Reduced exercise capacity and self-perceived health status in highrisk patients undergoing lung resection
作者机构：FisioterapiaUniversity of GranadaGranada 18016Spain Cardiothoracic Surgery DepartmentVirgen de las Nieves HospitalGranada 18016Spain Physical TherapyUniversity of MiamiMiamiFL 33124United States
出 版 物：《World Journal of Critical Care Medicine》 (世界重症医学杂志)
年 卷 期：2021年第10卷第5期
页 面：232-243页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Non-small cell lung cancer Exercise tolerance health status Patient-reported outcomes Postoperative quality of life Exercise test
摘 要：BACKGROUND Lung resection represents the main curative treatment modality of non-small cell lung *** with high-risk to develop postoperative pulmonary complications have been classified as“high-risk patients.Characterizing this population could be important to improve their approach and *** To identify the differences between high and low-risk patients in exercise capacity and self-perceived health status after *** A longitudinal observational prospective cohort study was carried *** undergoing lung resection were recruited from the“Hospital Virgen de las Nieves(Granada)and divided into two groups according to the risk profile criteria(age≥70 years,forced expiratory volume in 1 s≤70%predicted,carbon monoxide diffusion capacity≤70%predicted or scheduled pneumonectomy).Outcomes included were exercise capacity(Fatigue Severity Scale,Unsupported Upper-Limb Exercise,handgrip dynamometry,Five Sit-to-stand test,and quadriceps hand-held dynamometry)and patient-reported outcome(Euroqol-5 dimensions 5 Levels Visual Analogue Scale).RESULTS In total,115 participants were included in the study and divided into three groups:high-risk,low-risk and control *** discharge high-risk patients presented a poorer exercise capacity and a worse self-perceived health status(P0.05).One month after discharge patients in the high-risk group maintained these differences compared to the other *** Our results show a poorer recovery in high-risk patients at discharge and 1 mo after surgery,with lower self-perceived health status and a poorer upper and lower limb exercise *** results are important in the rehabilitation field.
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