IS ONE MONTH OF EXERCISE-BASED CARDIAC REHABILITATION SUFFICIENT AFTER SURGICAL AORTIC VALVE REPLACEMENT? A FEASIBILITY STUDY OF A RANDOMIZED CONTROLLED TRIAL.

Malin Schlyter, Eva Ekvall Hansson
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Abstract

Objective: To study whether there were differences in terms of change in the level of physical activity and functional exercise capacity between 1 month and 3 months of training after surgical aortic valve replacement.

Design: A feasibility study of a randomized controlled trial.

Subjects: After drop-out, a total of 30 patients with aortic stenosis participated in the 2 interventions.

Methods: Group A received 1 month and group B 3 months of cardiac rehabilitation after surgical aortic valve replacement. Feasibility was measured in terms of recruitment, adherence and retention rate, adverse events and the ability to collect primary and secondary outcome measurements.

Results: Regarding feasibility, the recruitment rate was low (55%), but the adherence and retention rates were good (group A 81%/94%, group B 64%/79%). The outcome assessment collection was good, and there was only 1 adverse event. Significant differences were found regarding physical activity and self-perceived health in favour of group B.

Conclusion: This feasibility study showed that although the recruitment rate was low, other measures were satisfactory. Results indicate that a shorter supervised programme may be sufficient and possibly facilitate more effective use of resources.

主动脉瓣置换术后一个月的运动康复是否足够?随机对照试验的可行性研究。
目的:研究主动脉瓣置换术后训练1个月与3个月的身体活动水平和功能运动能力变化是否存在差异。设计:随机对照试验的可行性研究。受试者:退出组后,共有30例主动脉瓣狭窄患者参加了2项干预。方法:A组和B组分别在主动脉瓣置换术后1个月和3个月进行心脏康复治疗。可行性根据招募、依从性和保留率、不良事件和收集主要和次要结果测量的能力来衡量。结果:可行性方面,招募率低(55%),依从性和保留率良好(A组81%/94%,B组64%/79%)。结果评估收集良好,仅有1例不良事件。结论:本可行性研究表明,虽然招收率低,但其他措施令人满意。结果表明,较短的监督方案可能足够,并可能促进更有效地利用资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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