Rehabilitation in Patients With Coronary Heart Disease: Participation and Its Effect on Prognosis

Deutsches Ärzteblatt International
Axel SchlittKarl Werdan

Abstract

In Germany, rehabilitation is considered to be indicated after an acute hospital stay for the treatment of a severe cardiac condition. In comparative studies, at least 51% of German hospital patients with coronary heart disease (CHD) who were entitled to rehabilitative measures actually took part n rehabilitation. We examined data on 1910 patients with CHD who took part in two prospective cohort studies at the University Hospital of Halle (Saale) in the years 2007-2011. We contacted these patients again with a questionnaire to determine which ones had undergone rehabilitation. For patients who died before we could contact them, the attempt was made to obtain the dates and causes of death from the local authorities. The primary endpoint of was overall mortality. The median duration of follow-up was 136 ± 71 weeks. 727 patients (38.1%) had applied for rehabilitation during their acute hospitalization, but only 552 patients (28.9%) actually underwent it. Patients who did not undergo rehabilitation were older than those who did (68.6 ± 10.3 vs. 64.9 ± 10.5 years) and suffered more commonly from diabetes (41.3% vs. 33.7%; p = 0.002), arterial hypertension (89.2% vs. 85.3%; p = 0.017), and peripheral arterial occlusive disease (15.3%...Continue Reading

References

Apr 1, 2011·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·Bernhard SchwaabHeiner Raspe
Feb 23, 2012·Circulation·Gene Kwan, Gary J Balady
Jun 14, 2012·Journal of Clinical Periodontology·Susanne SchulzStefan Reichert
Apr 6, 2013·European Journal of Preventive Cardiology·Bernhard RauchUNKNOWN OMEGA study group
May 25, 2013·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·C HeidemannC Scheidt-Nave
Dec 3, 2014·Progress in Cardiovascular Diseases·Stephan GielenDirk J Duncker
Dec 10, 2014·Deutsches Ärzteblatt International·Richard J MelamedMartin Dürsch
Dec 17, 2014·The Cochrane Database of Systematic Reviews·Lindsey Anderson, Rod S Taylor

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Citations

Mar 19, 2016·Deutsches Ärzteblatt International·Axel Schlitt
Mar 19, 2016·Deutsches Ärzteblatt International·Bernd Kowall, Andreas Stang
Mar 19, 2016·Deutsches Ärzteblatt International·Alfred Wirth
Nov 29, 2016·Deutsches Ärzteblatt International·Claudia GreißingThilo Bertsche

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