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首页> 外文期刊>European journal of cardiovascular prevention and rehabilitation: official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology >Can a heart failure-specific cardiac rehabilitation program decrease hospitalizations and improve outcomes in high-risk patients?
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Can a heart failure-specific cardiac rehabilitation program decrease hospitalizations and improve outcomes in high-risk patients?

机译：特定于心力衰竭的心脏康复计划是否可以减少高危患者的住院率并改善结局？

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BACKGROUND: Heart failure is a common and costly condition, particularly in the elderly. A range of models of interventions have shown the capacity to decrease hospitalizations and improve health-related outcomes. Potentially, cardiac rehabilitation models can also improve outcomes. AIM: To assess the impact of a nurse-coordinated multidisciplinary, cardiac rehabilitation program to decrease hospitalizations, increase functional capacity, and meet the needs of patients with heart failure. METHOD: In a randomized control trial, a total of 105 patients were recruited to the study. Patients in the intervention group received an individualized, multidisciplinary 12-week cardiac rehabilitation program, including an individualized exercise component tailored to functional ability and social circumstances. The control group received an information session provided by the cardiac rehabilitation coordinator and then follow-up care by either their cardiologist or general practitioner. This trial was stopped prematurely after the release of state-based guidelines and funding for heart failure programs. RESULTS: During the study period, patients in the intervention group were less likely to have been admitted to hospital for any cause (44 vs. 69%, P = 0.01) or after a major acute coronary event (24 vs. 55%, P = 0.001). Participants in the intervention group were more likely to be alive at 12 months, (93 vs. 79%; P = 0.03) (odds ratio = 3.85; 95% confidence interval=1.03-14.42; P = 0.0042). Quality of life scores improved at 3 months compared with baseline (intervention t = o/-4.37, P<0.0001; control t = /-3.52, P<0.01). Improvement was also seen in 6-min walk times at 3 months compared with baseline in the intervention group (t = 3.40; P = 0.01). CONCLUSION: This study shows that a multidisciplinary heart failure cardiac rehabilitation program, including an individualized exercise component, coordinated by a specialist heart failure nurse can substantially reduce both all-cause and cardiovascular readmission rates, improve functional status at 3 months and exercise tolerance.
机译：背景：心力衰竭是一种常见且代价高昂的疾病，尤其是在老年人中。一系列干预模型显示了减少住院和改善健康相关结果的能力。潜在地，心脏康复模型也可以改善预后。目的：评估护士协调的多学科心脏康复计划对减少住院率，增加功能能力并满足心力衰竭患者需求的影响。方法：在一项随机对照试验中，共招募了105名患者。干预组的患者接受了为期12周的个性化，多学科的心脏康复计划，其中包括针对功能能力和社交环境量身定制的个性化运动成分。对照组接受了心脏康复协调员提供的情况介绍，然后由其心脏病专家或全科医生进行了后续护理。在发布基于州的指南和心力衰竭计划的资金后，该试验被提前终止。结果：在研究期间，干预组患者因任何原因（44 vs. 69％，P = 0.01）或重大急性冠脉事件（24 vs. 55％，P）入院的可能性均较小。 = 0.001）。干预组的参与者更有可能活到12个月（93比79％; P = 0.03）（优势比= 3.85; 95％置信区间= 1.03-14.42; P = 0.0042）。与基线相比，在3个月时生活质量得分有所改善（干预t = o / -4.37，P <0.0001;对照组t = /-3.52，P <0.01）。与干预组的基线相比，在3个月时步行6分钟的时间也有所改善（t = 3.40; P = 0.01）。结论：这项研究表明，由专业的心力衰竭护士协调的多学科心力衰竭心脏康复计划，包括个性化的运动成分，可以显着降低全因和心血管再入院率，改善3个月时的功能状态和运动耐量。

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