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
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 = 0.050Prolonged hospital stay
OR 1.28(1.04–1.57)
P = 0.019AKI; no significant association
OR 1.05(0.85–1.30)
P = 0.66030-day in-hospital mortality; multivariable Cox model
HR 2.19(1.35–3.53)
P = 0.001Observational 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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