{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:12:40Z","timestamp":1785413560395,"version":"3.56.0"},"reference-count":54,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T00:00:00Z","timestamp":1781913600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Faculty of Allied Health Sciences Research Fund","award":["AHSFF1\/2569"],"award-info":[{"award-number":["AHSFF1\/2569"]}]},{"name":"Thailand Science Research and Innovation (TSRI) Fundamental Fund","award":["fiscal year 2026"],"award-info":[{"award-number":["fiscal year 2026"]}]},{"award":["fiscal year 2026"],"award-info":[{"award-number":["fiscal year 2026"]}],"id":[{"id":"https:\/\/ror.org\/000025p04","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medical Sciences"],"abstract":"<jats:p>Background: Patients undergoing open-heart surgery (OHS) are at risk of postoperative morbidity and mortality. Physical performance has been increasingly recognized as an important factor influencing postoperative outcomes. Therefore, the study aimed to investigate the associations and predictive value of physical performance on postoperative complications and duration of hospital stay. Methods: A prospective cohort study was conducted in 116 patients who were admitted to OHS. Preoperative assessment of physical performance, i.e., Short Physical Performance Battery (SPPB), Five Times Sit to Stand Test (5STS), gait speed (5 m walk test: 5MWT), Timed Up and Go (TUG), and handgrip strength. Duration of hospital stay and incidence of post-operative complications were recorded. Differences between participants with and without postoperative complications were analyzed using independent samples t-tests for continuous variables and chi-square tests for categorical variables. The associations between physical performance and postoperative outcomes were assessed using Spearman\u2019s rank correlation coefficient. Hierarchical regression analysis was conducted to determine the predictive contribution of physical performance. Results: A total of 116 participants were submitted for OHS in two medical school hospitals; however, 108 individuals completed the pre-operative physical performance. The most common procedures were coronary artery bypass grafting and valve surgery. Fifty-one participants (47.22%) experienced postoperative complications, including five deaths, corresponding to 4.63% mortality. For the length of hospital stay analysis, five participants who died postoperatively were excluded, resulting in a final sample of 103 participants. Physical performance was significantly associated with the length of hospital stay (p &lt; 0.05). Hierarchical regression analysis showed that the final prediction model explained 13.4% of the variance in length of hospital stay, with SPPB independently contributing an additional 6.0% to the model, followed by 5STS, 5MWT, handgrip strength, and TUG, which accounted for an additional 5.1%, 4.6%, 4.4%, and 3.7%, respectively. Conclusions: Preoperative physical performance was associated with length of hospital stay. While each measure explained a relatively small proportion of the variance in hospital stay, these assessments offer a simple, non-invasive, and clinically feasible approach to evaluating functional reserve before surgery. These findings highlight the importance of incorporating functional assessment into perioperative care to support risk stratification and guide rehabilitation strategies.<\/jats:p>","DOI":"10.3390\/medsci14020334","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T18:35:05Z","timestamp":1782239705000},"page":"334","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Physical Performance as a Predictor of Length of Hospital Stay in Patients Undergoing Open-Heart Surgery: A Multicenter Prospective Study"],"prefix":"10.3390","volume":"14","author":[{"given":"Wararat","family":"Tavonudomgit","sequence":"first","affiliation":[{"name":"Physiotherapy Department, Faculty of Allied Health Sciences, Thammasat University, Pathum Thani 12120, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2997-4904","authenticated-orcid":false,"given":"Kornanong","family":"Yuenyongchaiwat","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, Faculty of Allied Health Sciences, Thammasat University, Pathum Thani 12120, Thailand"},{"name":"Thammasat University Research Unit in Physical Therapy in Respiratory and Cardiovascular Systems, Thammasat University, Pathum Thani 12120, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucksanaporn","family":"Mahawong","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, Faculty of Allied Health Sciences, Thammasat University, Pathum Thani 12120, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0019-0863","authenticated-orcid":false,"given":"Khanistha","family":"Wattanananont","sequence":"additional","affiliation":[{"name":"Cardiac Rehabilitation Unit, Excellence Center, Faculty of Medicine, Navamindradhiraj University, Bangkok 10300, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chitima","family":"Kulchanarat","sequence":"additional","affiliation":[{"name":"Physical Therapy Center, Thammasat University Hospital, Pathum Thani 12120, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3894-4109","authenticated-orcid":false,"given":"Sasipa","family":"Buranapuntalug","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, Faculty of Allied Health Sciences, Thammasat University, Pathum Thani 12120, Thailand"},{"name":"Thammasat University Research Unit in Physical Therapy in Respiratory and Cardiovascular Systems, Thammasat University, Pathum Thani 12120, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Opas","family":"Satdhabudha","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e93","DOI":"10.1161\/CIR.0000000000001123","article-title":"Heart Disease and Stroke Statistics-2023 Update: A Report From the American Heart Association","volume":"147","author":"Tsao","year":"2023","journal-title":"Circulation"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"481","DOI":"10.2217\/fca-2019-0049","article-title":"Postoperative complications associated with coronary artery bypass graft surgery and their therapeutic interventions","volume":"16","author":"Pooria","year":"2020","journal-title":"Future Cardiol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"903","DOI":"10.2147\/JMDH.S483973","article-title":"Risk Factors of Prolonged Mechanical Ventilation in Post Coronary Artery Bypass Graft Patients: A Scoping Review","volume":"18","author":"Kumalasari","year":"2025","journal-title":"J. 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