Cardiothoracic & vascular anesthesia

The Impact of Functional Status Assessed by the Barthel Index on Postoperative Outcomes in Patients Undergoing Cardiac Surgery: A Retrospective Cohort Study

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

Patients with low BI had significantly prolonged ICU and hospital stays, along with increased in-hospital mortality.

Study context

Population
Adults undergoing cardiac surgery at an academic hospital in China
Participants
2,226 adults
Exposure
Barthel Index (BI) <80 vs BI ≥80
Outcome
Postoperative outcomes (prolonged intensive care unit (ICU) stay, prolonged hospital stay, acute kidney injury (AKI), 30-day in-hospital mortality), BI <80 vs BI ≥80
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

BI <80 vs BI ≥80Estimate (95% CI)P value
Prolonged ICU stay
OR 1.24(1.00–1.55)
P = 0.050
Prolonged hospital stay
OR 1.28(1.04–1.57)
P = 0.019
AKI; no significant association
OR 1.05(0.85–1.30)
P = 0.660
30-day in-hospital mortality; multivariable Cox model
HR 2.19(1.35–3.53)
P = 0.001

Observational data: associations, not effects.

Original publication

The Impact of Functional Status Assessed by the Barthel Index on Postoperative Outcomes in Patients Undergoing Cardiac Surgery: A Retrospective Cohort Study. J Cardiothorac Vasc Anesth. Published 27 June 2025. doi:10.1053/j.jvca.2025.06.044

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