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Gait Speed and 1‐Year Mortality Following Cardiac Surgery: A Landmark Analysis From the Society of Thoracic Surgeons Adult Cardiac Surgery Database
- Source :
- Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
- Publication Year :
- 2018
- Publisher :
- John Wiley and Sons Inc., 2018.
-
Abstract
- Background In older adults undergoing cardiac surgery, prediction of downstream risk is critical. Our objective was to determine the association of 5‐m gait speed with 1‐year mortality and repeat hospitalization following cardiac surgery. Methods and Results In this prospective cohort of patients undergoing cardiac surgery at centers participating in the Society of Thoracic Surgeons Database with gait speed recorded, we examined all‐cause mortality using a landmark analysis at 0 to 30, 30 to 365, and >365 days, as well as repeat hospitalization. The cohort consisted of 8287 patients (median age, 74 years; 32% females). At 1 year, survival was 90% in the slow (1.00 m/s) gait speed tertiles, and risk of hospitalization was 45%, 33%, and 27%, respectively (both P Conclusions Gait speed is a simple tool to screen for frailty and identify older adults at risk for adverse events in the early and midterm postoperative periods.
- Subjects :
- Male
medicine.medical_specialty
Aging
Kaplan-Meier Estimate
030204 cardiovascular system & hematology
elderly
Patient Readmission
surgery
03 medical and health sciences
0302 clinical medicine
Risk Factors
medicine
Humans
030212 general & internal medicine
Cardiac Surgical Procedures
Societies, Medical
Original Research
Aged
Proportional Hazards Models
Aged, 80 and over
function
Cardiovascular Surgery
Quality and Outcomes
Frailty
business.industry
General surgery
mortality
Survival Analysis
United States
3. Good health
Cardiac surgery
Gait speed
Walking Speed
Databases as Topic
Landmark analysis
Female
Mortality/Survival
Cardiology and Cardiovascular Medicine
1 year mortality
business
Subjects
Details
- Language :
- English
- ISSN :
- 20479980
- Volume :
- 7
- Issue :
- 23
- Database :
- OpenAIRE
- Journal :
- Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
- Accession number :
- edsair.doi.dedup.....1f1e7b8e26d6eb8eeae8b49629a76e16