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首页> 外文期刊>Journal of Clinical Medicine >Pre-Operative Frailty Status Is Associated with Cardiac Rehabilitation Completion: A Retrospective Cohort Study
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Pre-Operative Frailty Status Is Associated with Cardiac Rehabilitation Completion: A Retrospective Cohort Study

机译：术前虚弱状态与心脏康复的完成有关：一项回顾性队列研究

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While previous investigations have demonstrated the benefit of cardiac rehabilitation (CR) on outcomes after cardiac surgery, the association between pre-operative frailty and post-operative CR completion is unclear. The purpose of this retrospective cohort study was to determine if pre-operative frailty scores impacted CR completion post-operatively and if CR completion influenced frailty scores in 114 cardiac surgery patients. Frailty was assessed with the use of the Clinical Frailty Scale (CFS), the Modified Fried Criteria (MFC), the Short Physical Performance Battery (SPPB), and the Functional Frailty Index (FFI). A Mann-Whitney test was used to compare frailty scores between CR completers and non-completers and changes in frailty scores from baseline to 1-year post-operation. CR non-completers were more frail than CR completers at pre-operative baseline based on the CFS ( p = 0.01), MFC ( p 0.001), SPPB ( p = 0.007), and the FFI ( p 0.001). A change in frailty scores from baseline to 1-year post-operation was not detected in either group using any of the four frailty assessments. However, greater improvements from baseline to 1-year post-operation in two MFC domains (cognitive impairment and low physical activity) and the physical domain of the FFI were found in CR completers as compared to CR non-completers. These data suggest that pre-operative frailty assessments have the potential to identify participants who are less likely to attend and complete CR. The data also suggest that frailty assessment tools need further refinement, as physical domains of frailty function appear to be more sensitive to change following CR than other domains of frailty.
机译：尽管先前的研究已经证明了心脏康复（CR）对心脏手术后结局的益处，但尚不清楚术前虚弱与术后CR完成之间的关系。这项回顾性队列研究的目的是确定114例心脏手术患者的术前虚弱评分是否会影响术后CR的完成以及CR完成是否会影响脆弱评分。使用临床脆弱量表（CFS），改良油炸标准（MFC），短期体能表现电池（SPPB）和功能脆弱指数（FFI）评估脆弱性。使用Mann-Whitney检验比较CR完成者和未完成者之间的脆弱评分以及从基线到术后1年的脆弱评分的变化。基于CFS（p = 0.01），MFC（p <0.001），SPPB（p = 0.007）和FFI（p <0.001），CR未完成者在术前基线比CR完成者更为脆弱。使用四项脆弱性评估中​​的任何一项，两组均未检测到从基线到术后1年的脆弱性评分变化。但是，与未完成CR的患者相比，在完成MFC的两个MFC域（认知障碍和低体力活动）和FFI的物理域中，从基线到术后1年的改善更大。这些数据表明，术前虚弱评估有可能识别出不太可能参加并完成CR的参与者。数据还表明，脆弱性评估工具需要进一步完善，因为脆弱性功能的物理域似乎比其他脆弱性域对CR后的变化更敏感。

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