Long-term Results of a 12-Week Comprehensive Ambulatory Cardiac Rehabilitation Program

Abstract

The 12-week comprehensive outpatient CR program was successful at reducing important CvRFs long-term.

Is There any Gender Difference for Smoking Persistence or Relapse Following Diagnosis or Hospitalization for Coronary Heart Disease? Evidence From a Systematic Review and Meta-Analysis

“…32 On average, across 14 studies which provided the number of persistent/relapsed smokers as opposed to ORs and CIs, almost one in two (47% SD ±16) smokers was still smoking at follow-up. Persistent smoking/relapse was significantly higher in females in two studies, 23,25 but was similar between genders in all other studies. There was no gender difference in the rate of persistent smoking/relapse in the meta-analyses of all 16 included studies (OR = 1.07, 95% CI = 0.95 to 1.21) and this result was consistent when sensitivity analyses were conducted excluding each study in turn and also when we considered the overall OR in the fixed effects model (Figure 3).…”

“…In total, 16 studies were selected which informed the current understanding of persistent smoking or relapse amongst females compared to males following a diagnosis or hospitalization for [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] A data extraction spread sheet was used to extract the following information: study description: author, study year, study design and population description, and (by gender) the total sample size, number of smokers at baseline, number of ceased smokers, number of persistent/relapsed smokers, OR and 95% CI for persistence/relapse by gender if available, definition of relapse and length of follow-up period.…”

“…Study populations were homogenous as they had all been diagnosed or hospitalized with CHD. Four studies were limited to MI 26,28,29,34 ; three studies included only patients who had received a coronary intervention (Percutaneous Coronary Interventions [PCI] and/or coronary artery bypass grafting [CABG] and/or valve surgery), 23,24,32 whereas others included CHD patients with or without intervention. Four studies had an upper age limit, meaning that elderly patients were excluded from the sample.…”

“…Amongst the eight studies which recruited both smokers and nonsmokers with CHD, 23,24,27,29,30,32,34,35 the average smoking prevalence at baseline was 51% (SD ±15). Prevalence of smoking at baseline by gender is shown in Table 1.…”

Depressive Symptoms at Discharge from Rehabilitation Predict Future Cardiovascular-Related Hospitalizations

“…A detailed overview of the rehabilitation program has previously been published [12]. We included patients with a diagnosis of CVD (i.e., CHD, chronic heart failure and aortic valve surgery) who filled out a set of questionnaires during the first week and at discharge of an 8- to 12-week cardiac rehabilitation program.…”