Lani M Zimmerman1, Susan Barnason2, Paula Schulz3, Janet Nieveen4, Chunhao Tu5. 1. College of Nursing-Lincoln Division, University of Nebraska Medical Center, lzimmerm@unmc.edu. 2. College of Nursing-Lincoln Division, University of Nebraska Medical Center, sbarnaso@unmc.edu. 3. College of Nursing-Lincoln Division, University of Nebraska Medical Center, pschulz@unmc.edu. 4. College of Nursing-Lincoln Division, University of Nebraska Medical Center, jlnievee@unmc.edu. 5. College of Pharmacy, University of New England, ctu@une.edu.
Abstract
PURPOSE: The purpose of this sub-analysis was to compare the early recovery of elderly patients following coronary artery bypass surgery (CABS) by geographic location (urban/rural) on physical functioning and physical activity. METHODS: The sample was 124 subjects who had been in the usual care group (or control group) of a randomized controlled trial. Subjects were categorized into geographic locales using Rural Urban Commuting Area (RUCA) codes: urban n=35, large rural n=17, small rural n=23 and isolated rural n=33. Measures included the Medical Outcomes Study Short-Form 36 and the RT3® accelerometer. Mixed linear models were used to analyze the data. RESULTS: No significant differences were found for physical functioning by RUCA group. However, there was a statistically significant difference for physical activity, for average kcals/kg/ per day (F = 3.01, p < .05) and average daily activity counts (F = 3.95, p <.01), with the subjects in large rural communities having significantly (p < 0.05) more average kcals/kg per day than urban subjects (M = 29.04 and M = 27.25 respectively). Subjects in the large rural also had significantly (p < .005) more average daily activity counts than urban (M = 216635 and M = 161221 respectively). CONCLUSIONS: This is the first study to compare early recovery functioning and activity outcomes of CABS subjects by rural/urban locations. Additional study is warranted to evaluate why these differences exist and the potential need to tailor interventions for CABS based on geographic location.
RCT Entities:
PURPOSE: The purpose of this sub-analysis was to compare the early recovery of elderly patients following coronary artery bypass surgery (CABS) by geographic location (urban/rural) on physical functioning and physical activity. METHODS: The sample was 124 subjects who had been in the usual care group (or control group) of a randomized controlled trial. Subjects were categorized into geographic locales using Rural Urban Commuting Area (RUCA) codes: urban n=35, large rural n=17, small rural n=23 and isolated rural n=33. Measures included the Medical Outcomes Study Short-Form 36 and the RT3® accelerometer. Mixed linear models were used to analyze the data. RESULTS: No significant differences were found for physical functioning by RUCA group. However, there was a statistically significant difference for physical activity, for average kcals/kg/ per day (F = 3.01, p < .05) and average daily activity counts (F = 3.95, p <.01), with the subjects in large rural communities having significantly (p < 0.05) more average kcals/kg per day than urban subjects (M = 29.04 and M = 27.25 respectively). Subjects in the large rural also had significantly (p < .005) more average daily activity counts than urban (M = 216635 and M = 161221 respectively). CONCLUSIONS: This is the first study to compare early recovery functioning and activity outcomes of CABS subjects by rural/urban locations. Additional study is warranted to evaluate why these differences exist and the potential need to tailor interventions for CABS based on geographic location.
Authors: Steven S Coughlin; Thomas B Richards; Trevor Thompson; Barry A Miller; Juliet VanEenwyk; Marc T Goodman; Recinda L Sherman Journal: Cancer Date: 2006-09-01 Impact factor: 6.860
Authors: Jia-Rong Wu; Debra K Moser; Mary Kay Rayens; Marla J De Jong; Misook L Chung; Barbara Riegel; Terry A Lennie Journal: Heart Lung Date: 2010 Nov-Dec Impact factor: 2.210
Authors: Anh Kim Dang; Long Hoang Nguyen; Anh Quynh Nguyen; Bach Xuan Tran; Tung Thanh Tran; Carl A Latkin; Melvyn W B Zhang; Roger C M Ho Journal: BMJ Open Date: 2018-05-10 Impact factor: 2.692