title: Analysis of steps adapted protocol in cardiac rehabilitation in the hospital phase.
abstract: OBJECTIVE
  To analyze a cardiac rehabilitation adapted protocol in physical therapy during the postoperative hospital phase of cardiac surgery in a service of high complexity, in aspects regarded to complications and mortality prevalence and hospitalization days.
  
  
  METHODS
  This is an observational cross-sectional, retrospective and analytical study performed by investigating 99 patients who underwent cardiac surgery for coronary artery bypass graft, heart valve replacement or a combination of both. Step program adapted for rehabilitation after cardiac surgery was analyzed under the command of the physiotherapy professional team.
  
  
  RESULTS
  In average, a patient stays for two days in the Intensive Care Unit and three to four days in the hospital room, totalizing six days of hospitalization. Fatalities occurred in a higher percentage during hospitalization (5.1%) and up to two years period (8.6%) when compared to 30 days after hospital discharge (1.1%). Among the postoperative complications, the hemodynamic (63.4%) and respiratory (42.6%) were the most prevalent. 36-42% of complications occurred between the immediate postoperative period and the second postoperative day. The hospital discharge started from the fifth postoperative day. We can observe that in each following day, the patients are evolving in achieving the Steps, where Step 3 was the most used during the rehabilitation phase I.
  
  
  CONCLUSIONS
  This evolution program by steps can to guide the physical rehabilitation at the hospital in patients after cardiac surgery.
authors: Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
authors: Eliane Roseli
authors: ER
authors: Winkelmann
authors: Federal University of Santa Maria, RS, Brazil.
authors: Fernanda
authors: F
authors: Dallazen
authors: UNIJUÍ, Ijuí, RS, Brazil.
authors: Angela Beerbaum Steinke
authors: AB
authors: Bronzatti
authors: UNIJUÍ, Ijuí, RS, Brazil.
authors: Juliara Cristina Werner
authors: JC
authors: Lorenzoni
authors: Cardiology Institute, Hospital de Caridade de Ijuí, Ijuí, RS, Brazil.
authors: Pollyana
authors: P
authors: Windmöller
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000534:rehabilitation*; D002985:Clinical Protocols; D003430:Cross-Sectional Studies; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000534:rehabilitation; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011184:Postoperative Period; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D016138:Walking / Q000502:physiology