TY - JOUR
T1 - Efficacy of extended, comprehensive outpatient cardiac rehabilitation on cardiovascular risk factors
T2 - A nationwide registry
AU - Reich, Bernhard
AU - Benzer, Werner
AU - Harpf, Hanns
AU - Hofmann, Peter
AU - Mayr, Karl
AU - Ocenasek, Helmuth
AU - Podolsky, Andrea
AU - Pokan, Rochus
AU - Porodko, Michael
AU - Puelacher, Christoph
AU - Sareban, Mahdi
AU - Traninger, Heimo
AU - Ziegelmeyer, Wolfgang
AU - Niebauer, Josef
N1 - Funding Information:
Special thanks goes to our patients who agreed to participate in this registry. Also, we owe thanks to the Austrian outpatient rehabilitations centers and their employees for their great work in collecting and entering data into our database and to the AGAKAR for its unremitting efforts for outpatient CR in Austria.
Publisher Copyright:
© The European Society of Cardiology 2020.
PY - 2020/7/1
Y1 - 2020/7/1
N2 - AIM: Cardiac rehabilitation (CR) is a key component of the treatment of cardiac diseases. The Austrian outpatient CR model is unique, as it provides patients with an extended professionally supervised, multidisciplinary program of 4-6 weeks of phase II (OUT-II) and 6-12 months of phase III (OUT-III) CR. The aim of this analysis was to assess the efficacy of the Austrian outpatient CR model using a nationwide registry.METHODS: Data of all consecutive patients (N = 7560) who completed OUT-II and/or OUT-III between 1 January 2005 and 31 December 2015 were entered prospectively into a registry. OUT-III patients were analyzed separately according to whether the preceding phase II was performed as outpatient (OUT-II/OUT-III, N = 2403) or in-patient (IN-II/OUT-III, N = 2789). All patients underwent assessment of anthropometry, resting blood pressure, lipid profile, fasting blood glucose, exercise capacity, quality of life, anxiety and depression.RESULTS: During OUT-II, patients significantly improved their metabolic risk factor profile and increased exercise capacity by 14.3%. OUT-II/OUT-III patients achieved an additional increase in exercise capacity by 10%, further improvement in high-density lipoprotein (HDL) and stabilization of the remaining risk factors. IN-II/OUT-III patients increased their maximal exercise capacity by 18.4% and there was improvement in blood pressure, HDL, low-density lipoprotein and glucose levels.CONCLUSION: Extended, professionally supervised, multidisciplinary outpatient CR in a large nationwide registry of consecutive patients consistently improved maximal exercise capacity and relevant modifiable cardiovascular risk factors beyond effects seen after IN- or OUT-II alone.
AB - AIM: Cardiac rehabilitation (CR) is a key component of the treatment of cardiac diseases. The Austrian outpatient CR model is unique, as it provides patients with an extended professionally supervised, multidisciplinary program of 4-6 weeks of phase II (OUT-II) and 6-12 months of phase III (OUT-III) CR. The aim of this analysis was to assess the efficacy of the Austrian outpatient CR model using a nationwide registry.METHODS: Data of all consecutive patients (N = 7560) who completed OUT-II and/or OUT-III between 1 January 2005 and 31 December 2015 were entered prospectively into a registry. OUT-III patients were analyzed separately according to whether the preceding phase II was performed as outpatient (OUT-II/OUT-III, N = 2403) or in-patient (IN-II/OUT-III, N = 2789). All patients underwent assessment of anthropometry, resting blood pressure, lipid profile, fasting blood glucose, exercise capacity, quality of life, anxiety and depression.RESULTS: During OUT-II, patients significantly improved their metabolic risk factor profile and increased exercise capacity by 14.3%. OUT-II/OUT-III patients achieved an additional increase in exercise capacity by 10%, further improvement in high-density lipoprotein (HDL) and stabilization of the remaining risk factors. IN-II/OUT-III patients increased their maximal exercise capacity by 18.4% and there was improvement in blood pressure, HDL, low-density lipoprotein and glucose levels.CONCLUSION: Extended, professionally supervised, multidisciplinary outpatient CR in a large nationwide registry of consecutive patients consistently improved maximal exercise capacity and relevant modifiable cardiovascular risk factors beyond effects seen after IN- or OUT-II alone.
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Austria/epidemiology
KW - Cardiac Rehabilitation/methods
KW - Cardiovascular Diseases/epidemiology
KW - Child
KW - Exercise Therapy/methods
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Incidence
KW - Male
KW - Middle Aged
KW - Outpatients
KW - Quality of Life
KW - Registries
KW - Retrospective Studies
KW - Risk Factors
KW - Young Adult
UR - http://www.scopus.com/inward/record.url?scp=85078588469&partnerID=8YFLogxK
U2 - 10.1177/2047487319898958
DO - 10.1177/2047487319898958
M3 - Journal article
C2 - 31937125
VL - 27
SP - 1026
EP - 1033
JO - European Journal of Preventive Cardiology
JF - European Journal of Preventive Cardiology
SN - 2047-4873
IS - 10
ER -