| アブストラクト | Background: The current status of cardiac rehabilitation (CR) after cardiac surgery and the introduction of early CR (E-CR) in Japan are not fully understood. In this study, the current status of E-CR and its efficacy were investigated by the Academic Committee of the Japanese Association of Cardiac Rehabilitation. Methods and Results: We examined the rate of introduction of E-CR and its effects among 220,122 patients who underwent major cardiac and thoracic vascular surgery, as registered in the Diagnosis Procedure Combination (DPC) classification system, between April 2012 and March 2018. In this study, E-CR was defined as CR starting within 1 day after surgery. Patients with and without E-CR were propensity score matched and analyzed for clinical outcomes. Of all patients participating in CR after surgery, E-CR was initiated in 52.1%, 56.9%, 47.4%, and 54.1% of patients undergoing coronary artery bypass grafting, valve surgery, aortic surgery, and other cardiovascular surgery, respectively. After propensity score matching, outcomes for E-CR were significantly superior to non-E-CR in terms of in-hospital deaths, Barthel Index score at discharge, length of hospital stay, and hospitalization costs. Conclusions: E-CR after cardiac surgery was effective in terms of prognosis, hospital stay, and medical costs. This study is the first report using big data in Japan. The results indicate that further introduction of E-CR needs to be recommended in the future. |
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| ジャーナル名 | Circulation reports |
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| 投稿日 | 2022/11/22 |
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| 投稿者 | Sezai, Akira; Shimokawa, Tomoki; Kanaoka, Koshiro; Fukuma, Nagaharu; Sekino, Hisakuni; Shiraishi, Hirokazu; Sumita, Yoko; Nakai, Michikazu; Iwanaga, Yoshitaka; Furukawa, Yutaka; Miura, Shin-Ichiro; Oya, Yusuke; Yasu, Takanori; Makita, Shigeru |
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| 組織名 | Department of Cardiovascular Surgery, Nihon University School of Medicine Tokyo;Japan.;Department of Cardiovascular Surgery, Sakakibara Heart Institute Tokyo Japan.;Department of Cardiovascular Surgery, Teikyo University School of Medicine Tokyo;Department of Medical and Health Information Management, National Cerebral and;Cardiovascular Center Osaka Japan.;The Faculty of Rehabilitation and Care, Seijoh University Aichi Japan.;Sekino Hospital Tokyo Japan.;Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine;Kyoto Japan.;Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital;Hyogo Japan.;Department of Cardiology, Fukuoka University School of Medicine Fukuoka Japan.;Department of Cardiovascular Medicine, Nephrology and Neurology, University of;The Ryukyus Okinawa Japan.;Department of Cardiovascular Medicine, Dokkyo Medical University Nikko Medical;Center Tochigi Japan.;Department of Cardiac Rehabilitation, Saitama Medical University Saitama Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/36408360/ |
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