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Importance of Completing Hybrid Cardiac Rehabilitation for Long-Term Outcomes: A Real-World Evaluation
- Source :
- Journal of Clinical Medicine, Vol 8, Iss 3, p 290 (2019), Journal of Clinical Medicine, Volume 8, Issue 3
- Publication Year :
- 2019
- Publisher :
- MDPI AG, 2019.
-
Abstract
- Community-based hybrid cardiac rehabilitation (CR) programs offer a viable alternative to conventional centre-based CR, however their long-term benefits are unknown. We conducted a secondary analysis of the CR Participation Study conducted in London, Ontario, between 2003 and 2006. CR eligible patients hospitalized for a major cardiac event, who resided within 60 min, were referred to a hybrid CR program<br />381 of 544 (64%) referred patients initiated CR<br />an additional 1,498 CR eligible patients were not referred due to distance. For the present study, CR participants were matched using propensity scores to CR eligible non-participants who resided beyond 60 min, yielding 214 matched pairs. Subjects were followed for a mean (standard deviation, SD) of 8.56 (3.38) years for the outcomes of mortality or re-hospitalization for a major cardiac event. Hybrid CR participation was associated with a non-significant 16% lower event rate (Hazard Ratio [HR]: 0.84, 95% CI: 0.59&ndash<br />1.17). When restricting to pairs where CR participants achieved a greater than 0.5 metabolic equivalent exercise capacity increase (123 pairs), CR completion was associated with a 51% lower event rate (HR: 0.49, 95% CI: 0.29&ndash<br />0.81). Successful completion of a community-based hybrid CR program may be associated with decreased long-term mortality or recurrent cardiac events.
- Subjects :
- Cardiovascular event
medicine.medical_specialty
Rehabilitation
business.industry
medicine.medical_treatment
Hazard ratio
lcsh:R
lcsh:Medicine
General Medicine
Successful completion
030204 cardiovascular system & hematology
real-world outcomes
Metabolic equivalent
Article
3. Good health
03 medical and health sciences
cardiac rehabilitation
0302 clinical medicine
Secondary analysis
Internal medicine
Propensity score matching
Long term outcomes
medicine
030212 general & internal medicine
business
Subjects
Details
- Language :
- English
- ISSN :
- 20770383
- Volume :
- 8
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Medicine
- Accession number :
- edsair.doi.dedup.....eedd90a3c55442b71b551fff520a5faa