THE ROLE OF CARDIAC REHABILITATION IN IMPROVING POSTOPERATIVE RECOVERY AND LONG-TERM OUTCOMES AFTER CARDIAC SURGERY: A SYSTEMATIC REVIEW

Main Article Content

Taimoor Tahir, Dr Jassim Zaheen Shah, Hasan Mukhtar, Dr Fadiha Attia, Dr. Sahab Ahmad, Attiqa Khalid, Shiv Ram Ashraf, Nawab Ali, Khurram Shahzad

Keywords

Cardiac Rehabilitation, Postoperative Recovery, Cardiac Surgery, Efficacy, Cardiovascular Health.

Abstract

Aim: This study aims to assess the efficacy of cardiac rehabilitation programs in enhancing postoperative recovery following cardiac surgery.


Background: The background of the study underscores the increasing prevalence of cardiac surgeries and the importance of effective recovery strategies to optimize patient outcomes. Cardiac rehabilitation programs have emerged as integral interventions for postoperative recovery, encompassing exercise, education, and psychosocial support.


Methods: The methodology involves a systematic review of relevant literature to gather and analyze data on the impact of cardiac rehabilitation programs on postoperative recovery metrics such as physical function, quality of life, and cardiac-related morbidity.


Results: The results reveal a significant positive correlation between participation in cardiac rehabilitation programs and improved postoperative recovery outcomes. These outcomes encompass enhanced physical function, reduced hospital readmissions, and improved overall quality of life.


Conclusion: In conclusion, cardiac rehabilitation programs demonstrate substantial efficacy in enhancing postoperative recovery following cardiac surgery. Incorporating these programs into standard care can lead to better patient outcomes and contribute to the broader goal of improving cardiovascular health.

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References

1. Kuznecova, I., Tamuleviciute-Prasciene, E., Beigiene, A., Stonkuviene, V., Tribiciute, I., & Kubilius, R. (2023). The Edmonton frail scale is a tool to evaluate the effectiveness of cardiac rehabilitation in frail older patients after open cardiac surgery. European Journal of Preventive Cardiology, 30(Supplement_1), zwad125-089.
2. Nasrawi, D., Latimer, S., Massey, D., & Gillespie, B. M. (2023). Delivery, barriers, and enablers to patient participation in inpatient cardiac rehabilitation following cardiac surgery: an integrative review. Australian Critical Care, 36(3), 420-430.
3. Sokas, D., Tamulevičiūtė-Prascienė, E., Beigienė, A., Barasaitė, V., Marozas, J., Kubilius, R., ... & Petrėnas, A. (2023). Wearable-based assessment of heart rate response to physical stressors in patients after open-heart surgery with frailty. IEEE Journal of Biomedical and Health Informatics, 27(4), 1825-1834.
4. Bilal, M., Jahan, S., Zakria, M., Shah, I. A., Tariq, I., & Obaid, S. (2023). Effect of cardiac rehabilitation program on kinesiophobia and functional capacity in open heart surgery. The Rehabilitation Journal, 7(02), 554-559.
5. Descamps, R., Amour, J., Besnier, E., Bougle, A., Charbonneau, H., Charvin, M., ... & Fischer, M. O. (2023). Perioperative individualized hemodynamic optimization according to baseline mean arterial pressure in cardiac surgery patients: Rationale and design of the OPTIPAM randomized trial. American Heart Journal, 261, 10-20.
6. Shen, Z. A., Hou, Y., Yu, L., Wang, X., Dong, A., Kong, M., & Shi, H. (2023). Can Posterior Pericardial Incision Truly Improve Postoperative Complications After Cardiac Surgery? A Systematic Review and Meta-Analysis. Brazilian Journal of Cardiovascular Surgery, 38, e20220350.
7. Zhao, G. J. W., Li, Z. Q., Ma, Y., Zhu, Y. B., Ding, N., Yi, H. L., ... & Zhang, J. R. (2023). Cellphone application rehabilitation management and evaluations of cardiopulmonary function and motor development in infants with congenital heart disease: a pilot study. World Journal of Pediatrics, 1-8.
8. Hoogma, D. F., Van den Eynde, R., Oosterlinck, W., Al Tmimi, L., Verbrugghe, P., Tournoy, J., ... & Rex, S. (2023). Erector spinae plane block for postoperative analgesia in robotically-assisted coronary artery bypass surgery: results of a randomized placebo-controlled trial. Journal of Clinical Anesthesia, 87, 111088.
9. Wasilewski, M., Vijayakumar, A., Szigeti, Z., Sathakaran, S., Wang, K. W., Saporta, A., & Hitzig, S. L. (2023). Barriers and Facilitators to Delivering Inpatient Cardiac Rehabilitation: A Scoping Review. Journal of Multidisciplinary Healthcare, 2361-2376.
10. He, K., & Deng, Y. (2023). Effect of graded cardiac rehabilitation care on clinical efficacy and quality of life in patients with CHD after OPCAB. American Journal of Translational Research, 15(3), 1820.
11. Bauer, T. M., Yaser, J. M., Daramola, T., Mansour, A. I., Ailawadi, G., Pagani, F. D., ... & Thompson, M. P. (2023). Cardiac Rehabilitation Reduces 2-Year Mortality After Coronary Artery Bypass Grafting. The Annals of Thoracic Surgery.
12. Lee, S. (2023). Psychosocial Factors, Sleep Disturbances, and Physical Activity in Patients After Cardiac Surgery (Doctoral dissertation, University of Illinois at Chicago).
13. Heidari, M., Harandi, P. N., Moghaddasi, J., Kheiri, S., & Azhari, A. (2023). Effect of Home-Based Cardiac Rehabilitation Program on Self-Efficacy of Patients With Implantable Cardioverter Defibrillator. SAGE Open Nursing, 9, 23779608231166473.
14. Vassiliou, V. S., Tsampasian, V., Abreu, A., Kurpas, D., Cavarretta, E., O’Flaherty, M., ... & Marques-Vidal, P. (2023). Promotion of healthy nutrition in primary and secondary cardiovascular disease prevention: a clinical consensus statement from the European Association of Preventive Cardiology. European Journal of Preventive Cardiology, zwad057.
15. Blanco-Morillo, J., Martínez, D. S., Arribas-Leal, J. M., Farina, P., Puis, L., Sornichero-Caballero, A. J., & Cánovas-Lόpez, S. J. (2023). Haematic antegrade repriming to enhance recovery after cardiac surgery from the perfusionist side. The Journal of ExtraCorporeal Technology, 55(1), 30-38.
16. Masangkay, J., Healey, J., El-Gamel, A., Azari, M. R., & Boyd, J. (2023). Audit of the Five-Minute Test to Evaluate Its Effectiveness in Reducing Postcardiotomy Re-exploration. Heart, Lung and Circulation, 32, S61-S62.
17. Koenders, N., van Zetten, H., Smulders, M., Verra, M. L., van Kimmenade, R. R., van Brakel, T., ... & Smith, T. (2023). Improved Maximal Workload and Systolic Blood Pressure After Cardiac Rehabilitation Following Thoracic Aortic Repair: A SYSTEMATIC REVIEW AND META-ANALYSIS. Journal of cardiopulmonary rehabilitation and prevention, 10-1097.
18. Gross, C. R., Adams, D. H., Patel, P., & Varghese, R. (2023). Failure to rescue: a quality metric for cardiac surgery and cardiovascular critical care. Canadian Journal of Cardiology, 39(4), 487-496.
19. Feng, C., Lei, Z., & Xiyang, P. (2023). Transthoracic Color Doppler Ultrasound-Guided Grooved Negative Pressure Drainage Tube Implantation in Pericardial Effusion After Cardiac Surgery. Brazilian Journal of Cardiovascular Surgery.
20. Bashir, Z., Misquith, C., Shahab, A., Has, P., & Bukhari, S. (2023). The impact of Virtual Reality on Anxiety and Functional Capacity in Cardiac Rehabilitation: A Systematic Review and Meta-analysis. Current Problems in Cardiology, 101628.
21. Hutchinson, G. E. Knowledge, Perceptions, and Barriers of Resuscitation After Cardiac Surgery: A Quality Improvement Project.
22. Audet, L. A., Lavoie-Tremblay, M., Tchouaket, É., & Kilpatrick, K. (2023). The level of adherence to best-practice guidelines by interprofessional teams with and without acute care nurse practitioners in cardiac surgery: A study protocol. Plos one, 18(3), e0282467.
23. Wang, L., Chen, P., Pan, Y., Wang, Z., Xu, J., Wu, X., ... & Wu, Y. (2023). Injectable photocurable Janus hydrogel delivering hiPSC cardiomyocyte-derived exosome for post–heart surgery adhesion reduction. Science Advances, 9(31), eadh1753.
24. Spence, J., Belley-Côté, E., Jacobsohn, E., Lee, S. F., D’Aragon, F., Avidan, M., ... & Ramasundarahettige, C. F. (2023). Benzodiazepine-free Cardiac Anesthesia for Reduction of Postoperative Delirium (B-Free): A Protocol for a Multi-centre Randomized Cluster Crossover Trial. CJC Open.
25. Elgazzar, S. E., Qalawa, S. A. A., & Ali Hassan, A. M. (2023). Impact of educational programme on patient's health outcomes following open heart surgeries. Nursing Open.