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Inpatient cardiac rehabilitation

Sherry L Grace, Karam Turk-Adawi, Carolina Santiago de Araújo Pio, David A Alter
Cardiac rehabilitation (CR) is a proven model of secondary prevention. Indicated cardiac conditions for CR are well established, and participation of these patients results in significantly lower mortality and morbidity when compared with usual care. There are approximately 170 CR programs in Canada, which varies widely by province. There is a grossly insufficient capacity to treat all patients with cardiac indications in Canada and beyond. The density of CR services is about half that in the United States, at 1 program per 208,823 inhabitants or 1 program per 7779 patients with cardiac disease...
October 2016: Canadian Journal of Cardiology
Sara Morghen, Alessandro Morandi, Andrew A Guccione, Michela Bozzini, Fabio Guerini, Roberto Gatti, Francesco Del Santo, Simona Gentile, Marco Trabucchi, Giuseppe Bellelli
OBJECTIVES: To evaluate patients' participation during physical therapy sessions as assessed with the Pittsburgh rehabilitation participation scale (PRPS) as a possible predictor of functional gain after rehabilitation training. METHODS: All patients aged 65 years or older consecutively admitted to a Department of Rehabilitation and Aged Care (DRAC) were evaluated on admission regarding their health, nutritional, functional and cognitive status. Functional status was assessed with the functional independence measure (FIM) on admission and at discharge...
September 2, 2016: Aging Clinical and Experimental Research
Joann H Rion, Donald D Kautz
Hospital immobilization after a cardiac event can cause complications. The pathophysiology of complications, research concerning benefits of early ambulation, and recommendations from the American College of Sports Medicine are discussed.
May 2016: Medsurg Nursing: Official Journal of the Academy of Medical-Surgical Nurses
Claudio Marcassa, Andrea Giordano, Pantaleo Giannuzzi
BACKGROUND: The effect of an early comprehensive rehabilitation programme on the evolution of disability after cardiac surgery and the long-term effect of the residual functional status has not yet been investigated. AIM: To analyse the recovery from disability after cardiac surgery and to assess the impact of residual disability on long-term outcomes. METHODS: Data prospectively recorded from 5261 patients, consecutively admitted to an inpatient rehabilitation programme after cardiac surgery, were retrospectively analysed...
October 2016: European Journal of Preventive Cardiology
Zixin Zhang, Quinn Pack, Ray W Squires, Francisco Lopez-Jimenez, Lujiao Yu, Randal J Thomas
OBJECTIVE: Cardiac rehabilitation (CR) improves patient outcomes in cardiovascular disease (CVD), but little is known about its current practice in China. Since China has a high CVD burden, the potential impact of CR is large. We surveyed large hospitals in China to assess the prevalence and characteristics of CR. METHODS: We carried out a cross-sectional survey of 454 large medical centres in China to ascertain the prevalence of CR, perceived barriers to CR and various other characteristics of centres with and without CR programmes...
2016: Heart Asia
Mojsije Andjic, Dejan Spiroski, Olivera Ilic Stojanovic, Tijana Vidakovic, Milica Lazovic, Dragan Babic, Arsen Ristic, Sanja Mazic, Marija Zdravkovic, Petar Otasevic
BACKGROUND: Exercise-based rehabilitation is an important part of treatment patients following acute myocardial infarction (MI). However, data are scarce on the efffects of short-term exercise programs in patients with acute MI treated with primary percutaneous coronary intervention (PPCI). AIM: To evaluate the effect of short-term exercise training on cardiopulmonary exercise testing (CPET) parameters in patients suffering acute MI treated with PPCI. STUDY DESIGN: Observational longitudinal study...
June 2016: European Journal of Physical and Rehabilitation Medicine
Gardner Yost, Laura Coyle, Kristen Milkevitch, Roy Adair, Antone Tatooles, Geetha Bhat
BACKGROUND: Left ventricular assist devices (LVADs) have become an increasingly popular and effective means for treating advanced heart failure. LVAD implantation requires extensive surgery and postoperative rehabilitation. The functional independence measure (FIM) has been used to quantify functional gains in numerous patient populations including those with stroke and spinal cord injury. This study investigated functional improvements in patients undergoing left ventricular assist device implantation using the FIM score...
June 3, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Thomas R E Barnes, Verity C Leeson, Carol Paton, Céire Costelloe, Judit Simon, Noemi Kiss, David Osborn, Helen Killaspy, Tom K J Craig, Shôn Lewis, Patrick Keown, Shajahan Ismail, Mike Crawford, David Baldwin, Glyn Lewis, John Geddes, Manoj Kumar, Rudresh Pathak, Simon Taylor
BACKGROUND: Negative symptoms of schizophrenia represent deficiencies in emotional responsiveness, motivation, socialisation, speech and movement. When persistent, they are held to account for much of the poor functional outcomes associated with schizophrenia. There are currently no approved pharmacological treatments. While the available evidence suggests that a combination of antipsychotic and antidepressant medication may be effective in treating negative symptoms, it is too limited to allow any firm conclusions...
April 2016: Health Technology Assessment: HTA
Paul S Chan, Bryan McNally, Brahmajee K Nallamothu, Fengming Tang, Bradley G Hammill, John A Spertus, Lesley H Curtis
BACKGROUND: Most studies on out-of-hospital cardiac arrest have focused on immediate survival. However, little is known about long-term outcomes and resource use among survivors. METHODS AND RESULTS: Within the national CARES registry, we identified 16 206 adults 65 years or older with an out-of-hospital cardiac arrest between 2005 and 2010. Among 1127 patients who were discharged alive, we evaluated whether 1-year mortality, cumulative readmission incidence, and follow-up inpatient costs differed according to patients' race, sex, initial cardiac arrest rhythm, bystander delivery of cardiopulmonary resuscitation, discharge neurological status, and functional status (hospital discharge disposition)...
March 2016: Journal of the American Heart Association
Raffaele Griffo, Roberto Tramarin, Maurizio Volterrani, Marco Ambrosetti, Francesco Caiazza, Claudio Chimini, Giuseppe Favretto, Oreste Febo, Michele Gabriele, Enrico Pusineri, Cesare Greco, Cesare Proto
BACKGROUND: The Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology (GICR-IACPR) and the Italian Society of Cardiologists of Accredited Hospitals (SICOA) developed the ISYDE.13 survey with the purpose to take a detailed snapshot of number, distribution, facilities, staffing levels, organization, and program details of cardiac rehabilitation (CR) units in Italy. METHODS: The study was carried out using a web-based questionnaire running on the GICR-IACPR website for 4 weeks from September 2 to 29, 2013...
March 2016: Giornale Italiano di Cardiologia
Sobia F Ali-Faisal, Lisa Benz Scott, Lauren Johnston, Sherry L Grace
OBJECTIVES: To describe (1) cardiac rehabilitation (CR) referral across cardiac units in a tertiary centre with eReferral; (2) characteristics associated with CR referral and enrolment and (3) the effects of peer navigation (PN) on referral and enrolment. This pilot was a 2 parallel-arm, randomised, single-blind trial with allocation concealment. SETTING: 3 cardiac units (ie, interventional, general cardiology, and cardiac surgery) in 1 of 2 hospitals of a tertiary centre...
2016: BMJ Open
Sebastian Weeger, Erik Farin
Purpose The patient-physician relationship has effects on adherence and health outcomes in chronic diseases. This prospective study investigates the effect of the patient-physician relationship on patients' health-related quality of life (HRQOL) in the context of cardiac rehabilitation. Methods Three hundred and thirty-eight German patients filled out questionnaires at the start and end of rehabilitation and at 6 months follow-up. Patient-physician relationship variables surveyed were patient involvement (perceived involvement in care scales), trust in the physician, patient satisfaction (PHYSAT) and physician's communicative behaviour (KOVA)...
March 4, 2016: Disability and Rehabilitation
Karin Meng, Gunda Musekamp, Michael Schuler, Bettina Seekatz, Johannes Glatz, Gabriele Karger, Ulrich Kiwus, Ernst Knoglinger, Rainer Schubmann, Ronja Westphal, Hermann Faller
OBJECTIVE: To evaluate a patient-centred self-management educational group program for patients with chronic systolic heart failure as compared to usual care education during inpatient cardiac rehabilitation. METHODS: A multicentre cluster randomized controlled trial of 475 patients was conducted. In the intervention condition, patients received the new self-management educational group program whereas in the control condition, patients received a short lecture-based educational program (usual care)...
July 2016: Patient Education and Counseling
R Marx, H Philips, D Bassenge, M Nosper, B Röhrig, S Linck-Eleftheriadis, G Strandt, A Salzwedel, F Pabst
INTRODUCTION: There are hardly any publications about the outcome of cardiac rehabilitation considering patients with an increased need for medical, nursing and therapeutic care. The aim of this study, which consecutively included n=387 statutory health insurance inpatients over a period of 2 years, was to find out differences in outcome in self-care patients (Barthel index>70) as compared to patients with a need for complex care (Barthel index≤70). METHODS: Rehabilitation outcomes concerning physical capacity, emotional status and activities of daily living as measured by Barthel index, FIM index, HADS, clinical complications, exercise test, duration of rehabilitation and form of dismission were analyzed and compared between both groups...
February 2016: Die Rehabilitation
Saurabh Gupta, Elizabeth Larsen, Ankur Garg, Florence John, Mukesh Bansal, Peter M Eckman, Roderick Sembrano
BACKGROUND: Heart transplantation (HT) is the treatment of choice for many patients with end-stage heart failure who remain symptomatic despite optimal medical therapy, but no study has looked directly into functional improvement of HT patients after an inpatient rehabilitation program. OBJECTIVE: To determine functional improvement in HT patients who completed an inpatient rehabilitation program. DESIGN: Retrospective study. SETTING: An inpatient rehabilitation facility (IRF) associated with a tertiary care hospital...
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Wen-Chih Lin, Chung-Han Ho, Li-Chen Tung, Chi-Che Ho, Willy Chou, Chun-Hou Wang
Although numerous studies have investigated gender-related differences in patients who have had an acute myocardial infarction (AMI), few studies have examined the gender-related differences among inpatients receiving Phase I inpatient cardiac rehabilitation following AMI.Using data from the Taiwan National Health Insurance Research Database, this study analyzed 6713 adult patients who received inpatient cardiac rehabilitation following AMI between 2002 and 2011. The differences in comorbidity, medical service use, and prognosis between the male and female patients were analyzed to determine whether the comorbidities affecting their prognoses differed...
January 2016: Medicine (Baltimore)
Areti Pavlidou
Providing good quality psychiatric services to patients who attend general hospital has been an area that has attracted a lot of interest.(1)(2) We know that more than one quarter of general hospital patients have a mental disorder, mental ill health impedes recovery from physical illness, and mental disorders are often unrecognised in patients with physical illness. By improving the quality of our service we hope that we can achieve better integration with the medical teams and thus tackle the aforementioned problems...
2015: BMJ Quality Improvement Reports
N S Akhmadyar, B E Khairulin, S Amangeldy-Kyzy, M A Ospanov
BACKGROUND: One of the main problems of drug provision of multidisciplinary hospitals is the necessity to improve the efficiency of budget spending. Despite the efforts undertaken in Kazakhstan for improving the mechanism of drug distribution (creation of the Kazakhstan National Formulary, Unified National Health System, the handbook of medicines (drugs) costs in the electronic register of inpatients (ERI), having a single distributor), the number of unresolved issues still remain."National Medical Holding" JSC (NMH) was established in 2008 and unites 6 innovational healthcare facilities with up to 1431 beds (700 children and 731 adults), located in the medical cluster - which are "National Research Center for Maternal and Child Health" JSC (NRCMC), "Republic Children's Rehabilitation Center" JSC (RCRC), "Republican Diagnostic Center" JSC (RDC), "National Centre for Neurosurgery" JSC (NCN), "National Research Center for Oncology and Transplantation" JSC (NRCOT) and "National Research Cardiac Surgery Center" JSC (NRCSC)...
2015: International Journal of Risk & Safety in Medicine
Samuel K Chu, Ashwin N Babu, Zachary McCormick, Amy Mathews, Santiago Toledo, Matthew Oswald
BACKGROUND: The number of total knee arthroplasty (TKA) procedures performed in the United States is increasing each year, and the number of bilateral TKA procedures has also increased during the past 2 decades. However, few studies in the literature have investigated the rehabilitation outcomes of patients who undergo bilateral TKA. This study was performed to provide information on the benefits and role of inpatient rehabilitation for patients after bilateral TKA. OBJECTIVE: To investigate the functional outcomes, complications, and transfer rates of patients in the inpatient rehabilitation setting who undergo simultaneous bilateral TKA...
August 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Andreas Hoffmann
The goals of cardiac rehabilitation are (re-)conditioning and secondary prevention in patients with heart disease or an elevated cardiovascular risk profile. Rehabilitation is based on motivation through education, on adapted physical activity, instruction of relaxation techniques, psychological support and optimized medication. It is performed preferably in groups either in outpatient or inpatient settings. The Swiss working group on cardiac rehabilitation provides a network of institutions with regular quality auditing...
November 25, 2015: Praxis
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