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首页> 外文期刊>European journal of preventive cardiology >Efficacy of extended, comprehensive outpatient cardiac rehabilitation on cardiovascular risk factors: A nationwide registry
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Efficacy of extended, comprehensive outpatient cardiac rehabilitation on cardiovascular risk factors: A nationwide registry

机译：延长，全面的门诊心脏康复对心血管危险因素的疗效：全国注册机构

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Aim Cardiac rehabilitation (CR) is a key component of the treatment of cardiac diseases. The Austrian outpatient CR model is unique, as it provides patients with an extended professionally supervised, multidisciplinary program of 4-6 weeks of phase II (OUT-II) and 6-12 months of phase III (OUT-III) CR. The aim of this analysis was to assess the efficacy of the Austrian outpatient CR model using a nationwide registry. Methods Data of all consecutive patients (N = 7560) who completed OUT-II and/or OUT-III between 1 January 2005 and 31 December 2015 were entered prospectively into a registry. OUT-III patients were analyzed separately according to whether the preceding phase II was performed as outpatient (OUT-II/OUT-III, N = 2403) or in-patient (IN-II/OUT-III, N = 2789). All patients underwent assessment of anthropometry, resting blood pressure, lipid profile, fasting blood glucose, exercise capacity, quality of life, anxiety and depression.Results During OUT-II, patients significantly improved their metabolic risk factor profile and increased exercise capacity by 14.3%. OUT-II/OUT-III patients achieved an additional increase in exercise capacity by 10%, further improvement in high-density lipoprotein (HDL) and stabilization of the remaining risk factors. IN-II/OUT-III patients increased their maximal exercise capacity by 18.4% and there was improvement in blood pressure, HDL, low-density lipoprotein and glucose levels. Conclusion Extended, professionally supervised, multidisciplinary outpatient CR in a large nationwide registry of consecutive patients consistently improved maximal exercise capacity and relevant modifiable cardiovascular risk factors beyond effects seen after IN- or OUT-II alone.
机译：AIM心脏康复（CR）是治疗心脏病的关键组成部分。奥地利门诊CR模型是独一无二的，因为它为患者提供了延长的专业监督，多学科计划的4-6周（Out-II）和6-12个月的第III期（OUT-III）CR。该分析的目的是评估奥地利门诊CR模型使用全国范围的注册管理机构的功效。方法预先在2005年1月1日至2015年12月31日期间完成OUT-II和/或OUT-III的所有连续患者（n = 7560）的数据。单独分析III患者，根据前一阶段II是外部的（OUT-II / OUT-III，N = 2403）或内患者（II-II / OUT-III，N = 2789）分别进行分析。所有患者均接受了人类测量术评估，休息血压，脂质剖面，血液血糖，运动能力，生命质量，焦虑和抑郁。患者在外诊期间，患者显着提高了它们的代谢风险因素概况，并增加了锻炼能力14.3％ 。 OUT-II / OUT-III患者的运动能力额外增加10％，进一步改善高密度脂蛋白（HDL）和剩余危险因素的稳定性。 II II / OUT-III患者将其最大运动能力提高18.4％，血压，HDL，低密度脂蛋白和葡萄糖水平有所改善。结论延长，专业监督，多学科门诊CR在一个大型全国范围内，连续患者的一个大型患者始终如一地提高了最大的运动能力和相关的可修改的心血管风险因素，而不是单独的II-OUT-II后看到的影响。

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