Short-term impact of a 4-week intensive cardiac rehabilitation program on quality of life and anxiety-depression

Freitas, Patrícia; Haïda, Amal; Bousquet, Marc; Richard, L.; Mauriège, Pascale; Guiraud, Thibaut

doi:10.1016/j.rehab.2011.02.001

Cited by 46 publications

(31 citation statements)

References 44 publications

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“…The present study shows an improvement in depression and anxiety following CR program which is in line with findings of previous studies (21, 31, 32). Enhancement of anxiety and depression have a major impact on medical outcomes in patients with cardiovascular disease by reducing morbidity and mortality as well as improving the quality of life (33).…”

Section: Discussionsupporting

confidence: 93%

“…However, it is noteworthy that many reports indicate that this weight loss is not feasible in short term (15, 16) and even in some cases, particularly for obese and overweight patients, the patients may initially gain some weight (17, 18). Previous studies have reported a maximum of 1% to5% weight loss (19-21) which is consistent with our findings.…”

Section: Discussionsupporting

confidence: 93%

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Changes in Risk Factors and Exercise Capacity After Cardiac Rehabilitation and Its Effect on Hospital Readmission

Najafi¹,

Nalini²,

Nikbakht³

2014

Iran Red Crescent Med J

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Background:Despite the positive outcomes reported with cardiac rehabilitation (CR), its impacts have been reported to be different from a region or country to another, which may be due to the different contents of rehabilitation programs.Objectives:To investigate the effect of CR on cardiovascular risk factors.Patients and Methods:This is a retrospective cohort study on the data from Imam Ali Cardiac Rehabilitation Center in Kermanshah province, Iran from 2001 to 2008. We used paired t-test to evaluate the effect of CR on cardiovascular risk factors. Logistic regression or t-test (unequal variance) were used to assess the factors influencing re-admission (due to cardiac problems). The relationship between different variables and death was studied using univariate cox proportional hazard. P values < 0.05 were considered significant for all analyses.Results:Out of 504 patients who completed rehabilitation, a total of 499 were analyzed. These 499 patients consisted of 383 men and 116 women. All anthropometric measurements, blood lipids (except HDL cholesterol), systolic and diastolic blood pressure, depression, anxiety and exercise capacity improved after rehabilitation (P < 0.05 for all cases). The improvement was observed in both sexes. A total of 39 patients were re-admitted to hospital after rehabilitation. Being female (OR = 2.40; 95%CI: 1.22-4.68) and history of diabetes (OR = 2.04; 95%CI: 1.04-4.02) increased the risk of re-admission significantly. Patients who were readmitted had higher anthropometric measurements at the beginning and the end of the program. Moreover, the initial exercise capacity of readmitted patients was lower than those who were not readmitted. After a maximal follow-up period of 6.3 years (median = 2.99 years), only eight patients expired (survival rate: 97.5%; 95%CI: 94.7-98.8). None of the variables in our study was significantly related to the survival rate.Conclusions:The comprehensive CR program in Imam Ali Center efficiently reduces cardiovascular risk factors and improves exercise capacity.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Changes in Risk Factors and Exercise Capacity After Cardiac Rehabilitation and Its Effect on Hospital Readmission

Najafi¹,

Nalini²,

Nikbakht³

2014

Iran Red Crescent Med J

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“…Khalife-Zadeh et al [17] reported that patient awareness of the principles of rehabilitation and gradual resumption of activities improved both physical and mental health indices. Duarte et al [18] reported regarding the importance of a comprehensive CRP owing to its positive impact on physical health, anxiety, depression, and sleep quality. Aude et al [19] reported that CR helps improve patient perceptions of QOL, which enhances both the mental and physical components of QOL.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life and Physical Ability Changes After Hospital-Based Cardiac Rehabilitation in Patients With Myocardial Infarction

Lee

Kim

et al. 2017

Ann Rehabil Med

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ObjectiveTo evaluate the effect of hospital-based cardiac rehabilitation (CR) on quality of life (QOL) and physical ability in patients with myocardial infarction (MI).MethodsPatients with MI who were referred to the Cardiac Health and Rehabilitation Center 2 weeks after percutaneous coronary intervention were divided into CR and non-CR groups. The CR group performed supervised exercises 3 times a week for 2 months. QOL assessment, using the 36-item Short-Form Health Survey (SF-36) and physical ability evaluation were performed at the beginning and end of CR.ResultsThe CR group demonstrated statistically significant improvements in physical functioning (PF), physical role functioning (RP), bodily pain (BP), general health perceptions (GH), vitality (VT), social role functioning (SF), emotional role functioning (RE), mental health (MH), physical component summary (PCS), and mental component summary (MCS). The non-CR group showed improvement in RP. Secondary outcomes, including resting heart rate (RHR), maximal oxygen consumption (VO2max), metabolic equivalent of task (MET), maximal exercise time (ETmax), stage 3 Borg rating of perceived exertion (3RPE), maximal Borg rating of perceived exertion (RPEmax), and stage 3 rate pressure product (3RPP), improved in the CR group. The non-CR group showed improvements in VO2max, MET, ETmax, and 3RPE. There were significant differences in improvements in PF, RP, BP, VT, SF, MH, MCS, RHR, VO2max, MET, ETmax, 3RPE, and 3RPP between the two groups.ConclusionMale patients with MI demonstrated improvements in QOL and physical ability following hospital-based CR; the impact on the mental component was greater than that on the physical component.

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“…Such linkages also help to promote social engagement, adoption of healthy behaviors and provide support for self-managed care. Along with a resulting reduction in hospitalisation rates [49] and improvements to physical activity, smoking cessation rates, systolic blood pressure, weight loss and total cholesterol [50,51], cardiovascular physiotherapy services also provide a means of enhancing the surveillance of higher risk patients while providing personalized, tailored care that leads to improved psychosocial function.…”

Section: Results: Key Findings By Service Areasmentioning

confidence: 99%

The challenge of obtaining information necessary for multi-criteria decision analysis implementation: the case of physiotherapy services in Canada

Dionne

Mitton

MacDonald

et al. 2013

Cost Eff Resour Alloc

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BackgroundAs fiscal constraints dominate health policy discussions across Canada and globally, priority-setting exercises are becoming more common to guide the difficult choices that must be made. In this context, it becomes highly desirable to have accurate estimates of the value of specific health care interventions.Economic evaluation is a well-accepted method to estimate the value of health care interventions. However, economic evaluation has significant limitations, which have lead to an increase in the use of Multi-Criteria Decision Analysis (MCDA). One key concern with MCDA is the availability of the information necessary for implementation. In the Fall 2011, the Canadian Physiotherapy Association embarked on a project aimed at providing a valuation of physiotherapy services that is both evidence-based and relevant to resource allocation decisions. The framework selected for this project was MCDA. We report on how we addressed the challenge of obtaining some of the information necessary for MCDA implementation.MethodsMCDA criteria were selected and areas of physiotherapy practices were identified. The building up of the necessary information base was a three step process. First, there was a literature review for each practice area, on each criterion. The next step was to conduct interviews with experts in each of the practice areas to critique the results of the literature review and to fill in gaps where there was no or insufficient literature. Finally, the results of the individual interviews were validated by a national committee to ensure consistency across all practice areas and that a national level perspective is applied.ResultsDespite a lack of research evidence on many of the considerations relevant to the estimation of the value of physiotherapy services (the criteria), sufficient information was obtained to facilitate MCDA implementation at the local level.ConclusionsThe results of this research project serve two purposes: 1) a method to obtain information necessary to implement MCDA is described, and 2) the results in terms of information on the benefits provided by each of the twelve areas of physiotherapy practice can be used by decision-makers as a starting point in the implementation of MCDA at the local level.

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Short-term impact of a 4-week intensive cardiac rehabilitation program on quality of life and anxiety-depression

Abstract: Despite a modest weight loss and reduction in waist circumference, a 4-week cardiac rehabilitation program (short-term) seems to be sufficient for improving patients' physical state and mental well-being.

Cited by 46 publications

References 44 publications

Changes in Risk Factors and Exercise Capacity After Cardiac Rehabilitation and Its Effect on Hospital Readmission

Changes in Risk Factors and Exercise Capacity After Cardiac Rehabilitation and Its Effect on Hospital Readmission

Quality of Life and Physical Ability Changes After Hospital-Based Cardiac Rehabilitation in Patients With Myocardial Infarction

The challenge of obtaining information necessary for multi-criteria decision analysis implementation: the case of physiotherapy services in Canada

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