Preoperative decline in skeletal muscle strength of patients with cardiovascular disease affects postoperative pulmonary complication occurrence: a single-center retrospective study
Background Dynapenia, defined as age-related skeletal muscle strength decline, has been reported as a poor prognostic factor in patients with cardiovascular disease. Decline in skeletal muscle strength (DS), the main symptom of dynapenia, may be an important clinical indicator in patients undergoing...
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| Veröffentlicht in: | Heart and vessels 2023-02, Vol.38 (2), p.247-254 |
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| creator | Sugimoto, Nozomu Kuhara, Satoshi Nawata, Keishi Yano, Yudai Teramatsu, Hiroaki Itoh, Hideaki Araki, Masaru Kataoka, Masaharu Jinzai, Yuki Nishimura, Yousuke Saeki, Satoru |
| description | Background
Dynapenia, defined as age-related skeletal muscle strength decline, has been reported as a poor prognostic factor in patients with cardiovascular disease. Decline in skeletal muscle strength (DS), the main symptom of dynapenia, may be an important clinical indicator in patients undergoing cardiac surgery. However, the relationship between DS and postoperative pulmonary complication occurrence is unclear. Herein, we investigated the relationship between preoperative DS and postoperative pulmonary complication occurrence in patients undergoing cardiac surgery.
Methods
We enrolled 125 patients who underwent cardiac surgery. DS was determined by low grip strength and quadriceps isometric strength. The patients were divided into DS and non-DS groups. The relationship between the clinical characteristics and preoperative physical function was compared, and factors associated with postoperative pulmonary complication occurrence were investigated using multivariate logistic regression analysis.
Results
There were 42 (33.6%) patients in the DS group and 83 (66.4%) patients in the non-DS group. Compared with the non-DS group, the DS group was significantly older and had a higher body mass index and Japan SCORE (operative mortality rate and major complication rate). The DS group also had a lower estimated glomerular filtration rate and preoperative Barthel index than the non-DS group. Furthermore the DS group had a significantly higher incidence of postoperative pulmonary complications and length of intensive care unit stay, and their postoperative rehabilitation was prolonged compared to the non-DS group. Multivariate logistic regression analysis revealed that DS was a determinant of postoperative pulmonary complications (odds ratio 4.26, 95% confidence interval 1.63‒11.14).
Conclusions
We showed that preoperative DS was an independent risk factor for postoperative pulmonary complications in patients undergoing cardiac surgery. Skeletal muscle strength before cardiac surgery may be an important clinical indicator for predicting the prognosis of patients from post-surgery to discharge and for planning postoperative rehabilitation programs. |
| doi_str_mv | 10.1007/s00380-022-02143-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2761211379</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2761211379</sourcerecordid><originalsourceid>FETCH-LOGICAL-c399t-c2c85e29d72363ba1989b47acbd431099030e171dd29422839a01f141681768a3</originalsourceid><addsrcrecordid>eNp9kc1u1TAQhS0EoreFF2CBLLFO8dhJHLNDVfmRKsEC1pavPbm4OHawnaI-GO-Hyy10x2I00vibc8Y6hLwAdg6MydeFMTGxjnHeCnrRyUdkByMMHR-keEx2TAHrJsHlCTkt5ZoxGBSop-REDIpNDGBHfn3OmFbMpvobpA5t8BGpj7R8x4DVBLpsxQakpWaMh_qNppmujcZYC_3p28Ca7Hy6McVuwWTqfEFTkJp5RtuYNZX64LBuYUnR5Ftq07IGb9s4RZqs3XIzsPiGGlp8PATsbPPATDPWnMraxO4ESt3c7TPyZDah4PP7fka-vrv8cvGhu_r0_uPF26vOCqVqZ7mdBuTKSS5GsTegJrXvpbF71wtgSjHBECQ4x1XP-SSUYTBDD-MEcpyMOCOvjrprTj82LFVfpy3HZqm5HIEDCKkaxY-UbXeWjLNes1_aHzUwfZeUPialW1L6T1JatqWX99LbfkH3b-VvNA0QR6C0p3jA_OD9H9nfd0ejZQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2761211379</pqid></control><display><type>article</type><title>Preoperative decline in skeletal muscle strength of patients with cardiovascular disease affects postoperative pulmonary complication occurrence: a single-center retrospective study</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Sugimoto, Nozomu ; Kuhara, Satoshi ; Nawata, Keishi ; Yano, Yudai ; Teramatsu, Hiroaki ; Itoh, Hideaki ; Araki, Masaru ; Kataoka, Masaharu ; Jinzai, Yuki ; Nishimura, Yousuke ; Saeki, Satoru</creator><creatorcontrib>Sugimoto, Nozomu ; Kuhara, Satoshi ; Nawata, Keishi ; Yano, Yudai ; Teramatsu, Hiroaki ; Itoh, Hideaki ; Araki, Masaru ; Kataoka, Masaharu ; Jinzai, Yuki ; Nishimura, Yousuke ; Saeki, Satoru</creatorcontrib><description>Background
Dynapenia, defined as age-related skeletal muscle strength decline, has been reported as a poor prognostic factor in patients with cardiovascular disease. Decline in skeletal muscle strength (DS), the main symptom of dynapenia, may be an important clinical indicator in patients undergoing cardiac surgery. However, the relationship between DS and postoperative pulmonary complication occurrence is unclear. Herein, we investigated the relationship between preoperative DS and postoperative pulmonary complication occurrence in patients undergoing cardiac surgery.
Methods
We enrolled 125 patients who underwent cardiac surgery. DS was determined by low grip strength and quadriceps isometric strength. The patients were divided into DS and non-DS groups. The relationship between the clinical characteristics and preoperative physical function was compared, and factors associated with postoperative pulmonary complication occurrence were investigated using multivariate logistic regression analysis.
Results
There were 42 (33.6%) patients in the DS group and 83 (66.4%) patients in the non-DS group. Compared with the non-DS group, the DS group was significantly older and had a higher body mass index and Japan SCORE (operative mortality rate and major complication rate). The DS group also had a lower estimated glomerular filtration rate and preoperative Barthel index than the non-DS group. Furthermore the DS group had a significantly higher incidence of postoperative pulmonary complications and length of intensive care unit stay, and their postoperative rehabilitation was prolonged compared to the non-DS group. Multivariate logistic regression analysis revealed that DS was a determinant of postoperative pulmonary complications (odds ratio 4.26, 95% confidence interval 1.63‒11.14).
Conclusions
We showed that preoperative DS was an independent risk factor for postoperative pulmonary complications in patients undergoing cardiac surgery. Skeletal muscle strength before cardiac surgery may be an important clinical indicator for predicting the prognosis of patients from post-surgery to discharge and for planning postoperative rehabilitation programs.</description><identifier>ISSN: 0910-8327</identifier><identifier>EISSN: 1615-2573</identifier><identifier>DOI: 10.1007/s00380-022-02143-7</identifier><identifier>PMID: 35908011</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Age ; Biomedical Engineering and Bioengineering ; Body mass ; Body mass index ; Body size ; Cardiac muscle ; Cardiac Surgery ; Cardiology ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - complications ; Cardiovascular Diseases - etiology ; Complications ; Glomerular filtration rate ; Grip strength ; Heart surgery ; Humans ; Lung diseases ; Medicine ; Medicine & Public Health ; Multivariate analysis ; Muscle contraction ; Muscle strength ; Muscle Strength - physiology ; Muscle, Skeletal ; Musculoskeletal system ; Original Article ; Patients ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Prognosis ; Quadriceps muscle ; Regression analysis ; Rehabilitation ; Retrospective Studies ; Risk analysis ; Risk Factors ; Skeletal muscle ; Statistical analysis ; Surgery ; Vascular Surgery</subject><ispartof>Heart and vessels, 2023-02, Vol.38 (2), p.247-254</ispartof><rights>Springer Japan KK, part of Springer Nature 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. Springer Japan KK, part of Springer Nature.</rights><rights>Springer Japan KK, part of Springer Nature 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-c2c85e29d72363ba1989b47acbd431099030e171dd29422839a01f141681768a3</citedby><cites>FETCH-LOGICAL-c399t-c2c85e29d72363ba1989b47acbd431099030e171dd29422839a01f141681768a3</cites><orcidid>0000-0003-4246-5626</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00380-022-02143-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00380-022-02143-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27931,27932,41495,42564,51326</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35908011$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sugimoto, Nozomu</creatorcontrib><creatorcontrib>Kuhara, Satoshi</creatorcontrib><creatorcontrib>Nawata, Keishi</creatorcontrib><creatorcontrib>Yano, Yudai</creatorcontrib><creatorcontrib>Teramatsu, Hiroaki</creatorcontrib><creatorcontrib>Itoh, Hideaki</creatorcontrib><creatorcontrib>Araki, Masaru</creatorcontrib><creatorcontrib>Kataoka, Masaharu</creatorcontrib><creatorcontrib>Jinzai, Yuki</creatorcontrib><creatorcontrib>Nishimura, Yousuke</creatorcontrib><creatorcontrib>Saeki, Satoru</creatorcontrib><title>Preoperative decline in skeletal muscle strength of patients with cardiovascular disease affects postoperative pulmonary complication occurrence: a single-center retrospective study</title><title>Heart and vessels</title><addtitle>Heart Vessels</addtitle><addtitle>Heart Vessels</addtitle><description>Background
Dynapenia, defined as age-related skeletal muscle strength decline, has been reported as a poor prognostic factor in patients with cardiovascular disease. Decline in skeletal muscle strength (DS), the main symptom of dynapenia, may be an important clinical indicator in patients undergoing cardiac surgery. However, the relationship between DS and postoperative pulmonary complication occurrence is unclear. Herein, we investigated the relationship between preoperative DS and postoperative pulmonary complication occurrence in patients undergoing cardiac surgery.
Methods
We enrolled 125 patients who underwent cardiac surgery. DS was determined by low grip strength and quadriceps isometric strength. The patients were divided into DS and non-DS groups. The relationship between the clinical characteristics and preoperative physical function was compared, and factors associated with postoperative pulmonary complication occurrence were investigated using multivariate logistic regression analysis.
Results
There were 42 (33.6%) patients in the DS group and 83 (66.4%) patients in the non-DS group. Compared with the non-DS group, the DS group was significantly older and had a higher body mass index and Japan SCORE (operative mortality rate and major complication rate). The DS group also had a lower estimated glomerular filtration rate and preoperative Barthel index than the non-DS group. Furthermore the DS group had a significantly higher incidence of postoperative pulmonary complications and length of intensive care unit stay, and their postoperative rehabilitation was prolonged compared to the non-DS group. Multivariate logistic regression analysis revealed that DS was a determinant of postoperative pulmonary complications (odds ratio 4.26, 95% confidence interval 1.63‒11.14).
Conclusions
We showed that preoperative DS was an independent risk factor for postoperative pulmonary complications in patients undergoing cardiac surgery. Skeletal muscle strength before cardiac surgery may be an important clinical indicator for predicting the prognosis of patients from post-surgery to discharge and for planning postoperative rehabilitation programs.</description><subject>Age</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Cardiac muscle</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - complications</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Complications</subject><subject>Glomerular filtration rate</subject><subject>Grip strength</subject><subject>Heart surgery</subject><subject>Humans</subject><subject>Lung diseases</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Multivariate analysis</subject><subject>Muscle contraction</subject><subject>Muscle strength</subject><subject>Muscle Strength - physiology</subject><subject>Muscle, Skeletal</subject><subject>Musculoskeletal system</subject><subject>Original Article</subject><subject>Patients</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Prognosis</subject><subject>Quadriceps muscle</subject><subject>Regression analysis</subject><subject>Rehabilitation</subject><subject>Retrospective Studies</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Skeletal muscle</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Vascular Surgery</subject><issn>0910-8327</issn><issn>1615-2573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1TAQhS0EoreFF2CBLLFO8dhJHLNDVfmRKsEC1pavPbm4OHawnaI-GO-Hyy10x2I00vibc8Y6hLwAdg6MydeFMTGxjnHeCnrRyUdkByMMHR-keEx2TAHrJsHlCTkt5ZoxGBSop-REDIpNDGBHfn3OmFbMpvobpA5t8BGpj7R8x4DVBLpsxQakpWaMh_qNppmujcZYC_3p28Ca7Hy6McVuwWTqfEFTkJp5RtuYNZX64LBuYUnR5Ftq07IGb9s4RZqs3XIzsPiGGlp8PATsbPPATDPWnMraxO4ESt3c7TPyZDah4PP7fka-vrv8cvGhu_r0_uPF26vOCqVqZ7mdBuTKSS5GsTegJrXvpbF71wtgSjHBECQ4x1XP-SSUYTBDD-MEcpyMOCOvjrprTj82LFVfpy3HZqm5HIEDCKkaxY-UbXeWjLNes1_aHzUwfZeUPialW1L6T1JatqWX99LbfkH3b-VvNA0QR6C0p3jA_OD9H9nfd0ejZQ</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Sugimoto, Nozomu</creator><creator>Kuhara, Satoshi</creator><creator>Nawata, Keishi</creator><creator>Yano, Yudai</creator><creator>Teramatsu, Hiroaki</creator><creator>Itoh, Hideaki</creator><creator>Araki, Masaru</creator><creator>Kataoka, Masaharu</creator><creator>Jinzai, Yuki</creator><creator>Nishimura, Yousuke</creator><creator>Saeki, Satoru</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><orcidid>https://orcid.org/0000-0003-4246-5626</orcidid></search><sort><creationdate>20230201</creationdate><title>Preoperative decline in skeletal muscle strength of patients with cardiovascular disease affects postoperative pulmonary complication occurrence: a single-center retrospective study</title><author>Sugimoto, Nozomu ; Kuhara, Satoshi ; Nawata, Keishi ; Yano, Yudai ; Teramatsu, Hiroaki ; Itoh, Hideaki ; Araki, Masaru ; Kataoka, Masaharu ; Jinzai, Yuki ; Nishimura, Yousuke ; Saeki, Satoru</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-c2c85e29d72363ba1989b47acbd431099030e171dd29422839a01f141681768a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Age</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Body mass</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Cardiac muscle</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Cardiovascular Diseases - complications</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Complications</topic><topic>Glomerular filtration rate</topic><topic>Grip strength</topic><topic>Heart surgery</topic><topic>Humans</topic><topic>Lung diseases</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Multivariate analysis</topic><topic>Muscle contraction</topic><topic>Muscle strength</topic><topic>Muscle Strength - physiology</topic><topic>Muscle, Skeletal</topic><topic>Musculoskeletal system</topic><topic>Original Article</topic><topic>Patients</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Prognosis</topic><topic>Quadriceps muscle</topic><topic>Regression analysis</topic><topic>Rehabilitation</topic><topic>Retrospective Studies</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Skeletal muscle</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sugimoto, Nozomu</creatorcontrib><creatorcontrib>Kuhara, Satoshi</creatorcontrib><creatorcontrib>Nawata, Keishi</creatorcontrib><creatorcontrib>Yano, Yudai</creatorcontrib><creatorcontrib>Teramatsu, Hiroaki</creatorcontrib><creatorcontrib>Itoh, Hideaki</creatorcontrib><creatorcontrib>Araki, Masaru</creatorcontrib><creatorcontrib>Kataoka, Masaharu</creatorcontrib><creatorcontrib>Jinzai, Yuki</creatorcontrib><creatorcontrib>Nishimura, Yousuke</creatorcontrib><creatorcontrib>Saeki, Satoru</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Heart and vessels</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sugimoto, Nozomu</au><au>Kuhara, Satoshi</au><au>Nawata, Keishi</au><au>Yano, Yudai</au><au>Teramatsu, Hiroaki</au><au>Itoh, Hideaki</au><au>Araki, Masaru</au><au>Kataoka, Masaharu</au><au>Jinzai, Yuki</au><au>Nishimura, Yousuke</au><au>Saeki, Satoru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoperative decline in skeletal muscle strength of patients with cardiovascular disease affects postoperative pulmonary complication occurrence: a single-center retrospective study</atitle><jtitle>Heart and vessels</jtitle><stitle>Heart Vessels</stitle><addtitle>Heart Vessels</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>38</volume><issue>2</issue><spage>247</spage><epage>254</epage><pages>247-254</pages><issn>0910-8327</issn><eissn>1615-2573</eissn><abstract>Background
Dynapenia, defined as age-related skeletal muscle strength decline, has been reported as a poor prognostic factor in patients with cardiovascular disease. Decline in skeletal muscle strength (DS), the main symptom of dynapenia, may be an important clinical indicator in patients undergoing cardiac surgery. However, the relationship between DS and postoperative pulmonary complication occurrence is unclear. Herein, we investigated the relationship between preoperative DS and postoperative pulmonary complication occurrence in patients undergoing cardiac surgery.
Methods
We enrolled 125 patients who underwent cardiac surgery. DS was determined by low grip strength and quadriceps isometric strength. The patients were divided into DS and non-DS groups. The relationship between the clinical characteristics and preoperative physical function was compared, and factors associated with postoperative pulmonary complication occurrence were investigated using multivariate logistic regression analysis.
Results
There were 42 (33.6%) patients in the DS group and 83 (66.4%) patients in the non-DS group. Compared with the non-DS group, the DS group was significantly older and had a higher body mass index and Japan SCORE (operative mortality rate and major complication rate). The DS group also had a lower estimated glomerular filtration rate and preoperative Barthel index than the non-DS group. Furthermore the DS group had a significantly higher incidence of postoperative pulmonary complications and length of intensive care unit stay, and their postoperative rehabilitation was prolonged compared to the non-DS group. Multivariate logistic regression analysis revealed that DS was a determinant of postoperative pulmonary complications (odds ratio 4.26, 95% confidence interval 1.63‒11.14).
Conclusions
We showed that preoperative DS was an independent risk factor for postoperative pulmonary complications in patients undergoing cardiac surgery. Skeletal muscle strength before cardiac surgery may be an important clinical indicator for predicting the prognosis of patients from post-surgery to discharge and for planning postoperative rehabilitation programs.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>35908011</pmid><doi>10.1007/s00380-022-02143-7</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4246-5626</orcidid></addata></record> |
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| subjects | Age Biomedical Engineering and Bioengineering Body mass Body mass index Body size Cardiac muscle Cardiac Surgery Cardiology Cardiovascular disease Cardiovascular diseases Cardiovascular Diseases - complications Cardiovascular Diseases - etiology Complications Glomerular filtration rate Grip strength Heart surgery Humans Lung diseases Medicine Medicine & Public Health Multivariate analysis Muscle contraction Muscle strength Muscle Strength - physiology Muscle, Skeletal Musculoskeletal system Original Article Patients Postoperative Complications - epidemiology Postoperative Complications - etiology Prognosis Quadriceps muscle Regression analysis Rehabilitation Retrospective Studies Risk analysis Risk Factors Skeletal muscle Statistical analysis Surgery Vascular Surgery |
| title | Preoperative decline in skeletal muscle strength of patients with cardiovascular disease affects postoperative pulmonary complication occurrence: a single-center retrospective study |
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