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Assessment of the Early Disabling Effects of Coronary Artery Bypass Graft Surgery Using Direct Measures of Physical

Jason L Rengo1, Patrick D Savage, Fuyuki Hirashima

  • 1Division of Cardiology, Department of Medicine (Mr Rengo, Mr Savage, and Drs Ades and Toth) and Division of Cardiothoracic Surgery, Department of Surgery (Drs Hirashima and Leavitt), College of Medicine, The University of Vermont, Burlington.

Journal of Cardiopulmonary Rehabilitation and Prevention
|April 2, 2021
PubMed

Insights

Coronary artery bypass graft (CABG) surgery significantly reduces physical function post-operation. Patients experienced declines in mobility and performance, especially those with higher body mass index, highlighting the need for early rehabilitation.

Area of Science:

  • Cardiology
  • Gerontology
  • Rehabilitation Medicine

Background:

  • Coronary artery bypass graft (CABG) surgery is a key intervention for coronary artery disease.
  • CABG and hospitalization can lead to reduced physical function and disability.
  • Direct physical function measurements are crucial for assessing post-surgical decline.

Purpose of the Study:

  • To evaluate the immediate impact of CABG surgery and hospitalization on physical function.
  • To identify factors influencing post-CABG physical decline.

Main Methods:

  • 44 patients were assessed before surgery and at discharge.
  • Physical function was measured using the Short Physical Performance Battery (SPPB).
  • Self-reported physical and mental health were collected via questionnaires.

Main Results:

  • SPPB scores and components significantly decreased post-CABG and hospitalization.
  • Higher body mass index correlated with greater reductions in SPPB score and gait speed.
  • Patient-reported physical function changes did not strongly correlate with SPPB outcomes.

Conclusions:

  • CABG surgery and hospitalization cause early, measurable declines in physical function.
  • Higher BMI exacerbates post-CABG physical decline.
  • Inpatient rehabilitation and early mobility programs are recommended to mitigate functional loss.
Abstract

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