Functional Outcomes and Quality of Life in Heart Transplant Patients ...
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Functional Outcomes and Quality of Life in Heart Transplant Patients ...
K. Hayes ,1 A.E. Holland,2 V. Pellegrino,3 A.S. Leet,4 L.M. Fuller,1. C.L. Hodgson.5 1Physiotherapy Department, The Alfred Hospital,. Melbourne, Australia ...
Abstracts S73 & Respiratory Medicine Department, The Alfred Hospital, Melbourne, Australia; 3Physiotherapy Department, La Trobe University, The Alfred Hospital, Melbourne, Australia.
self-care characteristics were significant. Identified optimal cut-off values may inform discharge planning and care coordination with extended care facilities. Funded by NIH R01NR010711 (DeVito Dabbs).
Purpose: Participation in a pulmonary rehabilitation program (PRP) is the standard of care for patients awaiting lung transplantation (LTX). Not all patients have access to this service. This single centre retrospective study aimed to examine the impact of attendance at a supervised PRP pre transplant on functional exercise outcomes post LTx. Methods: Consecutive lung transplant recipients aged 18 years or over from January 2012 to December 2013 were identified. Patients who had repeated LTX were excluded due to potential for multiple repetitions of pulmonary rehabilitation. Active attendance at a supervised PRP was recorded at time of listing for LTX. 6-minute walk distance (6MWD) was measured at listing for LTx (pre6MWD), post LTX at entry to rehabilitation (post 6MWD) and exit from 3 months of rehabilitation (exit6MWD). Results: The study included 114 LTx recipients with mean age of 53(SD 12) years and 48% male. Primary lung pathologies were 46% COPD, 19% CF, with 66% undergoing bilateral anterior thoracotomy incision for 96% bilateral LTX. 51% attended PRP prior to transplant. There was no relationship between pre6MWD and attendance at pre LTx PRP (attendees 301 (91) m vs non-attendees 311 (137) m, p= 0.69). However multiple linear regression showed that attendance at pre LTx PRP was an independent predictor of greater post6MWD (standardised beta -0.2) along with male gender (standardised beta -0.25) and younger age (standardised beta -0.385, p
