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Benefit of outpatient cardiac rehabilitation in under-represented patient subgroups.
- Source :
-
Journal of rehabilitation medicine [J Rehabil Med] 2007 Apr; Vol. 39 (3), pp. 246-51. - Publication Year :
- 2007
-
Abstract
- Objective: To assess the effect of outpatient cardiac rehabilitation in important patient subgroups.<br />Design: Prospective cohort study.<br />Subjects: Consecutive patients from March 1999 until July 2003.<br />Methods: This study assessed the results of symptom-limited bicycle stress testing and health-related quality of life (Profil der Lebensqualität Chronisch Kranker) at baseline and after a 3-month rehabilitation program, and complications and drop-outs during outpatient cardiac rehabilitation.<br />Results: Of 1061 patients, 155 (15%) women, 87 (8%) men aged >or= 75 years, 162 (15%) had diabetes mellitus and 88 (8%) did not speak the local language. Reasons for outpatient cardiac rehabilitation included acute coronary artery disease (87%), valvular heart disease (9%) and congestive heart failure (1%). Mean age was 62 years (standard deviation 11). Patients increased both their age- and body-weight-adjusted workload (p < 0.0001) and quality of life (p < 0.0001) during the program. Although the initial workload achieved was lower than for normal patients (p < 0.0001), it increased in all subgroups during outpatient cardiac rehabilitation (p < 0.0001). Baseline quality of life was lower in women, but increased in most dimensions for all subgroups assessed.<br />Conclusion: Important subgroups, such as women, elderly men, diabetic patients and ethnic minorities, are under-represented in outpatient cardiac rehabilitation, although they benefit similarly to other patients. Due to lower baseline quality of life, women may need special medical attention prior to outpatient cardiac rehabilitation.
- Subjects :
- Adult
Aged
Cohort Studies
Coronary Disease physiopathology
Coronary Disease psychology
Exercise Test
Female
Health Services Accessibility
Heart Failure physiopathology
Heart Failure psychology
Heart Valve Diseases physiopathology
Heart Valve Diseases psychology
Humans
Male
Middle Aged
Outpatients
Prospective Studies
Quality of Life
Surveys and Questionnaires
Coronary Disease rehabilitation
Heart Failure rehabilitation
Heart Valve Diseases rehabilitation
Subjects
Details
- Language :
- English
- ISSN :
- 1650-1977
- Volume :
- 39
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of rehabilitation medicine
- Publication Type :
- Academic Journal
- Accession number :
- 17468794
- Full Text :
- https://doi.org/10.2340/16501977-0055