Cardiac Rehabilitation After Open Heart Surgery: A Narrative Systematic Review

Background: Postoperative cardiac rehabilitation (CR) programs are increasingly recommended by clinicians, but only a minority of patients who have undergone open heart surgery participate in such programs. Participation rates in postoperative CR, if anything, appear to be declining. This systematic...

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Main Authors: Eleni Delimanoli, Olav Muurlink, Pavlos Myrianthefs, Anna Korompeli
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Journal of Cardiovascular Development and Disease
Subjects:
Online Access:https://www.mdpi.com/2308-3425/11/11/376
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author Eleni Delimanoli
Olav Muurlink
Pavlos Myrianthefs
Anna Korompeli
author_facet Eleni Delimanoli
Olav Muurlink
Pavlos Myrianthefs
Anna Korompeli
author_sort Eleni Delimanoli
collection DOAJ
description Background: Postoperative cardiac rehabilitation (CR) programs are increasingly recommended by clinicians, but only a minority of patients who have undergone open heart surgery participate in such programs. Participation rates in postoperative CR, if anything, appear to be declining. This systematic review examines the effectiveness of post-operative CR and reveals possible participation barriers. Methods: A search of two scholarly databases for primary research papers published in the last decade examining the impact of post-operative CR was conducted and the resultant papers reviewed. Results: The 21 resulting studies revealed physiological functioning improvement and a reduction in mortality and readmission rates, while highlighting an enhancement in mental status. Some of the studies recognized the need for nutritional support and suggested that age, gender, access to CR centers, and socioeconomic variables impact participation in CR. Conclusions: Post-operative CR participation rates continue to decline despite increasing evidence of the value of the approach.
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series Journal of Cardiovascular Development and Disease
spelling doaj-art-3785581ff91344069e8a4f48620f46d32025-08-20T01:54:07ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252024-11-01111137610.3390/jcdd11110376Cardiac Rehabilitation After Open Heart Surgery: A Narrative Systematic ReviewEleni Delimanoli0Olav Muurlink1Pavlos Myrianthefs2Anna Korompeli3Department of Nursing, National and Kapodistrian University of Athens, 11527 Athens, GreeceSchool of Business and Law, Central Queensland University, Brisbane, QLD 4000, AustraliaDepartment of Nursing, National and Kapodistrian University of Athens, 11527 Athens, GreeceDepartment of Nursing, National and Kapodistrian University of Athens, 11527 Athens, GreeceBackground: Postoperative cardiac rehabilitation (CR) programs are increasingly recommended by clinicians, but only a minority of patients who have undergone open heart surgery participate in such programs. Participation rates in postoperative CR, if anything, appear to be declining. This systematic review examines the effectiveness of post-operative CR and reveals possible participation barriers. Methods: A search of two scholarly databases for primary research papers published in the last decade examining the impact of post-operative CR was conducted and the resultant papers reviewed. Results: The 21 resulting studies revealed physiological functioning improvement and a reduction in mortality and readmission rates, while highlighting an enhancement in mental status. Some of the studies recognized the need for nutritional support and suggested that age, gender, access to CR centers, and socioeconomic variables impact participation in CR. Conclusions: Post-operative CR participation rates continue to decline despite increasing evidence of the value of the approach.https://www.mdpi.com/2308-3425/11/11/376exercise therapyrehabilitationvalve surgerybypass graftcardiac surgerycardiac surgical procedures
spellingShingle Eleni Delimanoli
Olav Muurlink
Pavlos Myrianthefs
Anna Korompeli
Cardiac Rehabilitation After Open Heart Surgery: A Narrative Systematic Review
Journal of Cardiovascular Development and Disease
exercise therapy
rehabilitation
valve surgery
bypass graft
cardiac surgery
cardiac surgical procedures
title Cardiac Rehabilitation After Open Heart Surgery: A Narrative Systematic Review
title_full Cardiac Rehabilitation After Open Heart Surgery: A Narrative Systematic Review
title_fullStr Cardiac Rehabilitation After Open Heart Surgery: A Narrative Systematic Review
title_full_unstemmed Cardiac Rehabilitation After Open Heart Surgery: A Narrative Systematic Review
title_short Cardiac Rehabilitation After Open Heart Surgery: A Narrative Systematic Review
title_sort cardiac rehabilitation after open heart surgery a narrative systematic review
topic exercise therapy
rehabilitation
valve surgery
bypass graft
cardiac surgery
cardiac surgical procedures
url https://www.mdpi.com/2308-3425/11/11/376
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AT olavmuurlink cardiacrehabilitationafteropenheartsurgeryanarrativesystematicreview
AT pavlosmyrianthefs cardiacrehabilitationafteropenheartsurgeryanarrativesystematicreview
AT annakorompeli cardiacrehabilitationafteropenheartsurgeryanarrativesystematicreview