Impact of ambulatory cardiac rehabilitation on cardiovascular outcomes: a long-term follow-up study
| Autor: | Giulia Barbati, Enrico Fabris, Gianfranco Sinagra, Patrizia Maras, Francesco Antonini-Canterin, Guglielmo Bernardi, Massimo F Piepoli, Sara Doimo |
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| Přispěvatelé: | Doimo, Sara, Fabris, Enrico, Piepoli, Massimo, Barbati, Giulia, Antonini-Canterin, Francesco, Bernardi, Guglielmo, Maras, Patrizia, Sinagra, Gianfranco |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Cardiovascular mortality Propensity score medicine.medical_treatment Population Myocardial Infarction Cardiac rehabilitation 030204 cardiovascular system & hematology Coronary artery disease 03 medical and health sciences Coronary artery bypass surgery Percutaneous Coronary Intervention 0302 clinical medicine Internal medicine medicine Humans Myocardial infarction Coronary Artery Bypass Cardiovascular hospitalization education Aged education.field_of_study business.industry Incidence Incidence (epidemiology) Hazard ratio Percutaneous coronary intervention 030229 sport sciences Middle Aged medicine.disease Hospitalization Cardiovascular Diseases Multivariate Analysis Ambulatory Regression Analysis Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Popis: | Aims: To evaluate the long-term clinical impact of the application of cardiac rehabilitation (CR) early after discharge in a real-world population. Methods and results: We analysed the 5-year incidence of cardiovascular mortality and hospitalization for cardiovascular causes in two populations, attenders vs. non-attenders to an ambulatory CR program which were consecutively discharged from two tertiary hospitals, after ST-elevation myocardial infarction, non-ST-elevation myocardial infarction, coronary artery bypass graft, or planned percutaneous coronary intervention. A primary analysis using multivariable regression model and a secondary analysis using the propensity score approach were performed. Between 1 January 2009 and 31 December 2010, 839 patients attended a CR program planned at discharged, while 441 patients were discharged from Cardiovascular Department without any program of CR. During follow-up, the incidence of cardiovascular mortality was 6% in both groups (P = 0.62). The composite outcome of hospitalizations for cardiovascular causes and cardiovascular mortality were lower in CR group compared to no-CR group (18% vs. 30%, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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