| Autor: |
Madelon, Minneboo, Sangeeta, Lachman, Marjolein, Snaterse, Harald T, Jørstad, Gerben, Ter Riet, S Matthijs, Boekholdt, Wilma J M, Scholte Op Reimer, Ron J G, Peters, C J, de Vries |
| Rok vydání: |
2017 |
| Předmět: |
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| Zdroj: |
Journal of the American College of Cardiology. 70(3) |
| ISSN: |
1558-3597 |
| Popis: |
Among patients with coronary artery disease (CAD), improvement of lifestyle-related risk factors (LRFs) reduces cardiovascular morbidity and mortality. However, modification of LRFs is highly challenging.This study sought to evaluate the impact of combining community-based lifestyle programs with regular hospital-based secondary prevention.The authors performed a randomized controlled trial of nurse-coordinated referral of patients and their partners to 3 widely available community-based lifestyle programs, in 15 hospitals in the Netherlands. Patients admitted for acute coronary syndrome and/or revascularization, with ≥1 LRF (body mass index27 kg/mThe authors randomized 824 patients. Complete data on the primary outcome were available in 711 patients. The proportion of successful patients in the intervention group was 37% (133 of 360) compared with 26% (91 of 351) in the control group (p = 0.002; risk ratio: 1.43; 95% confidence interval: 1.14 to 1.78). In the intervention group, partner participation was associated with a significantly greater success rate (46% vs. 34%; p = 0.03).Among patients with coronary artery disease, nurse-coordinated referral to a comprehensive set of community-based, widely available lifestyle interventions, with optional partner participation, leads to significant improvements in LRFs. (RESPONSE-2: Randomised Evaluation of Secondary Prevention by Outpatient Nurse SpEcialists 2; NTR3937). |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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