Tang, Lars Hermann, Doherty, Patrick orcid.org/0000-0002-1887-0237, Skou, Søren T et al. (1 more author) (2023) Optimal outcomes from cardiac rehabilitation are associated with longer-term follow-up and risk factor status at 12 months:An observational registry-based study. International Journal of Cardiology. pp. 134-140. ISSN 0167-5273
Abstract
AIM: The purpose of Cardiac Rehabilitation (CR) is to promote and reduce risk factors in the short and long term, however, the latter has, to date, been poorly evaluated. We explored characteristics associated with provision and outcomes of a long-term assessment in CR. METHOD: Data from the UK National Audit of CR between April 2015 and March 2020 was used. Programmes were selected if they had an established mechanism and routine methodology to collect the 12-month assessments. Risk factors pre and post phase II CR and at the 12-month assessment were explored; BMI ≤30, ≥150 min of physical activity per week, hospital anxiety and depression scale (HADS) scores <8. The data came from 32 programmes, 24,644 patients with coronary heart disease. Patients being in at least one optimal risk factor stage throughout phase II CR (OR = 1.43 95% CI 1.28 to 1.59) or successfully reaching an optimal stage during phase II CR (OR = 1.61 95% CI 1.44 to 1.80) had an increased likelihood of being assessed at 12 months compared to those who did not. Patients being in the optimal stage upon completion of phase II CR had an increased likelihood of still being in the optimal stage at 12 months. Most prominent was BMI; (OR = 14.6 (95% CI 11.1 to 19.2) for patients reaching an optimal stage throughout phase II CR. CONCLUSION: Being in an optimal stage upon routine CR completion could be an overlooked predictor in the provision of a long-term CR service and prediction of longer-term risk factor status.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © Authors 2023. Published by Elsevier B.V. |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Funding Information: | Funder Grant number NHS ENGLAND CARDIAC REHABILITATION |
Depositing User: | Pure (York) |
Date Deposited: | 08 Sep 2023 07:50 |
Last Modified: | 16 Oct 2024 19:12 |
Published Version: | https://doi.org/10.1016/j.ijcard.2023.05.028 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1016/j.ijcard.2023.05.028 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:203189 |
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Filename: PIIS0167527323007209.pdf
Description: Optimal outcomes from cardiac rehabilitation are associated with longer-term follow-up and risk factor status at 12 months: An observational registry-based study
Licence: CC-BY 2.5