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Functional status at ICU discharge is a predictor of discharge destination in elderly patients requiring prolonged intensive care after cardiac surgery
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- Adachi Yuichi
- Department of Rehabilitation, Sakakibara Heart Institute
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- Okamura Daisuke
- Department of Rehabilitation, St.Luke's International Hospital
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- Mori Yuji
- Department of Rehabilitation, Shizuoka Medical Center
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- Sakurada Koji
- Department of Rehabilitation, The Cardiovascular Institute
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- Sakaki Satoko
- Department of Rehabilitation, Kasukabe Chuo General Hospital
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- Yuguchi Satoshi
- Department of Physiotherapy, Japan University of Health Science
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- Morisawa Tomoyuki
- Department of Rehabilitation, Hyogo University of Health Sciences
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- Takahashi Tetsuya
- Rehabilitation Unit, Juntendo University Hospital
Bibliographic Information
- Other Title
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- 高齢心臓外科術後症例のICU退室時の身体機能と自宅退院の関連 —長期集中治療管理症例における検討—
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Description
<p>Objective: The aim of this study was to identify the relationship between functional status at ICU discharge and discharge destination in elderly patients requiring prolonged ICU stay after cardiac surgery. Methods: A total of 278 patients aged 65 years or above (75±6 years, female 42%) who stayed in ICU for 3 days or longer after elective cardiac surgery were enrolled. Patients were divided into two groups according to the discharge destination; discharge to home (n=245) and transfer to other facility or hospital (n=33). We assessed the clinical characteristics as well as functional status using the functional status score for the ICU (FSS-ICU). The association between FSS-ICU and discharge destination was evaluated by logistic regression analysis. Receiver operating characteristics (ROC) curve analysis was used to calculate the optimal cutoff value of FSS-ICU for home discharge. Results: Multivariate logistic regression analysis identified age, operation time, and FSS-ICU score at ICU discharge as predictors of home discharge. The cut-off FSS-ICU score predicting home discharge was 21 points as determined by ROC curve. Conclusion: Functional status at ICU discharge assessed by FSS-ICU is an independent predictor of discharge destination in elderly patients who require prolonged ICU stay after cardiac surgery.</p>
Journal
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- Journal of the Japanese Society of Intensive Care Medicine
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Journal of the Japanese Society of Intensive Care Medicine 27 (3), 195-201, 2020-05-01
The Japanese Society of Intensive Care Medicine
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Details 詳細情報について
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- CRID
- 1390566775132215680
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- NII Article ID
- 130007839140
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- ISSN
- 1882966X
- 13407988
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- OpenAIRE
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- Abstract License Flag
- Disallowed