Heart & Lung: The Journal of Acute and Critical Care
Volume 36, Issue 2 , Pages 114-124 , March 2007

Functional status of patients during subacute recovery from coronary artery bypass surgery

  • Tanya Kinney LaPier, PT, PhD, CCS

      Affiliations

    • Corresponding Author InformationReprint requests: Tanya Kinney LaPier, PT, PhD, CCS, 310 N. Riverpoint Blvd., Box T, Spokane, WA 99202.

References 

  1. American Heart Association. 2006 heart and stroke statistical update. Dallas, TX: American Heart Association; 2005;
  2. Engelman RM. Mechanisms to reduce hospital stays. Ann Thorac Surg. 1996;61(2 Suppl):S26–S29
  3. Michalopoulos A, Nikolaides A, Antzaka C, et al. Change in anaesthesia practice and postoperative sedation shortens ICU and hospital length of stay following coronary artery bypass surgery. Respir Med. 1998;92:1066–1070
  4. Rosen AB, Humphries JO, Muhlbaier LH, Kiefe CI, Kresowik T, Peterson ED. Effect of clinical factors on length of stay after coronary artery bypass surgery: results of the cooperative cardiovascular project. Am Heart J. 1999;138:69–77
  5. Sullivan M, LaCroix A, Baum C, et al. Coronary disease severity and functional impairment: how strong is the relation?. J Am Geriatr Soc. 1996;44(12):1461–1465
  6. Ascione R, Lloyd CT, Underwood MJ, Lotto AA, Pitsis AA, Angelini GD. Inflammatory response after coronary revascularization with or without cardiopulmonary bypass. Ann Thorac Surg. 2000;69(4):1198–1204
  7. Ascione R, Lloyd CT, Gomes WJ, Caputo M, Bryan AJ, Angelini GD. Beating versus arrested heart revascularization: evaluation of myocardial function in a prospective randomized study. Eur J Cardiothorac Surg. 1999;15(5):685–690
  8. Stamou SC, Pfister AJ, Dangas G, et al. Beating heart versus conventional single-vessel reoperative coronary artery bypass. Ann Thorac Surg. 2000;69(5):1383–1387
  9. Vuorisalo S, Haukipuro K, Pokela R, Syrjala H. Risk features for surgical site infections in coronary artery bypass surgery. Infect Control Hosp Epidemiol. 1998;19:240–247
  10. Ascione R, Caputo M, Calori G, Lloyd CT, Underwood MJ, Angelini GD. Predictors of atrial fibrillation after conventional and beating heart coronary surgery: a prospective, randomized study. Circulation. 2000;102(13):1530–1535
  11. Royse AG, Royse CF, Shah P, Williams A, Kaushik S, Tatoulis J. Radial artery harvest technique, use and functional outcome. Eur J Cardiothorac Surg. 1999;15(2):186–193
  12. Kinney LaPier TL. Functional status during acute recovery following hospitalization for coronary heart disease. J Cardiopulm Rehabil. 2003;23:203–207
  13. Barnason S, Zimmerman L, Anderson A, Mohr-Burt S, Nieveen J. Functional status outcomes of patients with a coronary artery bypass graft over time. Heart Lung. 2000;29(1):33–46
  14. Pocock SJ, Henderson RA, Seed P, Treasure T, Hampton JR. Quality of life, employment status, and anginal symptoms after coronary angioplasty or bypass surgery. Circulation. 1996;94:135–142
  15. Yun KL, Sintek CF, Fletcher AD, et al. Time related quality of life after elective cardiac operation. Ann Thorac Surg. 1999;68(4):1314–1320
  16. Sjoland H, Caidahl K, Wiklund I, et al. Impact of coronary artery bypass grafting on various aspects of quality life. Eur J Cardiothorac Surg. 1997;12(4):612–619
  17. Fruitman DS, MacDougall CE, Ross DB. Cardiac surgery in octogenarians: can elderly patients benefit? (Quality of life after cardiac surgery). Ann Thorac Surg. 1999;68(6):2129–2135
  18. Westin L, Carlsson R, Israelsson B, Willenheimer R, Cline C, McNeil TF. Quality of life in patients with ischaemic heart disease: a prospective controlled study. J Intern Med. 1997;242(3):239–247
  19. Edell-Gustafsson UM, Hetta JE, Aren GB, Hamrin EK. Measurement of sleep and quality of life before and after coronary artery bypass grafting: a pilot study. Int J Nurs Pract. 1997;3(4):239–246
  20. Anderson G, Feleke E, Perski A. Patient-perceived quality of life after coronary bypass surgery (Experienced problems and reactions to supportive care one year after the operation). Scand J Caring Sci. 1999;13:11–17
  21. Moore SM. A comparison of women’s and men’s symptoms during home recovery after coronary artery bypass surgery. Heart Lung. 1995;24:495–501
  22. Tack BB, Gilliss CL. Nurse-monitored cardiac recovery: a description of the first 8 weeks. Heart Lung. 1990;19:491–499
  23. Kimble LP. Impact of cardiac symptoms on self-reported household task performance in women with coronary artery disease. J Cardiopulm Rehabil. 2000;21:18–23
  24. Murphy SF, Nickerson NJ, Kouchoukos NT. Functional outcome in elderly after coronary artery surgery. Medsurg Nurs. 1996;5(2):107–110
  25. Redeker NS, Mason DJ, Wykpisz E, Glica B. Women’s patterns of activity over 6 months after coronary artery bypass surgery. Heart Lung. 1995;24(6):502–511
  26. Allen JK, Becker DM, Swank RT. Factors related to functional status after coronary artery bypass surgery. Heart Lung. 1990;19(4):337–343
  27. Kinney LaPier TL, Howell D. Functional limitations in older patients during recovery from coronary artery bypass surgery. Cardiopulm Phys Ther. 2002;13(1):12–19
  28. Diamond P, Felsenthal G, Macciocchi S, Butler D, Lally-Cassady D. Effect of cognitive impairment on rehabilitation outcome. Am J Phys Med Rehabil. 1996;75(1):40–43
  29. Murkin JM, Baird DL, Martzke JS, Adams SJ, Lok P. Long term neurological and neuropsychological outcome 3 years after coronary artery bypass surgery. Anesth Analg. 1996;82(Suppl):S328
  30. Brown A, Laschinger S, Hains S, Parry M. Discharge functional capacity and self-efficacy of men after coronary artery bypass graft surgery. Can J Cardiovasc Nurs. 1992;3(2-3):18–24
  31. Flanagan NA. An analysis of patients: psychosocial adjustment and values before and after coronary artery surgery. Rehabil Nurs. 1998;23(5):234–239
  32. White RE, Frasure-Smith N. Uncertainty and psychologic stress after coronary angioplasty and coronary bypass surgery. Heart Lung. 1995;24:19–27
  33. King KB, Rowe MA, Kimble LP, Zerwic JJ. Optimism, coping and long-term recovery from coronary artery surgery in women. Res Nurs Health. 1998;21(1):15–26
  34. Staples P, Jeffrey J. Quality of life, hope, and uncertainty of cardiac patients and their spouses before coronary artery bypass surgery. Can J Cardiovasc Nurs. 1997;8(1):7–16
  35. O’Sullivan SB, Schmitz TJ. Physical rehabilitation: assessment and treatment. Philadelphia, PA: FA Davis; 2001;
  36. Failde I, Ramos I. Validity and reliability of the SF-36 Health Survey Questionnaire in patients with coronary artery disease. J Clin Epidemiol. 2000;53(4):359–365
  37. Smith HJ, Taylor R, Mitchell A. A comparison of four quality of life instruments in cardiac patients: SF-36, QLI, QLMI, and SEIQoL. Heart. 2000;84:390–394
  38. Taylor R, Kirby B, Burdon D, et al. The assessment of recovery in patients after myocardial infarction using three generic quality of life measures. J Cardiopulm Rehabil. 1998;18:139–144
  39. Kinney LaPier TL, Jung C. Development and content validity of the heart surgery symptom inventory. Acute Care Perspectives. 2002;11(2):5–12
  40. Kinney LaPier T. Psychometric evaluation of the Heart Surgery Symptom Inventory in patient recovering from coronary artery bypass surgery. J Cardiopulm Rehabil. 2006;26:101–106
  41. Jette AM. Functional status index: reliability of a chronic disease evaluation instrument. Arch Phys Med Rehabil. 1980;61(9):395–401
  42. Jette AM, Deniston OL. Intraobserver reliability of functional status assessment instrument. J Chronic Dis. 1978;31:575–580
  43. Hlatky MA, Boineau RE, Higginbotham MB, et al. A brief self-administered questionnaire to determine functional capacity (The Duke Activity Status Index). Am J Cardiol. 1989;64:651–654
  44. Noyez L, Onunda JW, Janssen DPB, Stotnicki SH, Lacquet LK. Myocardial revascularization in patients <45 years old: evaluation of cardial and functional capacity, and return to work. Cardiovas Surg. 1999;7(1):128–133
  45. Roberts RE. Reliability of the CES-D Scale in different ethnic contexts. Psychiatry Res. 1980;2(2):125–134
  46. Caracciolo B, Giaquinto S. Criterion validity of the center for epidemiological studies depression (CES-D) scale in a sample of rehabilitation inpatients. J Rehabil Med. 2002;34(5):221–225
  47. Parikh RM, Eden DT, Price TR, Robinson RG. The sensitivity and specificity of the Center for Epidemiologic Studies Depression Scale in screening for post-stroke depression. Int J Psychiatry Med. 1988;18(2):169–181
  48. Okun A, Stein RE, Bauman LJ, Silver EJ. Content validity of the Psychiatric Symptom Index, CES-Depression Scale, and State-Trait Anxiety Inventory from the perspective of DSM-IV. Psychol Rep. 1996;79:1059–1069
  49. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24:386–396
  50. Levenstein S, Prantera C, Varvo V, et al. Development of the Perceived Stress Questionnaire: a new tool for psychosomatic research. J Psychosom Res. 1993;37(10):19–32
  51. Reuben DB, Siu AL. An objective measure of physical function of elderly outpatients—the physical performance test. J Am Geriatr Soc. 1990;38:1105–1112
  52. Brach JS, VanSwearingen JM, Newman AB, Kriska AM. Identifying early decline of physical function in community-dwelling older women: performance-based and self-report measures. Phys Ther. 2002;82:320–328
  53. Gibbons WJ, Frutcher N, Sloan S, Levy RD. Reference values for a multiple repetition 6-minute walk test in healthy adults older than 20 years. J Cardiopulm Rehabil. 2000;21:87–93
  54. Steele B. Timed walking tests of exercise capacity in chronic cardiopulmonary illness. J Cardiopulmonary Rehabil. 1996;16:25–33
  55. Cahalin LP, Mathier MA, Semigran MJ, et al. The six-minute walk test predicts peak oxygen uptake and survival in patients with advanced heart failure. Chest. 1996;100:325–332
  56. Warrington EK. Recognition memory test. Los Angeles, CA: Western Psychological Services; 1981;
  57. Spreen O, Strauss E. A compendium of neuropsychological tests. New York, NY: Oxford University Press; 1991;
  58. desRosiers G, Kavanagh D. Cognitive assessment in closed head injury: stability, validity and parallel forms for two neuropsychological measures of recovery. Int J Clin Neuropsych. 1987;9:162–173
  59. Arceneaux JM, Kirkendall DJ, Hill SK, Dean RS, Anderson JL. Validity and reliability of rapidly alternating movement tests. Int J Neurosci. 1997;89:281–286
  60. Ruff RM, Parker SB. Gender- and age-specific changes in motor speed and eye-hand coordination in adults: normative values for the Finger Tapping and Grooved Pegboard Tests. Percept Mot Skills. 1993;76:1219–1230
  61. Gill DM, Reddon JR, Stefanyk WO, Hans HS. Finger tapping: effects of trials and sessions. Percept Mot Skills. 1986;62(2):675–678
  62. Ware JE, Kosinski M. LSF-36® physical & mental health summary scales. Lincoln, RI: QualityMetric Inc; 2001;
  63. Gill TM, Robison JT, Tinetti ME. Difficulty and dependence: two components of the disability continuum among community-living older persons. Ann Intern Med. 1998;128:96–101
  64. Hardy SE, Dubin JA, Holford TR, Gill TM. Transitions between states of disability and independence among older persons. Am J Epidemiol. 2005;161:575–584
  65. American College of Sports Medicine. ACSM’s health-related physical fitness assessment manual. Philadelphia, PA: Lippincott Williams & Wilkins; 2005;
  66. Diegeler A, Hirsch R, Schneider F, Shilling Lars-Oliver , Falk V, Rauch T, et al. Neuromonitoring and neurocognitive outcomes in off-pump versus conventional coronary bypass operation. Ann Thorac Surg. 2000;69:1162–1166
  67. Cohen RA, Moser DJ, Clark MM, Aloia MS, Cargill BR, Stefanik S, et al. Neuro cognitive functioning and improvement in quality of life following participation in cardiac rehabilitation. Am J Cardiol. 1999;83:1374–1378
  68. Kilo J, Czerny M, Gorlitzer M, Zimpfer D, Baumer H, Wolner E, et al. Cardiopulmonary bypass affects cognitive brain function after coronary artery bypass grafting. Ann Thorac Surg. 2001;72:1926–1932

 This study was partially funded by a Faculty Research and Creative Works Grant from Eastern Washington University.

PII: S0147-9563(06)00260-3

doi: 10.1016/j.hrtlng.2006.09.002

Heart & Lung: The Journal of Acute and Critical Care
Volume 36, Issue 2 , Pages 114-124 , March 2007