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每天十件事，生活艳阳天

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英语沙龙（高中） 2014年第6期 13-15页

作者： eric barker 花涣

当阳光四溢的心被乌云遮笼，谁来驱散；当生命的发动机马力不足，谁来充电，当精神世界的经济收入人不敷出，谁来买单？有十件事堪比妙药神丹，可使生活的硕果长葆润鲜，防止枯干。

关键词：生活经济收入精神世界发动机买单

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Is Preoperative Functional Status Associated with Postoperative Mortality and Morbidity in Elective Open Heart Patients?

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Health 2018年第5期10卷 654-666页

作者： A. Kate MacPhedran David B. barker Mark L. Marbey Kieran Fogarty eric Vangsnes Doctor of Physical Therapy Program Department Gannon University Erie USA Saint Vincent Health Center Erie USA Organizational Learning and Leadership Ph.D. Program Gannon University Erie USA Mason City Clinic Mason City USA Interdisciplinary Health Sciences Ph.D. Program Western Michigan University Kalamazoo USA Physician Assistant Program Western Michigan University Kalamazoo USA

Background: Cardiac surgery, even when planned, has the potential for adverse outcomes, such that several factors are taken into consideration to help surgeons and their patients discuss the potential risks weighed against the expected recovery. Preoperative functional status and its influence on cardiac surgery, if any, have not been adequately evaluated to date. This study aimed to examine the relationship between preoperative functional status and postoperative mortality and morbidity in elective open heart patients. Methods: Preoperative baseline data (n = 43 subjects) were obtained to calculate Society of Thoracic Surgeons (STS) mortality and morbidity risk scores and preoperative functional status was measured using the Late-Life Function and Disability Instrument (LLFDI). Follow-up data were abstracted at one year postoperative to calculate actual mortality and morbidity events. Ordinary least squares and negative binomial regression analyses were conducted to assess the relationship between the LLFDI preoperative score to the STS mortality and morbidity risk scores. Results: Mortality risk was significant, F (1, 39) = 4.75, p = 0.035, with an adjusted R2 = 0.086, and Function Total (measured by LLFDI) yielded a significant negative association with mortality risk, β = −0.329. Morbidity was found to be significant, F (1, 40) = 4.89, p = 0.033, with an adjusted R2 = 0.087 and Function Total yielded a significant negative association with morbidity risk, β = −0.328, as well. Estimation of the counts for postoperative complications as estimated by Function Total failed to reach significance (Wald χ2 = 0.34, p = 0.56), which provided a pseudo R2 = 0.009. Probabilities for frequencies of adverse events (major complications), therefore, could not be reliably calculated. Conclusion: Preoperative diminished functional status, as measured by the LLFDI, is associated with an increased risk of mortality and morbidity in patients undergoing elective cardiac s

关键词： Functional Status Elective Cardiac Surgery Mortality and Morbidity

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