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Early mobilization and exercise in elderly patients after coronary artery bypass grafting

dc.contributor.authorAlmeida, Klebson da Silva
dc.contributor.authorNovo, André
dc.contributor.authorCarneiro, Saul Rassy
dc.contributor.authorPreto, Leonel
dc.contributor.authorMendes, Eugénia
dc.date.accessioned2015-12-09T15:53:27Z
dc.date.available2015-12-09T15:53:27Z
dc.date.issued2015
dc.description.abstractCoronary Artery Bypass Grafting (CABG) is one of the most commonly performed surgical procedures. During the postoperative period, the prolonged bed rest increases the possible occurrence of systemic complications, resulting from immobilization. Aim: This quasi-experimental study aims to analyze the hemodynamic variables and the peak expiratory flow (peak flow) during the application of two different exercise protocols (with and without passive exercise peddler) compared with the traditional intervention (non-invasive ventilation) in elderly patients after Coronary Artery Bypass Grafting. Methods and material: Thirty elderly patients, in postoperative care of CABG, were organized into three groups: Group A – which performed the exercise in a passive exercise peddler; Group B – which performed motor physical therapy without using the exercise peddler; and Group C – with non-invasive ventilation. Considering a 5% significance level (p<0.05) the Shapiro Wilk’s test for normality analysis was performed and then a descriptive analysis of the sample was made. To analyze the variation of the results in each group before and after test Wilcoxon’s test was performed. Finally, to analyze and to compare the three groups before and after test, the Kruskal Wallis test was performed. Results: The results showed a significant increase in Peak Flow values in the three groups (before and after test), a significant reduction of systolic blood pressure in group A, and increase of cardiac frequency and respiratory frequency in group B. In the analysis between groups, it was observed a significant reduction of diastolic blood pressure in group C. It is concluded that early mobilization and exercise, with or without the exercise peddler, can be safe and performed in elderly patients after CABG in the Intensive Care Unit (ICU). Careful use of positive pressure in the non-invasive ventilation is needed due the effects on blood pressure and cardiac debit.pt_PT
dc.identifier.citationAlmeida, Klebson; Novo, André; Carneiro, Saul Rassy; Preto, Leonel; Mendes, Eugénia 82015) - Early mobilization and exercise in elderly patients after coronary artery bypass grafting. Jounal of Rehabilitation Medicine. ISSN 1650-1977. 47:8, p. 796-796pt_PT
dc.identifier.doi10.2340/16501977-2009
dc.identifier.issn1650-1977
dc.identifier.urihttp://hdl.handle.net/10198/12477
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherFoundation Rehabilitation Informationpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectRehabilitationpt_PT
dc.subjectCardiovascular systempt_PT
dc.subjectRespiratorysystempt_PT
dc.subjectAtherosclerosispt_PT
dc.titleEarly mobilization and exercise in elderly patients after coronary artery bypass graftingpt_PT
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferencePlaceRigapt_PT
oaire.citation.endPage796pt_PT
oaire.citation.startPage796pt_PT
oaire.citation.titleJounal of Rehabilitation Medicinept_PT
oaire.citation.volume47pt_PT
person.familyNameNovo
person.familyNamePreto
person.familyNameMendes
person.givenNameAndré
person.givenNameLeonel
person.givenNameEugénia
person.identifierH-1386-2012
person.identifierhttps://scholar.google.com.br/citations?user=YMih_6QAAAAJ&hl=pt-PT&oi=ao
person.identifier.ciencia-id7D14-8584-AB2B
person.identifier.ciencia-id451C-C9C6-C5D6
person.identifier.ciencia-id7114-2BCC-DE82
person.identifier.orcid0000-0001-8583-0406
person.identifier.orcid0000-0002-8126-7051
person.identifier.orcid0000-0001-6528-4284
person.identifier.ridM-7528-2016
person.identifier.scopus-author-id612710
person.identifier.scopus-author-id56465995600
person.identifier.scopus-author-id56465467200
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
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