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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

Authors :
Abhinav Sharma
James B. McClurken
David M. Shahian
Eric D. Peterson
Shuaiqi Zhang
Jonathan Afilalo
J. Matthew Brennan
Peter K. Smith
Fred H. Edwards
Karen P. Alexander
Michael J. Mack
Joseph C. Cleveland
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.

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