The effects of perioperative cardiopulmonary integrated rehabilitation in patients undergoing TAVR

Background To explore the effects of perioperative cardiopulmonary integrated rehabilitation in patients undergoing transcatheter aortic valve replacement (TAVR) . Method Following the initiation of the trial, 29 patients who received TAVR were prospectively enrolled as the intervention group, and 29 patients who received TAVR were retrospectively enrolled as the control group. The control group patients received routine treatment and nursing care after admission. Besides routine treatment and nursing care, a perioperative cardiopulmonary integrated rehabilitation program was carried out for the interventional group after admission. Patients’ incidence of postoperative dyspnea, fever, infection, etc.; postoperative physical activity status and duration of hospitalization; exercise capacity and exercise adherence 1 month after discharge; exercise adherence 3 months after discharge were compared between the two groups. Result No adverse events occurred in all patients. Compared with the control group, the intervention group had lower incidence of dyspnea and fever (P < 0.05), significantly shorter postoperative length of CCU residence and bed rest time (P < 0.05), better physical activity status and exercise capacity, and higher exercise adherence after discharge (P < 0.05). Conclusion The perioperative cardiopulmonary integrated rehabilitation in TAVR patients is safe and effective.