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Published (Version of record)CC BY V4.0, Open Access
Published (Version of record)CC BY V4.0, Open
Journal article
Acute changes in handgrip strength, lung function and health-related quality of life following cardiac surgery
PloS one, Vol.17(2), pp.1-13
23/02/2022
PMID: 35196327
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Abstract
Background: Handgrip strength (HGS), lung function and health-related quality of life (HRQoL) are relevant indicators of future cardiovascular risk and mortality. The impact of cardiac surgery on these predictive variables has been under-explored. The aim of this study was to determine the acute (within hospital) changes in HGS, lung function and HRQoL, and their relationships, in adults undergoing elective cardiac surgery. Further, the study examined the relationship between these variables and the predictors for lung function and HRQoL in these patients.
Methods: The study was a prospective cohort study that involved 101 patients who completed pre-operative (1-2 days before surgery) and physiotherapy discharge (5-7 days after surgery) assessments. Handgrip strength, lung function and HRQoL were assessed using JAMAR dynamometers, Vitalograph-Alpha or EasyOne spirometer, and Short-Form 36 questionnaire, respectively. Changes in these variables and their relationships were analysed using paired t-test and Pearson correlation coefficients, respectively. Prediction of lung function and HRQoL using HGS and other co-variates was conducted using regression analysis.
Results: At the time of physiotherapy discharge, lung function, HGS and the physical component of HRQoL were significantly (<0.001) reduced compared to their pre-operative values. Significant (<0.001) and moderate correlations were identified between HGS and lung function at pre-operation and physiotherapy discharge. Handgrip strength was a significant predictor of lung function pre-operatively but not at physiotherapy discharge. Pre-operative lung function and HRQoL, as well as other variables, were significant predictors of lung function and HRQoL during physiotherapy discharge.
Conclusions: Undergoing cardiac surgery acutely and significantly reduced lung function, HGS and physical component of HRQoL in adults with cardiac disease. Assessment of HGS at physiotherapy discharge may be a poor indicator of operative changes in lung function and HRQoL. Clinicians may consider HGS as an inadequate tool in predicting lung function and HRQoL following cardiac surgery.
Details
- Title
- Acute changes in handgrip strength, lung function and health-related quality of life following cardiac surgery
- Creators
- Nnamdi Mgbemena - James Cook UniversityAnne Jones - James Cook UniversityPankaj Saxena - Townsville University Hospital (Australia, Townsville)Nicholas Ang - Townsville University Hospital (Australia, Townsville)Siva Senthuran - Townsville University Hospital (Australia, Townsville)Anthony Leicht - Australian Institute of Tropical Health and Medicine
- Publication Details
- PloS one, Vol.17(2), pp.1-13
- Publisher
- PLOS One
- Grant note
- The study received an internal grant from the College of Healthcare Sciences, James Cook University.
- Identifiers
- 991013351571702368
- Copyright
- © 2022 Mgbemena et al
- Academic Unit
- Faculty of Health
- Language
- English
- Resource Type
- Journal article