Clinical characteristics of functional recovery after coronary artery bypass graft surgery in Japanese octogenarians

[Purpose] This study aimed to elucidate characteristics of postoperative physical functional recovery in octogenarians undergoing coronary artery bypass graft surgery. [Subjects and Methods] This was a multi-center, retrospective study. Nine hundred and twenty-seven elective isolated coronary artery bypass graft surgeries were evaluated (746 males and 181 females, mean age: 68.6 years, range: 31–86 years). Participants were stratified according to age < 80 years (n = 840; mean age, 67.1; range, 31–79) or > 80 years (n = 87; mean age, 82.2; range, 80–86). Patient characteristics and postoperative physical functional recovery outcomes were compared between groups. [Results] There was no significant difference between groups when considering the postoperative day at which patients could sit on the edge of the bed, stand at bedside, or walk around the bed. The postoperative day at which patients could walk 100 m independently was later in octogenarians, when compared with non-octogenarians (6.1 ± 3.2 days vs. 4.9 ± 3.9 days). In octogenarians, the percentage of patients who could walk 100 m independently within 8 days after surgery was 79.5%. [Conclusion] A postoperative target time in octogenarians for independent walking, following coronary artery bypass grafting, can be set at approximately 6 days.

[1]  Y. Okamoto,et al.  Early and late outcomes of AVR with aortic annular enlargement in octogenarian , 2015, General Thoracic and Cardiovascular Surgery.

[2]  Tsung-Cheng Hsieh,et al.  Supervised Phase II Cardiac Exercise Therapy Shortens the Recovery of Exercise Capacity in Patients with Acute Myocardial Infarction , 2014, Journal of physical therapy science.

[3]  Tsung-Cheng Hsieh,et al.  Effects of Combined Phase III and Phase II Cardiac Exercise Therapy for Middle-aged Male Patients with Acute Myocardial Infarction , 2013, Journal of physical therapy science.

[4]  Younghwa Lee,et al.  Effects of Home-based Exercise Training with Wireless Monitoring on the Left Ventricular Function of Acute Coronary Syndrome Patients , 2013, Journal of physical therapy science.

[5]  Younghwa Lee,et al.  Impact of Home Exercise Training on Patientswith Acute Myocardial Infarction , 2012 .

[6]  P. Bannon,et al.  Outcomes of surgical aortic valve replacement in octogenarians. , 2011, Heart, lung & circulation.

[7]  Kunihide Nakamura,et al.  Outcome after valve surgery in octogenarians and efficacy of early mobilization with early cardiac rehabilitation , 2010, General thoracic and cardiovascular surgery.

[8]  S. Takase,et al.  Short-term and long-term outcomes of octogenarians after off-pump coronary artery bypass surgery , 2010, General thoracic and cardiovascular surgery.

[9]  M. Carrier,et al.  Coronary artery bypass grafting in octogenarians. , 2002, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[10]  W. Ghali,et al.  Survival After Coronary Revascularization in the Elderly , 2002, Circulation.

[11]  H. Furukawa,et al.  Clinical efficacy of cardiac rehabilitation after coronary artery bypass grafting^|^mdash;Retrospective assessment of patients who did not received rehabilitation and further perspectives^|^mdash; , 2014 .

[12]  JCSJointWorkingGroup Guidelines for rehabilitation in patients with cardiovascular disease (JCS 2012). , 2014, Circulation journal : official journal of the Japanese Circulation Society.

[13]  優 西見,et al.  当科におけるoff-pump CABGの現状と今後の課題 , 2014 .