title: Preoperative clinical and demographic characteristis in Puerto Rico patients referred to inpatient cardiac rehabiliation after cardiac surgery.
abstract: Patients with coronary artery disease (CAD) or cardiac valve disease who have undergone cardiac surgery are prime candidates for cardiac rehabilitation. Cardiac rehabilitation is a multidisciplinary activity that aims to facilitate physical, psychological and emotional recovery. Multiple studies have evaluated preoperative characteristics of patients who undergo rehabilitation to predict improvement and prolonged length of stay after CAD surgery. This research aimed to establish which preoperative clinical and demographic characteristics are present in Puerto Rico patients that require inpatient rehabilitation after cardiac surgery.
  
  
  METHODS
  Record review evaluating clinical and sociodemographic variables of patients with cardiac surgery and it relationship with or without cardiac rehabilitation referral. A total of 65 records were selected: 17 records referred for inpatient rehabilitation and 48 records of patients who were discharged home.
  
  
  RESULTS
  Older patients > 65 y/o, living alone with no caregiver availability, impaired functional status, surgical status (urgent/ emergency surgery), concomitant valve surgery, BMI > 24.9, HgbA1C > 7.0%, female gender, CVA history, COPD history, PVD history, and prior weakness contribute to a functional decline, and are more likely to be associated with a referral to inpatient rehabilitation.
  
  
  CONCLUSIONS
  An identification of these variables before surgery could lead to early intervention by skill nursing facility departmental team. This early intervention can diminish later complications, postoperative and intensive care stay.
authors: Physical Medicine and Rehabilitation Department, Baylor School of Medicine, Houston, Texas, USA. jorgitopr@gmail.com
authors: Jorge
authors: J
authors: Pérez Lopez
authors: Jesús
authors: J
authors: Negrón
authors: Ernesto
authors: E
authors: Soltero
authors: Rafael
authors: R
authors: Oms
authors: Miguel
authors: M
authors: Magraner
authors: Rafael
authors: R
authors: Bredy
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002302:Cardiac Output; D017028:Caregivers / Q000706:statistics & numerical data; D015897:Comorbidity; D001026:Coronary Artery Bypass / Q000534:rehabilitation*; D003422:Critical Care / Q000706:statistics & numerical data; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006351:Heart Valves / Q000601:surgery; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D018908:Muscle Weakness / Q000453:epidemiology; D010351:Patient Discharge / Q000706:statistics & numerical data; D018579:Patient Selection; D011300:Preoperative Care; D011647:Puerto Rico / Q000453:epidemiology; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012189:Retrospective Studies
chemical_list: D006442:Glycated Hemoglobin