TY  - JOUR
AU  - Thijs, Isabeau
AU  - Fresiello, Libera
AU  - Oosterlinck, Wouter
AU  - Sinnaeve, Peter
AU  - Rega, Filip
PY  - 2019
DA  - 2019/01/31
TI  - Assessment of Physical Activity by Wearable Technology During Rehabilitation After Cardiac Surgery: Explorative Prospective Monocentric Observational Cohort Study
JO  - JMIR Mhealth Uhealth
SP  - e9865
VL  - 7
IS  - 1
KW  - fitness trackers
KW  - coronary artery bypass
KW  - cardiac surgery
KW  - cardiac rehabilitation
KW  - postoperative care
KW  - wearable
KW  - physical activity
KW  - exercise
AB  - Background: Wearable technology is finding its way into clinical practice. Physical activity describes patients’ functional status after cardiac surgery and can be monitored remotely by using dedicated trackers. Objective: The aim of this study was to compare the progress of physical activity in cardiac rehabilitation by using wearable fitness trackers in patients undergoing coronary artery bypass surgery by either the conventional off-pump coronary artery bypass (OPCAB) or the robotically assisted minimally invasive coronary artery bypass (RA-MIDCAB). We hypothesized faster recovery of physical activity after RA-MIDCAB in the first weeks after discharge as compared to OPCAB. Methods: Patients undergoing RA-MIDCAB or OPCAB were included in the study. Each patient received a Fitbit Charge HR (Fitbit Inc, San Francisco, CA) physical activity tracker following discharge. Rehabilitation progress was assessed by measuring the number of steps and physical activity level daily. The physical activity level was calculated as energy expenditure divided by the basic metabolic rate. Results: A total of 10 RA-MIDCAB patients with a median age of 68 (min, 55; max, 83) years and 12 OPCAB patients with a median age of 69 (min, 50; max, 82) years were included. Baseline characteristics were comparable except for body mass index (RA-MIDCAB: 26 kg/m²; min, 22; max, 28 versus OPCAB: 29 kg/m²; min, 27; max, 33; P<.001). Intubation time (P<.05) was significantly lower in the RA-MIDCAB group. A clear trend, although not statistically significant, was observed towards a higher number of steps in RA-MIDCAB patients in the first week following discharge. Conclusions: RA-MIDCAB patients have an advantage in recovery in the first weeks of revalidation, which is reflected by the number of steps and physical activity level measured by the Fitbit Charge HR, as compared to OPCAB patients. However, unsupervised assessment of daily physical activity varied widely and could have consequences with regard to the use of these trackers as research tools. 
SN  - 2291-5222
UR  - http://mhealth.jmir.org/2019/1/e9865/
UR  - https://doi.org/10.2196/mhealth.9865
UR  - http://www.ncbi.nlm.nih.gov/pubmed/30702433
DO  - 10.2196/mhealth.9865
ID  - info:doi/10.2196/mhealth.9865
ER  -