Psychosocial outcomes after a home cardiac rehabilitation program

Autor: J Parada Barcia, M B A Maria Sol Bravo Amaro, C P F Cristina Prieto Fernandez, M C A Maria Concepcion Abreu Pazo, A C C Antonio Chamorro Comesana, I S Iria Sanchez, C F C Cristina Fernandez Caamano, M J G Maria Jesus Garrido Ferrero, M S U Marisol Samartin Ucha, I C G Isabel Caride Gonzalez, I G B Inmaculada Gonzalez Bermudez, N P F Noa Pineiro Fernandez, J M O Jose Manuel Olivares, E C Enrique Cespon Outeda, A I R Andres Iniguez Romo
Rok vydání: 2023
Předmět:
Zdroj: European Journal of Preventive Cardiology. 30
ISSN: 2047-4881
2047-4873
DOI: 10.1093/eurjpc/zwad125.297
Popis: Funding Acknowledgements Type of funding sources: None. Introduction Cardiac Rehabilitation Programs (CRP) still do not reach all patients with this indication. In the context of COVID-19 pandemic, the new home-CRP model has been introduced. Purpose To evaluate the results in terms of improvement of psychosocial outcomes and changes in employment situation with home-CRP. Methods Cross-Sectional Observational study that included patients of both sexes, ≥ 18 years, after acute coronary syndrome or after coronary revascularization, included in home CRP. Information was collected from the computerized clinical history of the patients (diseased vessels, degree and type of revascularization, risk stratification). Data was collected at the beginning and in the end after 2 months of the home CRP: smoking habit, weight, abdominal perimeter, anxiety/ depression (measured by HADS: Hospital Anxiety and Depression scale) and employment status. Results A total of 173 patients has been studied. Mean age was 51.6 (SD: 7.94), 15.6% women. Indication for home CRP was non ST elevation myocardial infarction (NSTEMI) in 45.7%, 31.8% had STEMI, 17.9% after elective coronary interventions ,3.5% after cardiac arrest, and 1.2% corresponded to other causes. Patients were at low risk in 50%, 48% moderate and 2% high risk. With 1, 2, or 3 vessels disease in 38.1%, 28.3%, and 33.5% respectively. Coronary revascularization was obtained by percutaneous interventions in 80.9%, by surgery in 14.5% and 4.6% of patients received only medical treatment. At baseline, 33.5% obese and 55% smoked at index admission. After two months of home PRHC we obtained a reduction of 85.5% in smoking (p Conclusions The present study indicates that home- cardiac rehabilitation programs reduce anxiety, depression and improve return to work after acute coronary syndrome.
Databáze: OpenAIRE
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