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Functional Benefits of Inpatient Cardiac Rehabilitation After Open Aortic and Valvular Surgery: A Retrospective

Younji Kim1, Suk-Won Song2, Ha Lee2

  • 1Department of Rehabilitation Medicine, Ewha Womans University Seoul Hospital, Ewha Womans University School of Medicine, 25, Magokdong-ro 2-gil, Gangseo-gu, Seoul 07804, Republic of Korea.

Healthcare (Basel, Switzerland)
|August 14, 2025
PubMed

Insights

Inpatient cardiac rehabilitation (CR) significantly improves muscle strength, mobility, and quality of life for patients after open aortic surgery. This program offers substantial functional gains, especially for those with initial mobility impairments.

Area of Science:

  • Cardiology
  • Cardiac Rehabilitation
  • Post-Surgical Recovery

Background:

  • Open aortic and valvular surgery patients frequently experience postoperative deconditioning.
  • Limited research exists on the impact of inpatient cardiac rehabilitation (CR) for this specific patient group.
  • Postoperative recovery challenges include reduced muscle strength, impaired mobility, and psychological distress.

Purpose of the Study:

  • To evaluate the effectiveness of inpatient CR on functional outcomes and psychological well-being in patients post-open aortic surgery.
  • To assess changes in muscle strength, mobility, and quality of life following inpatient CR.
  • To analyze patient satisfaction with the inpatient CR program.

Main Methods:

  • Retrospective analysis of medical records for patients undergoing open aortic surgery and participating in inpatient CR.
  • Evaluation of functional and psychological outcomes using standardized assessments: MRC sum score, TUG, 5STS, 6MWD, BBS, MBI, PHQ-9, and EQ-5D.
  • Comparison of pre- and post-rehabilitation scores, supplemented by a post-discharge satisfaction survey.

Main Results:

  • Significant improvements observed across multiple metrics including MBI, MRC sum score, 6MWD, BBS, TUG, 5STS, EQ-5D, and PHQ-9 (all p < 0.01).
  • Patients with lower baseline mobility (6MWD ≤ 120 m) showed particularly enhanced improvement in the Modified Barthel Index (p = 0.034).
  • High patient satisfaction reported, with most participants perceiving health improvements and recommending the program.

Conclusions:

  • Inpatient CR is effective in enhancing muscle strength, mobility, psychological health, and quality of life after open aortic and valvular surgery.
  • The study highlights the significant functional recovery potential in patients with greater initial impairments.
  • Findings support the integration of tailored inpatient CR programs for optimizing recovery in this surgical population.

Keywords:
aortic surgerycardiovascular reconditioninginpatient recoveryphysical performancepostoperative rehabilitation

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