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Revista chilena de cardiología

On-line version ISSN 0718-8560

Abstract

OLIVEROS, María José; SEPULVEDA, Pablo; SERON, Pamela  and  FUENTES, Rocío. Phase I Cardiac Rehabilitation: Progression through protocolized steps in cardiosurgical in-patients in a public hospital in Chile. Rev Chil Cardiol [online]. 2019, vol.38, n.1, pp.9-19. ISSN 0718-8560.  http://dx.doi.org/10.4067/S0718-85602019000100009.

Background:

Despite advances in cardiovascular disease management and the development of minimally invasive approaches, open cardiac surgery is still a preferred intervention in complicated cases. Phase I Cardiac Rehabilitation decreases complications associated with this intervention.

Globally, cardiac rehabilitation is widely recommended. However, in Chile the implementation of this intervention has been slow and there are scarce reports of its result.

Objective:

To describe the progression according to steps and post-surgery days in cardiac rehabilitation phase I patients in the public hospital in Temuco, Chile.

Methodology:

We analyzed a series of cases of patients in cardiac rehabilitation phase I, participants of a protocol based on six-step motor levels: (S1) on-bed mobilization, (S2) sitting on the edge of the bed, (S3) Bipedal exercise and 35 meter walking, (S4) 100 meter walking, (P5) 200 meter walking plus going up one floor and down stairs, and (S6) 300 meter walking plus going two floors up and down stairs.

Results:

243 patients were included, and 1,033 sessions were performed) Mean age was 65.9years-old (SD 9.5) and hospital stay run for a median of 6 days. From all sessions, on day one, 53% of patients reached S1. On day 2, 51% reached S2 and 36% walked (S3). On day 3, 44.78% reached ≥S4. On day 4, 37.75% reached ≥S4. On days 5-7, approximately 50% achieved ≥S5.

Conclusion:

the step progression is proportional to number of days after surgery, faster in men than compared to women. At discharge, 75 % of patients show functional independency that allows them to walk two blocks and go one floor up and down stairs.

Keywords : Cardiac Rehabilitation; Cardiac Surgery; protocols.

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