康复）。观察指标为医院相关性残疾（HAD）的发生情况和住院时间。
未经调整的数据显示，早期康复组（n = 469）的HAD事件少于对照组（n = 60）（8.5%对23.3%，P < 0.001），平均住院时间也短于对照组（4.4天对18.9天，P < 0.001）。倾向得分分析调整后，差异仍然显著。
对于PAD患者，血管内治疗后早期康复可能有助于预防HAD的发生并缩短住院时间。
