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Factors Related to Hospitalisation-Associated Disability in Patients after Surgery for Acute Type A Aortic Dissection: A Retrospective Study

Author

Listed:
  • Kotaro Hirakawa

    (Department of Rehabilitation, Sakakibara Heart Institute, Tokyo 183-0003, Japan)

  • Atsuko Nakayama

    (Department of Cardiology, Sakakibara Heart Institute, Tokyo 183-0003, Japan)

  • Masakazu Saitoh

    (Department of Physical Therapy, Faculty of Health Science, Juntendo University, Tokyo 113-0033, Japan)

  • Kentaro Hori

    (Department of Rehabilitation, Sakakibara Heart Institute, Tokyo 183-0003, Japan)

  • Tomoki Shimokawa

    (Department of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo 183-0003, Japan)

  • Tomohiro Iwakura

    (Department of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo 183-0003, Japan)

  • Go Haraguchi

    (Division of Intensive Care Unit, Sakakibara Heart Institute, Tokyo 183-0003, Japan)

  • Mitsuaki Isobe

    (Sakakibara Heart Institute, Tokyo 183-0003, Japan)

Abstract

The in-hospital mortality rate among patients after surgery for acute type A aortic dissection (ATAAD) has improved chronologically. However, the relationship between the incidence of hospitalisation-associated disability (HAD) and acute cardiac rehabilitation in patients after surgery for ATAAD has not been reported. Therefore, this study evaluated factors related to HAD in patients after surgery for ATAAD. This single-centre retrospective observational study included 483 patients who required emergency surgery for ATAAD. HAD occurred in 104 (21.5%) patients following cardiovascular surgery. Factors associated with HAD were age (odds ratio [OR], 1.05; 95% confidence interval [CI], 1.02–1.09; p = 0.001), noninvasive positive pressure ventilation (NPPV; OR, 2.15; 95% CI, 1.10–4.19; p = 0.025), postoperative delirium (OR, 2.93; 95% CI, 1.60–5.37; p = 0.001), and timing of walking onset (OR, 1.29; 95% CI, 1.07–1.56; p = 0.008). Furthermore, a late walking onset was associated with a higher risk of developing HAD and more severe functional decline. Early rehabilitation based on appropriate criteria has possibility of preventing HAD.

Suggested Citation

  • Kotaro Hirakawa & Atsuko Nakayama & Masakazu Saitoh & Kentaro Hori & Tomoki Shimokawa & Tomohiro Iwakura & Go Haraguchi & Mitsuaki Isobe, 2022. "Factors Related to Hospitalisation-Associated Disability in Patients after Surgery for Acute Type A Aortic Dissection: A Retrospective Study," IJERPH, MDPI, vol. 19(19), pages 1-11, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12918-:d:937029
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