Gait Speed Is Not Associated with Vasogenic Shock or Cardiogenic Shock following Cardiac Surgery, but Is Associated with Increased Hospital Length of Stay
Objective. Frailty has been associated with adverse outcomes following cardiac surgery. Gait speed has been validated as a marker of frailty. Slow gait speed has been found to be associated with mortality after cardiac surgery. However, it is unknown why slow gait speed predisposes to cardiac surgic...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2018/1538587 |
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| _version_ | 1832562741092548608 |
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| author | Kimmie Clark Taylor Leathers Duncan Rotich Jianghua He Katy Wirtz Emmanuel Daon Brigid C. Flynn |
| author_facet | Kimmie Clark Taylor Leathers Duncan Rotich Jianghua He Katy Wirtz Emmanuel Daon Brigid C. Flynn |
| author_sort | Kimmie Clark |
| collection | DOAJ |
| description | Objective. Frailty has been associated with adverse outcomes following cardiac surgery. Gait speed has been validated as a marker of frailty. Slow gait speed has been found to be associated with mortality after cardiac surgery. However, it is unknown why slow gait speed predisposes to cardiac surgical mortality. Design. A retrospective analysis. Participants. Patients undergoing cardiac surgery who had a 5-meter walk test performed preoperatively (n=333 of 1735 total surgical patients) from January 2013 to March 2017. Setting. A tertiary care academic hospital. Measurements and main results. Gait speeds were stratified by tertiles: <0.83 m/s, 0.83–1 m/s, and >1 m/s. There was no difference in the incidence of cardiogenic or vasogenic shock when comparing the gait speed groups. Total hospital length of stay was significantly different among the gait speed groups (p=0.0050). Also, patients in the slowest gait speed tertile had a significant association with need for a postoperative permanent pacemaker (p=0.0298). Conclusion. There was no significant association between gait speed and the incidence of cardiogenic or vasogenic shock after cardiac surgery. Gait speed was associated with increased hospital length of stay and need for a permanent pacemaker after cardiac surgery. |
| format | Article |
| id | doaj-art-6c515947658b44028f84c9d12e882f5c |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-6c515947658b44028f84c9d12e882f5c2025-02-03T01:21:55ZengWileyCritical Care Research and Practice2090-13052090-13132018-01-01201810.1155/2018/15385871538587Gait Speed Is Not Associated with Vasogenic Shock or Cardiogenic Shock following Cardiac Surgery, but Is Associated with Increased Hospital Length of StayKimmie Clark0Taylor Leathers1Duncan Rotich2Jianghua He3Katy Wirtz4Emmanuel Daon5Brigid C. Flynn6Medical Student, University of Kansas School of Medicine, Kansas, KS, USAMedical Student, University of Kansas School of Medicine, Kansas, KS, USAGraduate Student, Department of Biostatistics, University of Kansas Medical Center, Kansas, KS, USABiostatistician, Department of Biostatistics, University of Kansas Medical Center, Kansas, KS, USAQuality Outcomes Coordinator, Department of Nursing, University of Kansas Medical Center, Kansas, KS, USAAssistant Professor, Department of Cardiac Surgery, University of Kansas Medical Center, Kansas, KS, USAAssociate Professor, Department of Anesthesiology, University of Kansas Medical Center, Kansas, KS, USAObjective. Frailty has been associated with adverse outcomes following cardiac surgery. Gait speed has been validated as a marker of frailty. Slow gait speed has been found to be associated with mortality after cardiac surgery. However, it is unknown why slow gait speed predisposes to cardiac surgical mortality. Design. A retrospective analysis. Participants. Patients undergoing cardiac surgery who had a 5-meter walk test performed preoperatively (n=333 of 1735 total surgical patients) from January 2013 to March 2017. Setting. A tertiary care academic hospital. Measurements and main results. Gait speeds were stratified by tertiles: <0.83 m/s, 0.83–1 m/s, and >1 m/s. There was no difference in the incidence of cardiogenic or vasogenic shock when comparing the gait speed groups. Total hospital length of stay was significantly different among the gait speed groups (p=0.0050). Also, patients in the slowest gait speed tertile had a significant association with need for a postoperative permanent pacemaker (p=0.0298). Conclusion. There was no significant association between gait speed and the incidence of cardiogenic or vasogenic shock after cardiac surgery. Gait speed was associated with increased hospital length of stay and need for a permanent pacemaker after cardiac surgery.http://dx.doi.org/10.1155/2018/1538587 |
| spellingShingle | Kimmie Clark Taylor Leathers Duncan Rotich Jianghua He Katy Wirtz Emmanuel Daon Brigid C. Flynn Gait Speed Is Not Associated with Vasogenic Shock or Cardiogenic Shock following Cardiac Surgery, but Is Associated with Increased Hospital Length of Stay Critical Care Research and Practice |
| title | Gait Speed Is Not Associated with Vasogenic Shock or Cardiogenic Shock following Cardiac Surgery, but Is Associated with Increased Hospital Length of Stay |
| title_full | Gait Speed Is Not Associated with Vasogenic Shock or Cardiogenic Shock following Cardiac Surgery, but Is Associated with Increased Hospital Length of Stay |
| title_fullStr | Gait Speed Is Not Associated with Vasogenic Shock or Cardiogenic Shock following Cardiac Surgery, but Is Associated with Increased Hospital Length of Stay |
| title_full_unstemmed | Gait Speed Is Not Associated with Vasogenic Shock or Cardiogenic Shock following Cardiac Surgery, but Is Associated with Increased Hospital Length of Stay |
| title_short | Gait Speed Is Not Associated with Vasogenic Shock or Cardiogenic Shock following Cardiac Surgery, but Is Associated with Increased Hospital Length of Stay |
| title_sort | gait speed is not associated with vasogenic shock or cardiogenic shock following cardiac surgery but is associated with increased hospital length of stay |
| url | http://dx.doi.org/10.1155/2018/1538587 |
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