Background
Method
Participants
Preoperative and perioperative assessments
Measurement of recovery
Grip strength recovery
Postoperative follow-up and definition of complications
Statistical analysis
Characteristic | Normal (n = 176) | Complication (n = 36) | P |
---|---|---|---|
General characteristic | |||
Men (n,%) | 68.3 | 65.4 | 0.746 |
Age (y) | 63.2 ± 6.6 | 64.4 ± 6.0 | 0.408 |
BMI (kg/m2) | 25.6 ± 3.2 | 25.6 ± 3.1 | 0.435 |
Widow (%) | 8.2 | 3.8 | 0.390 |
Farmer (%) | 37.3 | 25.6 | 0.358 |
Live alone (%) | 10 | 6.5 | 0.462 |
EF (%) | 55.3 | 57.9 | 0.158 |
IPAQ | 6994 | 6402 | 0.656 |
Drink (%) | 52.8 | 52.9 | 0.368 |
Smoke (%) | 32.9 | 38.5 | 0.089 |
Grip (kg) | 30.8 ± 9.1 | 31.2 ± 10.5 | 0.255 |
Grip/Weight (kg/kg) | 0.43 ± 0.11 | 0.45 ± 0.10 | 0.434 |
4-m walking(m/s) | 0.97 ± 0.21 | 0.95 ± 0.21 | 0.808 |
EuroSCORE | 2.15 ± 1.52 | 2.42 ± 1.58 | 0.235 |
Disease history | |||
Hypertension (%) | 60.6 | 58.8 | 0.876 |
Diabetes (%) | 25.4 | 30.6 | 0.478 |
Hyperlipidemia (%) | 3.7 | 6.1 | 0.433 |
Coronary heart disease (%) | 35.4 | 40.9 | 0.492 |
Operative situation | |||
Type of surgery | 0.129 | ||
CABG (%) | 71.9 | 70.6 | |
Aortic valve replacement (%) | 12.7 | 18.6 | |
Non-aortic valve replacement (%) | 7.2 | 5.8 | |
Other surgery | 8.2 | 5.0 | |
Surgery time (h) | 4.28 ± 1.78 | 4.67 ± 1.28 | 0.135 |
Length of ICU staying (h) | 44.3 ± 13.6 | 51.2 ± 23.6 | 0.007 |
Assisted ventilation time (h) | 12.2 ± 10.5 | 15.4 ± 15.6 | 0.094 |
Drainage time (h) | 72.7 ± 46.7 | 89.7 ± 53.8 | 0.063 |
Recovery situation | |||
Grip fluctuation (%) | 100.2 ± 35.5 | 65.3 ± 22.3 | < 0.001 |
6MWD (m) | 239.1 ± 102.1 | 204.8 ± 79.4 | 0.088 |
Percentage of the estimated 6MWD (%) | 46.4 ± 19.3 | 39.8 ± 14.4 | 0.081 |
Heart rate recovery (%) | 55.6 ± 23.3 | 54.4 ± 25.7 | 0.932 |
Length of hospitalization time (day) | 6.4 ± 2.4 | 6.6 ± 2.9 | 0.418 |
AUC(95%CI) | P value | Cut off | Sensitivity (%) | Specificity (%) | |
---|---|---|---|---|---|
Grip strength (kg) | 0.457(0.355,0.559) | 0.416 | 25.98 | 36.1 | 33.0 |
Grip/Weight (kg/kg) | 0.476(0.372,0.581) | 0.657 | 0.421 | 50.0 | 44.3 |
Grip fluctuation (%) | 0.837(0.761,0.912) | < 0.001 | 83.92 | 80.6 | 49.8 |
OR | 95%CI | P value | |
---|---|---|---|
Grip fluctuation | |||
Crude | 13.22 | 5.40–32.35 | 0.001 |
Multivariable-Adjusted1 | 13.49 | 5.47–33.29 | 0.001 |
Multivariable-Adjusted2 | 25.68 | 7.65–65.90 | < 0.001 |
Characteristic | Normal (n = 141) | Low recovery(n = 71) | P |
---|---|---|---|
Operative situation | |||
Surgery time (h) | 4.18 ± 2.08 | 4.51 ± 1.28 | 0.232 |
Length of ICU staying (h) | 44.5 ± 12.8 | 48.6 ± 22.2 | 0.114 |
Assisted ventilation time (h) | 10.9 ± 7.2 | 16.4 ± 8.9 | 0.005 |
Drainage time (h) | 74.7 ± 60.5 | 77.8 ± 52.9 | 0.744 |
Recovery situation | |||
6MWD (m) | 248.5 ± 88.9 | 221.5 ± 109.2 | 0.097 |
Percentage of the estimated 6MWD (%) | 48.3 ± 17.4 | 41.5 ± 18.9 | 0.028 |
Length of hospitalization time (day) | 6.1 ± 2.8 | 7.2 ± 2.5 | 0.042 |
Complications (%) | 5.0 | 40.8 | < 0.001 |