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Postoperative outcomes following rehabilitation in patients with left ventricular assist devices
Postoperative rehabilitation is a cornerstone of the recovery pathway following left ventricular assist device implantation (LVAD), and patients are expected to conduct an autonomous life thanks to improved technology and increased knowledge of mechanical circulatory support. The primary purpose of...
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| Published in: | Monaldi archives for chest disease 2020-05, Vol.90 (2) |
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| container_title | Monaldi archives for chest disease |
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| creator | Polastri, Massimiliano Boschi, Silvia Brillanti, Giorgia Martin-Suarez, Sofia Masetti, Marco Potena, Luciano Loforte, Antonio |
| description | Postoperative rehabilitation is a cornerstone of the recovery pathway following left ventricular assist device implantation (LVAD), and patients are expected to conduct an autonomous life thanks to improved technology and increased knowledge of mechanical circulatory support. The primary purpose of the present study was to quantify clinical changes related to rehabilitation, in patients with LVAD: functional capacity, disability, and quality of life were identified as reliable outcomes to detect such changes. The current study was a scoping review conducted searching three primary databases, namely PubMed, Scopus, and Cochrane Library, from their inception until January 2020. After the selection process was completed, 12 citations were included in the present study. Three hundred eight three patients were included in the current analysis. Functional capacity, disability, and quality of life were investigated in 157, 215, 18 patients, respectively. Significant differences were found before and after rehabilitation. The mean walked distance at 6-Minute Walk Test improved from 319±96 to 412.8±86.2 metres (p |
| doi_str_mv | 10.4081/monaldi.2020.1249 |
| format | article |
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The primary purpose of the present study was to quantify clinical changes related to rehabilitation, in patients with LVAD: functional capacity, disability, and quality of life were identified as reliable outcomes to detect such changes. The current study was a scoping review conducted searching three primary databases, namely PubMed, Scopus, and Cochrane Library, from their inception until January 2020. After the selection process was completed, 12 citations were included in the present study. Three hundred eight three patients were included in the current analysis. Functional capacity, disability, and quality of life were investigated in 157, 215, 18 patients, respectively. Significant differences were found before and after rehabilitation. The mean walked distance at 6-Minute Walk Test improved from 319±96 to 412.8±86.2 metres (p<0.001), the mean score of the Functional Independence Measure from 68.4±11.8 to 92.5±10.8 points (p<0.001), the mean score of the Short Form-36 physical component from 32.7±29.9 to 55.5±24.7 points (p=0.009) and the mental component from 55.8±19.8 to 75.4±21.4 points (p=0.002). Postoperative rehabilitation is effective at improving functional capacity, disability, and quality of life in patients with left ventricular assist device; all these three domains are particularly expressive of the entity of patients' functional recovery.</description><identifier>ISSN: 1122-0643</identifier><identifier>EISSN: 2532-5264</identifier><identifier>DOI: 10.4081/monaldi.2020.1249</identifier><identifier>PMID: 32403903</identifier><language>eng</language><publisher>Italy: PAGEPress Publications</publisher><subject>Activities of daily living ; Aged ; Disability Evaluation ; Female ; Functional Status ; Heart Failure - physiopathology ; Heart Failure - psychology ; Heart Failure - surgery ; Heart-assist devices ; Heart-Assist Devices - adverse effects ; Humans ; Male ; Middle Aged ; Outcome Assessment, Health Care ; Outcomes assessment ; Physiotherapy ; Postoperative Care - rehabilitation ; Postoperative Period ; Quality of Life ; Recovery of Function ; Rehabilitation - methods ; Rehabilitation - psychology ; Walk Test - statistics & numerical data</subject><ispartof>Monaldi archives for chest disease, 2020-05, Vol.90 (2)</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c367t-7b87269fdc7a1593404db962e43bb0e5e5b74539cb370105734388af9f872b513</citedby><orcidid>0000-0002-3689-0477 ; 0000-0001-8548-0813 ; 0000-0002-9896-5200 ; 0000-0003-4627-4958 ; 0000-0002-1059-8531</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32403903$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Polastri, Massimiliano</creatorcontrib><creatorcontrib>Boschi, Silvia</creatorcontrib><creatorcontrib>Brillanti, Giorgia</creatorcontrib><creatorcontrib>Martin-Suarez, Sofia</creatorcontrib><creatorcontrib>Masetti, Marco</creatorcontrib><creatorcontrib>Potena, Luciano</creatorcontrib><creatorcontrib>Loforte, Antonio</creatorcontrib><title>Postoperative outcomes following rehabilitation in patients with left ventricular assist devices</title><title>Monaldi archives for chest disease</title><addtitle>Monaldi Arch Chest Dis</addtitle><description>Postoperative rehabilitation is a cornerstone of the recovery pathway following left ventricular assist device implantation (LVAD), and patients are expected to conduct an autonomous life thanks to improved technology and increased knowledge of mechanical circulatory support. 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The mean walked distance at 6-Minute Walk Test improved from 319±96 to 412.8±86.2 metres (p<0.001), the mean score of the Functional Independence Measure from 68.4±11.8 to 92.5±10.8 points (p<0.001), the mean score of the Short Form-36 physical component from 32.7±29.9 to 55.5±24.7 points (p=0.009) and the mental component from 55.8±19.8 to 75.4±21.4 points (p=0.002). Postoperative rehabilitation is effective at improving functional capacity, disability, and quality of life in patients with left ventricular assist device; all these three domains are particularly expressive of the entity of patients' functional recovery.</description><subject>Activities of daily living</subject><subject>Aged</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Functional Status</subject><subject>Heart Failure - physiopathology</subject><subject>Heart Failure - psychology</subject><subject>Heart Failure - surgery</subject><subject>Heart-assist devices</subject><subject>Heart-Assist Devices - adverse effects</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Outcome Assessment, Health Care</subject><subject>Outcomes assessment</subject><subject>Physiotherapy</subject><subject>Postoperative Care - rehabilitation</subject><subject>Postoperative Period</subject><subject>Quality of Life</subject><subject>Recovery of Function</subject><subject>Rehabilitation - methods</subject><subject>Rehabilitation - psychology</subject><subject>Walk Test - statistics & numerical data</subject><issn>1122-0643</issn><issn>2532-5264</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNo9kUtv1DAUhS0EokPhB7BBXrLJ4GcSL1EFpVKldlHWxo-b1pUTD7YzFf8eT2falY-tc8698ofQZ0q2goz025wWE33YMsLIljKh3qANk5x1kvXiLdpQylhHesHP0IdSHgnhQo3yPTrjTBCuCN-gP7ep1LSDbGrYA05rdWmGgqcUY3oKyz3O8GBsiKE2R1pwWPCuKVhqwU-hPuAIU8X7ds_BrdFkbEoJpWIP--CgfETvJhMLfDqd5-j3zx93F7-665vLq4vv153j_VC7wY4D69Xk3WCoVFwQ4a3qGQhuLQEJ0g5CcuUsHwglcuCCj6OZ1NRyVlJ-jq6OvT6ZR73LYTb5n04m6OeHlO-1yTW4CFqIicheKkWtFcKzJoBY6sGTyVpnWtfXY9cup78rlKrnUBzEaBZIa9GH3yOirdE3Kz1aXU6lZJheR1OiD5D0CZI-QNIHSC3z5VS_2hn8a-KFCv8P8AGQOQ</recordid><startdate>20200514</startdate><enddate>20200514</enddate><creator>Polastri, Massimiliano</creator><creator>Boschi, Silvia</creator><creator>Brillanti, Giorgia</creator><creator>Martin-Suarez, Sofia</creator><creator>Masetti, Marco</creator><creator>Potena, Luciano</creator><creator>Loforte, Antonio</creator><general>PAGEPress Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-3689-0477</orcidid><orcidid>https://orcid.org/0000-0001-8548-0813</orcidid><orcidid>https://orcid.org/0000-0002-9896-5200</orcidid><orcidid>https://orcid.org/0000-0003-4627-4958</orcidid><orcidid>https://orcid.org/0000-0002-1059-8531</orcidid></search><sort><creationdate>20200514</creationdate><title>Postoperative outcomes following rehabilitation in patients with left ventricular assist devices</title><author>Polastri, Massimiliano ; 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The mean walked distance at 6-Minute Walk Test improved from 319±96 to 412.8±86.2 metres (p<0.001), the mean score of the Functional Independence Measure from 68.4±11.8 to 92.5±10.8 points (p<0.001), the mean score of the Short Form-36 physical component from 32.7±29.9 to 55.5±24.7 points (p=0.009) and the mental component from 55.8±19.8 to 75.4±21.4 points (p=0.002). 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| source | EZB Electronic Journals Library |
| subjects | Activities of daily living Aged Disability Evaluation Female Functional Status Heart Failure - physiopathology Heart Failure - psychology Heart Failure - surgery Heart-assist devices Heart-Assist Devices - adverse effects Humans Male Middle Aged Outcome Assessment, Health Care Outcomes assessment Physiotherapy Postoperative Care - rehabilitation Postoperative Period Quality of Life Recovery of Function Rehabilitation - methods Rehabilitation - psychology Walk Test - statistics & numerical data |
| title | Postoperative outcomes following rehabilitation in patients with left ventricular assist devices |
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