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Effect of in-hospital physical activity on cardiovascular prognosis in lower extremity bypass for claudication.

Matsuo T, Sakaguchi T, Ishida A, Yuguchi S, Saito K, Nakajima M, Ujikawa T, Morisawa T, Chikazawa G, Takahashi T - J Phys Ther Sci (2015)

Bottom Line: Daily in-hospital physical activity levels were measured continuously with a triaxial accelerometer.The occurrence of adverse cardiovascular events within a 2 year follow-up period was compared between groups. [Results] At discharge, the patients in the active group were able to walk more steps daily than those in the inactive group.The incidence of adverse events was 16.7% in the active group and 71.4% in the inactive group. [Conclusion] A higher in-hospital physical activity level was associated with a better long-term prognosis after lower extremity bypass surgery in patients with peripheral arterial disease.

View Article: PubMed Central - PubMed

Affiliation: Department of Rehabilitation, The Sakakibara Heart Institute of Okayama, Japan.

ABSTRACT
[Purpose] This study aimed to evaluate the effect of in-hospital physical activity on patient prognosis after lower extremity bypass surgery for peripheral arterial disease. [Subjects and Methods] A total of 13 patients (16 limbs; 11 males and 2 females; mean age [standard deviation], 72.8 [5.9] years) who underwent lower extremity bypass surgery for Fontaine stage 2 peripheral arterial disease were included in this study and assigned to either an active group (n = 6) to perform increased physical activity after surgery or an inactive group (n = 7) to perform decreased physical activity after surgery. Daily in-hospital physical activity levels were measured continuously with a triaxial accelerometer. The occurrence of adverse cardiovascular events within a 2 year follow-up period was compared between groups. [Results] At discharge, the patients in the active group were able to walk more steps daily than those in the inactive group. The incidence of adverse events was 16.7% in the active group and 71.4% in the inactive group. [Conclusion] A higher in-hospital physical activity level was associated with a better long-term prognosis after lower extremity bypass surgery in patients with peripheral arterial disease.

No MeSH data available.


Related in: MedlinePlus

Kaplan-Meier curve for freedom from adverse cardiovascular events
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fig_001: Kaplan-Meier curve for freedom from adverse cardiovascular events

Mentions: In terms of long-term outcomes (within 24 months after surgery), adverse cardiovascularevents occurred in 16.7% of the patients in the active group (1 percutaneous transluminalangioplasty), whereas adverse cardiovascular events occurred in 71.4% of the patients in theinactive group (3 graft occlusions, 1 percutaneous coronary intervention, and 1 congestiveheart failure; p = 0.08: Fig. 1Fig. 1.


Effect of in-hospital physical activity on cardiovascular prognosis in lower extremity bypass for claudication.

Matsuo T, Sakaguchi T, Ishida A, Yuguchi S, Saito K, Nakajima M, Ujikawa T, Morisawa T, Chikazawa G, Takahashi T - J Phys Ther Sci (2015)

Kaplan-Meier curve for freedom from adverse cardiovascular events
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4499998&req=5

fig_001: Kaplan-Meier curve for freedom from adverse cardiovascular events
Mentions: In terms of long-term outcomes (within 24 months after surgery), adverse cardiovascularevents occurred in 16.7% of the patients in the active group (1 percutaneous transluminalangioplasty), whereas adverse cardiovascular events occurred in 71.4% of the patients in theinactive group (3 graft occlusions, 1 percutaneous coronary intervention, and 1 congestiveheart failure; p = 0.08: Fig. 1Fig. 1.

Bottom Line: Daily in-hospital physical activity levels were measured continuously with a triaxial accelerometer.The occurrence of adverse cardiovascular events within a 2 year follow-up period was compared between groups. [Results] At discharge, the patients in the active group were able to walk more steps daily than those in the inactive group.The incidence of adverse events was 16.7% in the active group and 71.4% in the inactive group. [Conclusion] A higher in-hospital physical activity level was associated with a better long-term prognosis after lower extremity bypass surgery in patients with peripheral arterial disease.

View Article: PubMed Central - PubMed

Affiliation: Department of Rehabilitation, The Sakakibara Heart Institute of Okayama, Japan.

ABSTRACT
[Purpose] This study aimed to evaluate the effect of in-hospital physical activity on patient prognosis after lower extremity bypass surgery for peripheral arterial disease. [Subjects and Methods] A total of 13 patients (16 limbs; 11 males and 2 females; mean age [standard deviation], 72.8 [5.9] years) who underwent lower extremity bypass surgery for Fontaine stage 2 peripheral arterial disease were included in this study and assigned to either an active group (n = 6) to perform increased physical activity after surgery or an inactive group (n = 7) to perform decreased physical activity after surgery. Daily in-hospital physical activity levels were measured continuously with a triaxial accelerometer. The occurrence of adverse cardiovascular events within a 2 year follow-up period was compared between groups. [Results] At discharge, the patients in the active group were able to walk more steps daily than those in the inactive group. The incidence of adverse events was 16.7% in the active group and 71.4% in the inactive group. [Conclusion] A higher in-hospital physical activity level was associated with a better long-term prognosis after lower extremity bypass surgery in patients with peripheral arterial disease.

No MeSH data available.


Related in: MedlinePlus