@article{oai:nagoya.repo.nii.ac.jp:00026234,
 author = {Hayashi, Kazuhiro and Fukumoto, Koichi and Yokoi, Kohei and Nagaya, Motoki and Inoue, Takayuki and Ito, Satoru and Nakajima, Hiroki and Hattori, Keiko and Kadono, Izumi and Nishida, Yoshihiro},
 issue = {16},
 journal = {Disability and Rehabilitation},
 month = {Apr},
 note = {Objective: Delayed post-operative ambulation is a risk of post-operative complications and increases overall healthcare costs. We investigated pre-operative and intraoperative variables associated with delayed ambulation in patients who underwent thymectomy. Methods: A total of 57 consecutive patients undergoing thymectomy were included in this study. Pre-operative functional exercise capacity was evaluated by six-minute walk distance. Ambulation was considered to be delayed if the patient could not walk the ward on post-operative day 1. Binary logistic regression analysis was performed to clarify the factors associated with delayed ambulation. Results: Pre-operative six-minute walk distance was the only significant variable that was associated with delayed ambulation. The area under the receiver operating characteristic curve for predicting delayed ambulation was 0.684 (95% confidential interval: 0.546–0.823, p = 0.017), and the optimal discriminatory pre-operative six-minute walk distance value was 498 m. Post-operative hospital stay was significantly longer in patients with low six-minute walk distance (<498 m) than those with high six-minute walk distance (≥498 m). In contrast, the presence of myasthenia gravis or adjuvant chemoradiotherapy was not associated with delayed ambulation. Conclusions: Our results suggest that low pre-operative six-minute walk distance is associated with delayed post-operative ambulation and longer post-operative hospital stay in patients who underwent thymectomy.},
 pages = {1900--1905},
 title = {Post-operative delayed ambulation after thymectomy is associated withpre-operative six-minute walk distance},
 volume = {40},
 year = {2017}
}