Characteristics of delayed rehabilitation following coronary artery bypass grafting and factors related to that delay

Abstract

Objectives: To determine the rate at which rehabilitation was delayed after coronary artery bypass grafting (CABG) and to identify factors related to that delay. Methods: Subjects were 529 patients who underwent elective CABG followed by standard rehabilitation at 8 facilities nationwide. Patients were divided into 2 groups depending on whether their rehabilitation was successful or if it was delayed. If patients were able to walk unassisted within 8 days of surgery, their rehabilitation was deemed to be successful. If patients took 9 days or longer to walk unassisted, their rehabilitation was deemed to be delayed. Factors thought to be most closely related to delayed rehabilitation were chosen from 7 categories. Basic patient information, preoperative lab results, and surgical information were assembled, and factors related to delayed rehabilitation were examined. Results and Discussion: Postoperative rehabilitation was delayed at a rate of 10.4%, and that delay was most often “heart-related”. Logistic analysis identified several factors for delayed rehabilitation, including a history of musculoskeletal disorders, preoperative Cr and preoperative estimated glomerular filtration rate (eGFR). Conclusion: Having a history of musculoskeletal disorders and impaired renal function prior to surgery delayed postoperative rehabilitation.