Abstract
Influence of chronic kidney disease on the effectiveness of cardiac rehabilitation in patients after cardiac surgery
- Department of Medical Rehabilitation and Clinical Physiotherapy, Pomeranian Medical University, Szczecin, Poland
- Students’ Science Club “Kinezis” of the Department of Medical Rehabilitation and Clinical Physiotherapy, Pomeranian Medical University, Szczecin, Poland
- Cardiac Rehabilitation Department, University Hospital No. 2 of the Pomeranian Medical University, Szczecin, Poland
Background
Patients with Chronic Kidney Disease (CKD), with an additional burden of cardiovascular disease, should be monitored, educated and treated through the close cooperation between multidisciplinary nephrology and cardiology teams. One of the elements by which this can be achieved is cardiac rehabilitation programs.
Objectives
The aim of this study is to assess the effect of chronic kidney disease on exercise performance within cardiac patients.
Material and methods
92 patients qualified for stationary cardiac rehabilitation took part in a study conducted at the Cardiac Surgery Clinic of the SPSK 2 Pomeranian Medical University in Szczecin. Among them, a group with CKD (n = 24) and without (n = 68) was selected. Statistical analysis was performed on the basis of data from medical records and the results of the 6-minute walk test.
Results
Patients with and without CKD improved the results of the 6-minute test. From an average result of 256.21 (± 138.99) at the beginning of the rehabilitation to an average of 385.96 (± 109.09) after that for patients with CKD and from average result of 281.01 (± 110.16) to an average result of 422.29 (± 96.39) for patients without CKD.
Conclusions
Cardiac rehabilitation has a positive effect on physical fitness and exercise tolerance both in patients with CKD and without. However, the coexistence of CKD results in less satisfactory results compared to the control group.
Keywords
cardiac rehabilitation, cardiology, kidney diseases, walk test
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