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Comparison between men and women admitted to an inpatient rehabilitation unit after cardiac surgery
1Division of Physical Medicine and Rehabilitation, North Shore University Hospital-Glen Cove, NY, USA.
Insights
Men and women have similar post-cardiac surgery rehabilitation outcomes. However, women were more likely to live alone before surgery, while men had a slightly longer rehabilitation stay.
Area of Science:
- Cardiology
- Rehabilitation Medicine
- Health Services Research
Background:
- Inpatient rehabilitation is crucial for post-cardiac surgery recovery.
- Understanding demographic and clinical differences between sexes in rehabilitation is important for tailored care.
Purpose of the Study:
- To compare factors between men and women undergoing inpatient cardiac surgery rehabilitation.
- To identify potential sex-based disparities in rehabilitation experiences.
Main Methods:
- Retrospective chart review of 138 patients (54 men, 84 women) post-cardiac surgery.
- Data collected included demographics, pre-existing conditions, surgery-to-rehab timing, complications, length of stay, living arrangements, and discharge disposition.
- Analysis focused on identifying significant differences between sexes.
Main Results:
- Women were significantly more likely to live alone before surgery (56% vs. 26%, p < .01).
- Men experienced a statistically significant longer median length of stay in rehabilitation (16 days vs. 15 days, p < .02).
- Discharge rates within 30 days were high for both sexes (93% men, 98% women), with no significant differences in most other factors analyzed.
Conclusions:
- Post-cardiac surgery rehabilitation courses are comparable between men and women.
- Pre-surgery living arrangements present a notable difference, with women more frequently living alone.
- Further research may explore the impact of social support on rehabilitation outcomes.
Objective:
To determine whether there are differences in several factors between men and women who undergo inpatient post-cardiac surgery rehabilitation.
Design:
A retrospective chart review. Information was collected on a variety of factors: age; previous myocardial infarction; number of days from surgery to admission to rehabilitation; postsurgery, prerehabilitation complications; length of stay on the rehabilitation unit; living arrangements before surgery; disposition; and postdischarge recommendations.
Setting:
Community hospital rehabilitation unit associated with a university hospital.
Patients:
One hundred thirty-eight patients (54 men, 84 women) admitted to an inpatient rehabilitation unit after cardiac surgery.
Results:
There was a significant relationship between sex and preadmission living arrangements; 56% of women lived alone versus 26% of men (p < .01). There was a statistically significant difference in length of stay on the rehabilitation unit (p < .02). Men stayed longer, with a median stay of 16 days (95% confidence interval, 15 to 20) versus 15 days for women (95% confidence interval, 14 to 15). Ninety-three percent of men were discharged from rehabilitation at 30 days versus 98% of women. No relationship was noted between men and women in age, previous myocardial infarction, number of days from surgery to rehabilitation admission, length of stay on the rehabilitation unit, postsurgery-prerehabilitation complications, complications on the rehabilitation unit, presurgery living arrangements, disposition, and postdischarge therapy recommendations.
Conclusion:
Men and women showed comparable courses after cardiac surgery. Before surgery, women lived alone more frequently than men.
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