Factors Predicting the Utilization of Center-Based Cardiac Rehabilitation Program
| Autor: | Eric Lian, Lufei Young, Yanbin Dong, Qi Zhang, Hongyan Xu, Haidong Zhu, Neal L. Weintraub, Stephanie Dunlap, Kimberly Roberts, Pascha Schafer |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Aging
medicine.medical_specialty Health (social science) Heart disease neural network medicine.medical_treatment 030204 cardiovascular system & hematology lcsh:Geriatrics Article 03 medical and health sciences 0302 clinical medicine Quality of life principal components analysis medicine 030212 general & internal medicine Depression (differential diagnoses) attendance Rehabilitation business.industry Medical record Baseline data medicine.disease cardiac rehabilitation lcsh:RC952-954.6 Physical therapy cardiovascular system Anxiety incompletion Geriatrics and Gerontology medicine.symptom business Gerontology Psychosocial |
| Zdroj: | Geriatrics, Vol 5, Iss 66, p 66 (2020) Geriatrics Volume 5 Issue 4 |
| ISSN: | 2308-3417 |
| Popis: | Although cardiac rehabilitation (CR) is clearly beneficial to improving patients&rsquo physical functioning and reducing heart disease progression, significant proportions of patients do not complete CR programs. To evaluate the prevalence and predictors of completion of a center-based CR program in eligible cardiac patients, existing data collected from electronic medical records were used. To identify the predictors of CR completion, we used principal components analysis (PCA) and an artificial neural network (ANN) module. Among 685 patients, 61.4% (n = 421) completed the program, 31.7% (n = 217) dropped out, and 6.9% (n = 47) were referred but failed to initiate the program. PCA was conducted to consolidate baseline data into three factors&mdash (1) psychosocial factors (depression, anxiety, and quality of life), (2) age, and (3) BMI, which explained 66.8% of the total variance. The ANN model produced similar results as the PCA. Patients who completed CR sessions had greater extremity strength and flexibility, longer six-minute walk distance, more CR knowledge, and a better quality of life. The present study demonstrated that patients who were older, obese, and who had depression, anxiety, or a low quality of life were less likely to complete the CR program. |
| Databáze: | OpenAIRE |
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