Ufuk Yurdalan S1*, Reyhan Kaygusuz1 and Mehmet Altuğ Tuncer2
1Department of Physiotherapy and Rehabilitation, Marmara University, Turkey
2Department of Cardiology, Kosuyolu Kartal Heart Training and Research Hospital, Turkey
Purpose: In our study, we aimed to investigate the relationship between functional capacity, number of clogged coronary arteries, and kinesiophobia level in the Intensive Care Unit (ICU) and duration of total hospitalization in candidates with CABG surgery.
Materials and Methods: Our study was conducted with 34 patients with coronary artery disease in 18 to 65 years old treated between May 2017 and August 2017 in Ministry of Health Kartal Koşuyolu High Speciality Educational Training and Research Hospital in Cardiovascular Surgery Functional capacities of the cases were evaluated with the 6 Minutes Walking Distance (6MWD) Test, and the kinesiophobia levels were evaluated with the Tampa Scale of Kinesiophobia for Heart (TSKH).
Results: 4 (11.8%) of the cases who have the mean age 56, 76 ± 7, 21 were female and 30 (88.2%) were male. The mean value 6MWD of the patients was 463, 38 ± 88, 751 meters. Although there was no significant relationship between 6MWD and length of ICU stay (p = 0, 420), there was moderate negatively correlated with the mean duration of hospital stay (p = 0.16 r = -0.41). The mean score of the TSKH was 43, 12 ± 7. 99. There was a strong negative correlation between the TSKH score and 6 MWD (p = 0, 000 r = 0, 778). Duration of intensive care unit =0,445 (number of clogged vessels)+1.080 was found in multiple line arregression analyses (p=0.035; R2=0,132 F=4,854). According to the other regression model, functional capacity= 862,908 – TSKH score (8,111) - CCS (27,763) (R2 = 0,709; p = 0.001; F = 37,679).
Conclusion: In our study, it was concluded that preoperative evaluation of functional capacity is associated with the duration of hospitalization in postoperative CABG cases and the number of clogged vessels is the predictor of the length of intensive care unit stay. We suggest that functional capacity should be evaluated pre-operatively and postoperative patient-centered cardiac rehabilitation approaches may apply to improve functional capacity and provide the graft patency effectively.
Coronary artery bypass graft; 6MWD; Functional capacity; Number of graft; Tampa kinesiophobia scale; Hospitalization
Ufuk Yurdalan S, Kaygusuz R, Altuğ Tuncer M. Evaluation of the Relationship Between Preoperative Functional Capacity, Number of Clogged Vessels and Kinesiophobia Level in Postoperative Intensive Care and Hospital Stay in CABG Cases. Open J Public Health. 2019; 1(1): 1001.