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在一家康复疗养医院对心血管疾病患者的性能指标相关因素进行检查。

Examination of factors related to the performance index of patients with cardiovascular disease in a convalescent rehabilitation hospital.

作者信息

Fujii Daisuke, Morisawa Tomoyuki, Yamamoto Satoshi, Matsuo Tomohiro, Nyuba Kyohei, Maehata Miyuki, Iwaki Hirokazu, Iwata Kentaro, Saitoh Masakazu, Endo Munemoto, Takahashi Tetsuya

机构信息

Department of Rehabilitation, IMS Itabashi Rehabilitation Hospital, Tokyo, Japan.

Department of Physical Therapy, Faculty of Health Sciences, Juntendo University, Tokyo, Japan.

出版信息

Jpn J Compr Rehabil Sci. 2024 Oct 16;15:63-70. doi: 10.11336/jjcrs.15.63. eCollection 2024.

DOI:10.11336/jjcrs.15.63
PMID:39435358
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11493490/
Abstract

UNLABELLED

Fujii D, Morisawa T, Yamamoto S, Matsuo T, Nyuba K, Maehata M, Iwaki H, Iwata K, Saitoh M, Endo M, Takahashi T. Examination of factors related to the performance index of patients with cardiovascular disease in a convalescent rehabilitation hospital. Jpn J Compr Rehabil Sci 2024; 15: 63-70.

OBJECTIVE

The purpose of this study was to identify the characteristics of patients with cardiovascular disease who received cardiac rehabilitation (CR) at a convalescent rehabilitation hospital (rehabilitation hospital) after treatment at an acute-care hospital and whose performance index was 40 or higher.

METHODS

A total of 43 patients with cardiovascular disease were admitted to two rehabilitation hospitals. Based on the performance index, which is an indicator of the effectiveness of rehabilitation in rehabilitation hospitals, patients were classified into two groups: a "high-performance index group" (performance index of 40 or higher) and a "low-performance index group" (performance index of less than 40). We then compared the patient characteristics of the two groups.

RESULTS

The high-performance group accounted for 62.8% of the total. Compared to patients in the low-performance group, high-performers were significantly younger at the time of admission to the rehabilitation hospital and had significantly higher physical function and exercise tolerance. The results of the effect size measurement showed that the effect size was 0.98 and 0.93 on the Short Physical Performance Battery (SPPB) at admission to the rehabilitation hospital and on the pre-illness Kihon checklist, respectively, which were related to the achievement of the performance index.

CONCLUSIONS

This study suggests that the SPPB at admission to a rehabilitation hospital and the pre-illness Kihon checklist are associated with obtaining a performance index of 40 or higher in patients with cardiovascular disease.

摘要

未标注

藤井D、森泽T、山本S、松尾T、纽巴K、前畑M、岩木H、岩田K、斋藤M、远藤M、高桥T。康复疗养医院中心血管疾病患者康复表现指数相关因素的研究。《日本综合康复科学杂志》2024年;15:63 - 70。

目的

本研究旨在确定在急性病医院接受治疗后,在康复疗养医院(康复医院)接受心脏康复(CR)且康复表现指数为40或更高的心血管疾病患者的特征。

方法

共有43名心血管疾病患者入住两家康复医院。根据康复医院康复效果指标康复表现指数,将患者分为两组:“高康复表现指数组”(康复表现指数为40或更高)和“低康复表现指数组”(康复表现指数低于40)。然后比较两组患者的特征。

结果

高康复表现组占总数的62.8%。与低康复表现组患者相比,高康复表现者在入住康复医院时明显更年轻,身体功能和运动耐力明显更高。效应量测量结果显示,在入住康复医院时的简短身体功能测试量表(SPPB)和病前基本检查表上,效应量分别为0.98和0.93,这与康复表现指数的达成有关。

结论

本研究表明,康复医院入院时的SPPB和病前基本检查表与心血管疾病患者获得40或更高的康复表现指数相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aac7/11493490/60ddb02ed38b/jjcrs-15-63-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aac7/11493490/2c2fce92866f/jjcrs-15-63-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aac7/11493490/c8ba06725a4b/jjcrs-15-63-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aac7/11493490/60ddb02ed38b/jjcrs-15-63-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aac7/11493490/2c2fce92866f/jjcrs-15-63-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aac7/11493490/c8ba06725a4b/jjcrs-15-63-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aac7/11493490/60ddb02ed38b/jjcrs-15-63-g03.jpg

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Association between hospital-acquired functional decline and 2-year readmission or mortality after cardiac surgery in older patients: a multicenter, prospective cohort study.老年患者心脏手术后医院获得性功能衰退与2年再入院或死亡率之间的关联:一项多中心前瞻性队列研究
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