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

Kotaro Hirakawa, Atsuko Nakayama (), Masakazu Saitoh, Kentaro Hori, Tomoki Shimokawa, Tomohiro Iwakura, Go Haraguchi and Mitsuaki Isobe
Additional contact information
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

IJERPH, 2022, vol. 19, issue 19, 1-11

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.

Keywords: acute type A aortic dissection; hospitalisation-associated disability; emergency surgery; rehabilitation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/19/12918/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/19/12918/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:19:p:12918-:d:937029

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().