Treatment of the Aged Patients at a Large Cardiac Rehabilitation Center in the Southern Brazil and Some Aspects of Their Dropout from the Therapeutic Programs

Nesello, Pietro Felice Tomazini; Tairova, Olga Sergueevna; Tairova, Maria Stanislavovna; Graciolli, Lucas Odacir; Baroni, Allan Cassio; Comparsi, Eduardo Pflug; Marchi, Thiago De

doi:10.3889/oamjms.2016.125

Cited by 8 publications

(4 citation statements)

References 36 publications

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“…In addition, 10 patients (7.2%) completed primary education, 50 patients (36.0%) completed secondary education, 61 patients (43.9%) completed tertiary education, and 18 patients (12.9%) did not indicate their education level. The dropout rate of 28.4% is consistent with a similar study that was done in the United Kingdom [ 26 ], and is lower than a recent study done in Brazil [ 27 ].…”

Section: Methodssupporting

confidence: 90%

Effect of Cardiac Rehabilitation on Quality of Life, Depression and Anxiety in Asian Patients

Choo

Chew

Lai

et al. 2018

IJERPH

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This study explored the effect of cardiac rehabilitation on quality of life, depression, and anxiety in Asian patients in Singapore. Out of the 194 patients who were recruited into the study, 139 patients (71.6%) completed both the pre- and post-cardiac rehabilitation questionnaires. Their ages ranged from 28 to 80 (M = 56.66, SD = 8.88), and 103 patients (74.1%) were males and 21 patients (15.1%) were females. As hypothesized, there was a statistically significant difference between the pre- and post-cardiac rehabilitation scores on the combined dependent variables, F (4, 135) = 34.84, p < 0.001; Wilks’ Lambda = 0.49; partial eta squared = 0.51. An inspection of the mean scores indicated that patients reported higher levels of physical and mental quality of life and lower levels of depression post-cardiac rehabilitation. The findings were discussed in regards to implications in cardiac rehabilitation in Singapore.

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Section: Methodssupporting

confidence: 90%

Effect of Cardiac Rehabilitation on Quality of Life, Depression and Anxiety in Asian Patients

Choo

Chew

Lai

et al. 2018

IJERPH

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“…Our results demonstrated high discontinuation rates, in which 74% of the participants discontinued after a median length of permanence equal to 10.8 months. This discontinuation rate is much higher than that found in other studies for CRP [26,27], although another study described rates of 82% in middle‐income countries [28]. These conflicting results can be attributed to differences in the severity of heart disease and cardiac function between study populations, in which 76.2% of our patients presented HF, with low LVEF (33.0% ± 9.3%) and low functional class (NYHA III–IV; 59.5%), representing a very severe disease.…”

Section: Discussioncontrasting

confidence: 64%

Factors related to the discontinuation and mortality rates of a cardiac rehabilitation programme in patients with Chagas disease: a 6‐year experience in a Brazilian tertiary centre

Vieira

Mendes

Mazzoli‐Rocha

et al. 2021

Tropical Med Int Health

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Objectives To describe the clinical and sociodemographic characteristics of participants as well as discontinuation and mortality rates in a cardiac rehabilitation programme (CRP) tailored to Chagas disease (CD). Methods Participants underwent functional capacity, anthropometry and cardiac function evaluations before beginning a CRP. Univariate and multivariate Cox proportional hazards models were performed to investigate the associations between clinical and sociodemographic characteristics at baseline with discontinuation rates and deaths. Results Forty‐two patients were enrolled in the CRP (61.9% men, mean age of 58.1 ± 11.8 years). During a median follow‐up period of 10.8 months, 74% discontinued and 14% died while enrolled in CRP. 34% of the patients who discontinued CRP died during follow‐up. White race (HR = 0.09; 95% CI 0.01–1.00), right ventricular systolic dysfunction (HR = 10.54; 95% CI 1.24–89.50) and oxygen pulse (HR = 0.69; 95% CI 0.48–0.99) were independently associated with death while enrolled in CRP. Married status (HR = 0.44; 95% CI 0.21–0.95) was independently associated with discontinuation rates from CRP. VO2 peak (HR = 0.85; 95% CI 0.74–0.98) and CRP discontinuation due to CD‐related reasons (HR = 8.33; 95% CI 1.91–36.27) were the variables independently associated with death after discontinuation of CRP. Conclusion In this population, sociodemographic aspects and severity of CD were important determinants of CRP discontinuation and mortality.

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“…With respect to age, our data differ from a recent study that demonstrated that adherence in elderly patients is lower than in younger patients. 41 Demographic and clinical features, as well as different SEP may explain the discrepancy in these results.…”

Section: Discussionmentioning

confidence: 93%

Pre-Participation Physical Fitness does not Influence Adherence to a Supervised Exercise Program

Nishijuka¹,

Silva²,

Duarte³

et al. 2017

Arquivos Brasileiros De Cardiologia

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BackgroundExercise-based cardiac rehabilitation tends to reduce mortality. However, it requires medium/long-term adherence to regular physical exercise. It is relevant to identify the variables that affect adherence to an supervised exercise program (SEP).ObjectiveTo evaluate the influence of pre-participation levels of aerobic and non-aerobic physical fitness components in medium-term adherence to SEP.MethodsA total of 567 SEP participants (65 ± 12 years) (68% men) were studied. Participants adherent to the program for less than 6 months (48%) (non-adherent - NAD) were compared with 52% of participants who were adherent for 6 months or more (adherents - AD). In the non-aerobic fitness, flexibility (FLX) (Flexitest) and muscle power (MPW)/body weight in standing rowing (watts/kg) were evaluated while aerobic fitness was obtained by direct measure of VO2max/body weight (VO2). These measurements were normatized for sex and age based on percentiles (P) (P-FLX/P-MPW) of reference data or percentages of predicted (P-VO2). Additionally, AD and NAD with extreme results (tertiles) were simultaneously compared for the three variables.ResultsThere was no difference between AD and NAD for non-aerobic results, in median [P25-P75], P-FLX: 30 [13-56] and 31 [9-52], respectively, (p = 0.69) and P-MPW: 34 [17-58] and 36 [16-62], respectively (p = 0.96), and for aerobic results (mean ± standard error) P-VO2 (75.9 ± 1.3% and 75.0 ± 1.3%, respectively) (p = 0.83). When comparing extreme tertiles, a difference was found for P-MPW in the lower tertile only, with a slight advantage of AD over NAD- 9 [5-16] versus 4 [1-11] (p = 0.04).ConclusionAlthough awareness of the pre-participation levels of aerobic and non-aerobic physical fitness components is useful for individualized exercise prescription, these variables do not seem to influence medium-term adherence to SEP.

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Treatment of the Aged Patients at a Large Cardiac Rehabilitation Center in the Southern Brazil and Some Aspects of Their Dropout from the Therapeutic Programs

Cited by 8 publications

References 36 publications

Effect of Cardiac Rehabilitation on Quality of Life, Depression and Anxiety in Asian Patients

Effect of Cardiac Rehabilitation on Quality of Life, Depression and Anxiety in Asian Patients

Factors related to the discontinuation and mortality rates of a cardiac rehabilitation programme in patients with Chagas disease: a 6‐year experience in a Brazilian tertiary centre

Pre-Participation Physical Fitness does not Influence Adherence to a Supervised Exercise Program

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