Outcomes of an Inpatient Rehabilitation Program Following Complicated Cardio-Pulmonary Transplantation
Bowman M and Faux S*
Department of Rehabilitation Medicine, St. Vincent’s Hospital, Sydney, Australia
- *Corresponding Author:
- Steven Faux
Department of Rehabilitation Medicine
St. Vincent’s Hospital, 170 Darlinghurst Road
Darlinghurst 2010 NSW, Australia
Tel: +61 2 83829516
E-mail: [email protected]
Received Date: July 15, 2013; Accepted Date: August 27, 2013; Published Date: August 30, 2013
Citation: Bowman M and Faux S (2013) Outcomes of an Inpatient Rehabilitation Program Following Complicated Cardio-Pulmonary Transplantation. Int J Phys Med Rehabil 1:152. doi: 10.4172/2329-9096.1000152
Copyright: © 2013 Bowman M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
The Authors describe the first 118 admissions of inpatient multidisciplinary rehabilitation following heart and/or lung transplantation for 86 patients. Over 20% of all transplantation case at St. vincents Hospital in Sydney required inpatient multidisciplinary rehabilitation. The inpatient program is uniquely designed to provide multidisciplinary rehabilitation to a population who require intense medical and surgical monitoring for rejection and side effects of anti rejection drugs. This is done with close cooperation with the transplant surgical and medical teams. Outcomes including FIM change, FIM efficiency, discharge destination, mortality, interruption to therapy and length of stay are presented together with physical therapy outcome measures such as the 6 minute walk test. Complexities in managing these patients are described, such as the up skilling of nursing staff to manage cardiac and respiratory assistive devices, the management of chronotopic incompetence of the denervated heart and the psychological sequelae of transplantation are discussed. To our knowledge this is the first Australian and international descriptive study of inpatient multidisciplinary rehabilitation for heart and lung transplantation.