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Effect of sarcopenia on hospital stay from post cardiac surgery to discharge.
Shibasaki, Ikuko; Ouchi, Motoshi; Fukuda, Taira; Tsuchiya, Go; Ogawa, Hironaga; Takei, Yusuke; Tezuka, Masahiro; Kanazawa, Yuta; Katayanagi, Satoshi; Nozawa, Naohiro; Mizushima, Takashi; Toyoda, Shigeru; Fukuda, Hirotsugu; Nakajima, Toshiaki.
Afiliación
  • Shibasaki I; Department of Cardiac and Vascular Surgery, Dokkyo Medical University School of Medicine, Shimotsuga, Japan.
  • Ouchi M; Department of Pharmacology and Toxicology, Dokkyo Medical University School of Medicine, Shimotsuga, Tochigi, Japan.
  • Fukuda T; Department of Liberal Arts and Human Development, Kanagawa University of Human Services.
  • Tsuchiya G; Department of Cardiac and Vascular Surgery, Dokkyo Medical University School of Medicine, Shimotsuga, Japan.
  • Ogawa H; Department of Cardiac and Vascular Surgery, Dokkyo Medical University School of Medicine, Shimotsuga, Japan.
  • Takei Y; Department of Cardiac and Vascular Surgery, Dokkyo Medical University School of Medicine, Shimotsuga, Japan.
  • Tezuka M; Department of Cardiac and Vascular Surgery, Dokkyo Medical University School of Medicine, Shimotsuga, Japan.
  • Kanazawa Y; Department of Cardiac and Vascular Surgery, Dokkyo Medical University School of Medicine, Shimotsuga, Japan.
  • Katayanagi S; Department of Rehabilitation, Dokkyo Medical University School of Medicine, Shimotsuga, Tochigi, Japan.
  • Nozawa N; Department of Rehabilitation, Dokkyo Medical University School of Medicine, Shimotsuga, Tochigi, Japan.
  • Mizushima T; Department of Rehabilitation, Dokkyo Medical University School of Medicine, Shimotsuga, Tochigi, Japan.
  • Toyoda S; Department of Cardiovascular Medicine, Dokkyo Medical University School of Medicine, Shimotsuga, Japan.
  • Fukuda H; Department of Cardiac and Vascular Surgery, Dokkyo Medical University School of Medicine, Shimotsuga, Japan.
  • Nakajima T; Department of Cardiovascular Medicine, Dokkyo Medical University School of Medicine, Shimotsuga, Japan.
Int J Cardiol Heart Vasc ; 39: 101003, 2022 Apr.
Article en En | MEDLINE | ID: mdl-35313647
ABSTRACT

Background:

Cardiovascular surgery in older patients with sarcopenia has high rates of major complications, long hospital stays, readmissions, and discharge transfers. However, the factors that influence the length of hospital stay are unknown. This study aimed was to identify the predictors of the prolonged hospital stay in patients with sarcopenia after cardiovascular surgery.

Methods:

A total of 192 patients scheduled for cardiac surgery were enrolled in this retrospective observational study. Sarcopenia was diagnosed preoperatively. Clinical data from the preoperative, intraoperative, and perioperative periods were evaluated to determine the factors influencing the length of hospital stay.

Results:

The sarcopenia and non-sarcopenia groups differed significantly in age; body mass index; renal function; intubation time; transfusion of red blood cells; hospital transfer; and hemoglobin, brain natriuretic peptide, and albumin levels. Sarcopenia was the most significant factor influencing prolonged postoperative hospital stay, as well as prolonged intubation time. In the sarcopenia group, albumin levels and cardiopulmonary bypass time were the significant factors affecting hospital stay.

Conclusions:

Sarcopenia was the most significant factor associated with prolonged postoperative hospital stay in patients who underwent cardiac surgery. In addition, improving sarcopenia, nutritional status, and shortening cardiopulmonary bypass time appear to shorten the hospital stay in patients with sarcopenia who underwent cardiovascular surgery.
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Texto completo: 1 Colección: 01-internacional Tipo de estudio: Observational_studies / Prognostic_studies Idioma: En Revista: Int J Cardiol Heart Vasc Año: 2022 Tipo del documento: Article País de afiliación: Japón

Texto completo: 1 Colección: 01-internacional Tipo de estudio: Observational_studies / Prognostic_studies Idioma: En Revista: Int J Cardiol Heart Vasc Año: 2022 Tipo del documento: Article País de afiliación: Japón