Journal of Cardiopulmonary Rehabilitation and Prevention最新文献_第10页

Cardiac Rehabilitation Use After Heart Failure Hospitalization Associated With Advanced Heart Failure Center Status. 心力衰竭住院后使用心脏康复治疗与高级心力衰竭中心地位有关。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-05-01 Epub Date: 2024-02-02 DOI: 10.1097/HCR.0000000000000846

Michael P Thompson, Hechuan Hou, Max Fliegner, Vinay Guduguntla, Thomas Cascino, Keith D Aaronson, Donald S Likosky, Devraj Sukul, Steven J Keteyian

{"title":"Cardiac Rehabilitation Use After Heart Failure Hospitalization Associated With Advanced Heart Failure Center Status.","authors":"Michael P Thompson, Hechuan Hou, Max Fliegner, Vinay Guduguntla, Thomas Cascino, Keith D Aaronson, Donald S Likosky, Devraj Sukul, Steven J Keteyian","doi":"10.1097/HCR.0000000000000846","DOIUrl":"10.1097/HCR.0000000000000846","url":null,"abstract":"Purpose: Cardiac rehabilitation (CR) is an evidence-based, guideline-endorsed therapy for patients with heart failure with reduced ejection fraction (HFrEF) but is broadly underutilized. Identifying structural factors contributing to increased CR use may inform quality improvement efforts. The objective here was to associate hospitalization at a center providing advanced heart failure (HF) therapies and subsequent CR participation among patients with HFrEF.Methods: A retrospective analysis was performed on a 20% sample of Medicare beneficiaries primarily hospitalized with an HFrEF diagnosis between January 2008 and December 2018. Outpatient claims were used to identify CR use (no/yes), days to first session, number of attended sessions, and completion of 36 sessions. The association between advanced HF status (hospitals performing heart transplantation or ventricular assist device implantations) and CR participation was evaluated with logistic regression, accounting for patient, hospital, and regional factors.Results: Among 143 392 Medicare beneficiaries, 29 487 (20.6%) were admitted to advanced HF centers (HFCs) and 5317 (3.7%) attended a single CR session within 1 yr of discharge. In multivariable analysis, advanced HFC status was associated with significantly greater relative odds of participating in CR (OR = 2.20: 95% CI, 2.08-2.33; P < .001) and earlier initiation of CR participation (-8.5 d; 95% CI, -12.6 to 4.4; P < .001). Advanced HFC status had little to no association with the intensity of CR participation (number of visits or 36 visit completion).Conclusions: Medicare beneficiaries hospitalized for HF were more likely to attend CR after discharge if admitted to an advanced HFC than a nonadvanced HFC.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"194-201"},"PeriodicalIF":3.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11065630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139650868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Temporal Trends in Cardiac Rehabilitation Participation and Its Core Components: A Nationwide Cohort Study From the Netherlands. 心脏康复参与的时间趋势及其核心内容：荷兰全国范围的队列研究。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-05-01 Epub Date: 2024-02-20 DOI: 10.1097/HCR.0000000000000858

Thijs Vonk, Martijn F H Maessen, Maria T E Hopman, Johan A Snoek, Vincent L Aengevaeren, Barry A Franklin, Thijs M H Eijsvogels, Esmee A Bakker

{"title":"Temporal Trends in Cardiac Rehabilitation Participation and Its Core Components: A Nationwide Cohort Study From the Netherlands.","authors":"Thijs Vonk, Martijn F H Maessen, Maria T E Hopman, Johan A Snoek, Vincent L Aengevaeren, Barry A Franklin, Thijs M H Eijsvogels, Esmee A Bakker","doi":"10.1097/HCR.0000000000000858","DOIUrl":"10.1097/HCR.0000000000000858","url":null,"abstract":"Purpose: Patient- and disease-specific data on cardiac rehabilitation (CR) participation and changes over time are limited. The objective of this study was to describe time trends in CR participation between 2013 and 2019 and provides insights into the utilization of CR components.Methods: Patients with cardiovascular disease (CVD) with an indication for CR were enrolled between 2013 and 2019. Dutch health insurance claims data were used to identify CR participation and its components.Results: In total, 106 212 patients with CVD were included of which 37% participated in CR. Participation significantly increased from 28% in 2013 to 41% in 2016 but remained unchanged thereafter. Participation was highest in the youngest age groups (<50 yrs 52%; 50-65 yrs 50%), men (48%), patients with ST-segment elevation myocardial infarction (73%), non-ST-segment elevation myocardial infarction (59%), and coronary artery bypass grafting (82%). In contrast, it was the lowest in the oldest age group (≥85 yrs 8%), women (30%), and in patients with heart failure (11%). Most participants in CR received referral plus an admission session (97%) and exercise training (82%), whereas complementary services related to dietary (14%) and mental health counseling (10%) had a low utilization.Conclusions: CR participation rates increased to 41% in 2016 but remained unchanged thereafter. Participation modulators included age, sex, CVD diagnosis, and undergoing a cardiothoracic procedure. Education and exercise sessions were frequently adopted, but dietary and mental health counseling had a low utilization rate. These findings suggest the need for reinvigorated referral and novel enrollment strategies in specific CVD subgroups to further promote CR participation and its associated underutilized adjunctive services.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"180-186"},"PeriodicalIF":3.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139905692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Prior COVID-19 Infections on Cardiac Rehabilitation Completion Rates and Outcomes. 之前的 COVID-19 感染对心脏康复完成率和结果的影响。

IF 3.8 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-04-29 DOI: 10.1097/hcr.0000000000000841

Matthew A Taylor, Julia L Berkowitz, Kevin Chen, Julianne DeAngelis, Wen-Chih Wu

引用次数: 0

County-Level Cardiac Rehabilitation and Broadband Availability: Opportunities for Hybrid Care in the United States. 县级心脏康复与宽带可用性：美国混合护理的机遇》。

IF 3.8 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-03-29 DOI: 10.1097/hcr.0000000000000865

David L DeLara, Lisa M Pollack, Hilary K Wall, Anping Chang, Linda Schieb, Kevin Matthews, Haley Stolp, Quinn R Pack, Michele Casper, Sandra L Jackson

引用次数: 0

Prehabilitation Using a Cardiac Rehabilitation Program for a Patient With a Total Artificial Heart Prior to Heart Transplantation. 使用心脏康复计划为全人工心脏患者进行心脏移植前的预康复治疗。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-03-01 DOI: 10.1097/HCR.0000000000000842

Michaël Racodon, Éric Hermand, Jean-Michel Lemahieu, Pauline Blairon, Pierre Vanhove, Amandine Secq

{"title":"Prehabilitation Using a Cardiac Rehabilitation Program for a Patient With a Total Artificial Heart Prior to Heart Transplantation.","authors":"Michaël Racodon, Éric Hermand, Jean-Michel Lemahieu, Pauline Blairon, Pierre Vanhove, Amandine Secq","doi":"10.1097/HCR.0000000000000842","DOIUrl":"10.1097/HCR.0000000000000842","url":null,"abstract":"Introduction: The last few decades have been marked by significant advances in mechanical cardiocirculatory support. A total artificial heart (TAH) became a viable therapeutic option for numerous patients as a bridge to heart transplantation, particularly for those in end-stage heart failure. This technology aims to address the various subsequent shortfalls of organs. This report reviews the impact of a prehabilitation on a patient with an Aeson TAH (Carmat).Discussion: We assessed improvements in functional capacity and quality of life (QoL) in a newly implanted patient following standard cardiac rehabilitation as a prehabilitation program, using 6-min walk test and the Short Form-12 (SF-12) health survey, respectively. Similar functional improvements were observed over a short period of 2 wk compared with a longer protocol for patients with a heart transplant, and superior effects on QoL. The patient was successfully transplanted 5 mo after the TAH implantation.Summary: Prehabilitation of a patient with a TAH increased both their physical capacity and QoL.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":"44 2","pages":"137-140"},"PeriodicalIF":3.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139971968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improvements in Dyspnea Following Traditional Pulmonary Rehabilitation in Patients With Long COVID. 长 COVID 患者在接受传统肺康复治疗后呼吸困难有所改善。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-03-01 DOI: 10.1097/HCR.0000000000000862

Maria L Buckley, Andrea M Wycoff, Kayla Mahoney, Jacqueline F Pierce, James Simmons, Alessandra Adami

引用次数: 0

The Importance of Cardiac Rehabilitation in Older Adults. 心脏康复对老年人的重要性。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-03-01 Epub Date: 2023-12-11 DOI: 10.1097/HCR.0000000000000845

Semenawit Burka, Yehia Ali, Daniel E Forman

引用次数: 0

A Lifestyle Modification Program for Secondary Prevention of Atrial Fibrillation: Introductory Findings. 心房颤动二级预防的生活方式调整计划：介绍性研究结果。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-03-01 Epub Date: 2023-12-19 DOI: 10.1097/HCR.0000000000000853

Jeffrey M Ashburner, Taylor D Carmichael, Romit Bhattacharya, Pradeep Natarajan, Daniel E Singer, Anne N Thorndike

引用次数: 0

A Detailed Analysis of Cardiac Rehabilitation on 180-Day All-Cause Hospital Readmission and Mortality. 心脏康复对 180 天全因再住院率和死亡率的详细分析

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-03-01 Epub Date: 2023-12-19 DOI: 10.1097/HCR.0000000000000835

Brian D Duscha, Leanna M Ross, Andrew L Hoselton, Lucy W Piner, Carl F Pieper, William E Kraus

{"title":"A Detailed Analysis of Cardiac Rehabilitation on 180-Day All-Cause Hospital Readmission and Mortality.","authors":"Brian D Duscha, Leanna M Ross, Andrew L Hoselton, Lucy W Piner, Carl F Pieper, William E Kraus","doi":"10.1097/HCR.0000000000000835","DOIUrl":"10.1097/HCR.0000000000000835","url":null,"abstract":"Purpose: Cardiac rehabilitation (CR) is endorsed for coronary artery disease (CAD), but studies report inconsistent findings regarding efficacy. The objective of this study was to determine whether confounding factors, potentially contributing to these heterogeneous findings, impact the effect of CR on all-cause readmission and mortality.Methods: Patients (n = 2641) with CAD, CR eligible, and physically able were identified. Electronic medical records were inspected individually for each patient to extract demographic, clinical characteristic, readmission, and mortality information. Patients (n = 214) attended ≥1 CR session (CR group). Survival was considered free from: all-cause readmission; or composite outcome of all-cause readmission or death. Cox proportional hazards models, adjusting for demographics, comorbidities, and discharge criteria, were used to determine HR with 95% CI and to compare 180-d survival rates between the CR and no-CR groups.Results: During 180 d of follow-up, 12.1% and 18.7% of the CR and non-CR patients were readmitted to the hospital. There was one death (0.5%) in the CR group, while 98 deaths (4.0%) occurred in the non-CR group. After adjustment for age, sex, race, depression, anxiety, dyslipidemia, hypertension, obesity, smoking, type 2 diabetes, and discharge criteria, the final model revealed a significant 42.7% reduction in readmission or mortality risk for patients who attended CR (HR = 0.57: 95% CI, 0.33-0.98; P = .043).Conclusions: Regardless of demographic characteristics, comorbidities, and cardiovascular discharge criteria, the risk of 180-d all-cause readmission or death was markedly decreased in patients who attended CR compared with those who did not.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"99-106"},"PeriodicalIF":3.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10913862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138798796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cost-Effectiveness of Cardiac Rehabilitation in Older Adults With Coronary Heart Disease. 老年冠心病患者心脏康复的成本效益。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-03-01 Epub Date: 2023-10-04 DOI: 10.1097/HCR.0000000000000827

Donald S Shepard, Shehreen Zakir, Diann E Gaalema, Philip A Ades

{"title":"Cost-Effectiveness of Cardiac Rehabilitation in Older Adults With Coronary Heart Disease.","authors":"Donald S Shepard, Shehreen Zakir, Diann E Gaalema, Philip A Ades","doi":"10.1097/HCR.0000000000000827","DOIUrl":"10.1097/HCR.0000000000000827","url":null,"abstract":"Purpose: While cardiac rehabilitation (CR) is recommended and effective following acute cardiac events, it remains underutilized, particularly in older adults. A study of 601 099 Medicare beneficiaries ≥65 yr hospitalized for coronary heart disease compared 5-yr mortality in users and nonusers of CR. Using instrumental variables (IV), CR improved mortality by 8.0% ( P < .001). A validation analysis based on 70 040 propensity-based (PB) matched pairs gave a similar gain (8.3%, P < .0001). The present cost-effectiveness analysis builds on these mortality results.Methods: Using the framework of the Second Panel on Cost-Effectiveness Analysis, we calculated the incremental cost-effectiveness ratio (ICER) gained due to CR. We accessed the costs from this cohort, inflated to 2022 prices, and assessed the relationship of quality-adjusted life years (QALY) to life years from a systematic review. We estimated the ICER of CR by modeling lifetime costs and QALY from national life tables using IV and PB.Results: Using IV, CR added 1.344 QALY (95% CI, 0.543-2.144) and $40 472 in costs over the remaining lifetimes of participants. The ICER was $30 188 (95% CI, $18 175-$74 484)/QALY over their lifetimes. Using the PB analysis, the corresponding lifetime values were 2.018 (95% CI, 1.001-3.035) QALY, $66 590, and an ICER of $32 996 (95% CI, $21 942-$66 494)/QALY.Conclusions: Cardiac rehabilitation was highly cost-effective using guidelines established by the World Health Organization and the US Department of Health and Human Services. The favorable clinical effectiveness and cost-effectiveness of CR, along with low use by Medicare beneficiaries, support the need to increase CR use.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"107-114"},"PeriodicalIF":3.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10922540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41202059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0