Short-term patient-reported outcomes after different exercise-based cardiac rehabilitation programmes

  • Benzer W
  • Platter M
  • Oldridge N
 et al. 
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Abstract

BACKGROUND: An objective of exercise-based cardiac rehabilitation is improvement in patient-reported outcomes such as health-related quality of life as well as anxiety and depressive symptoms. There are no direct comparisons of the effectiveness of inpatient and outpatient exercise-based cardiac rehabilitation programmes on patient-reported outcomes. METHODS: In this non-randomized study we collected patient-reported outcomes data with the MacNew Heart Disease health-related quality of life questionnaire and the Hospital Anxiety and Depression Scale at baseline, 1 month and again 3 months after admission to exercise-based cardiac rehabilitation in a cohort of 216 consecutive patients enrolled either in a 4-week inpatient exercise-based cardiac rehabilitation (n=62) or a 3-month outpatient exercise-based cardiac rehabilitation (n=87) and in a usual care group (n=67) to document the natural course in patient-reported outcome variables without exercise-based cardiac rehabilitation. RESULTS: Although MacNew health-related quality of life scores improved more with inpatient than outpatient exercise-based cardiac rehabilitation by month 1, the improvement was still significant in both groups at month 3 and also in the usual care group when compared to baseline. The health-related quality of life scores in the inpatient group, however, decreased between month 1 and 3 whereas they continued to improve in the outpatient group. The significant reduction in both anxiety and depressive symptoms in both exercise-based cardiac rehabilitation groups by month 1 was maintained at month 3 only with outpatient exercise-based cardiac rehabilitation. No significant changes over the 3 months were observed in the usual care group. CONCLUSION: Significant improvements of 1-month patient-reported outcomes are achieved in patients attending inpatient as well as outpatient exercise-based cardiac rehabilitation when compared with no exercise-based cardiac rehabilitation. In contrast to inpatient exercise-based cardiac rehabilitation, however, outpatient exercise-based cardiac rehabilitation leads to a further improvement of patient-reported outcomes. These results suggest that, if patients have to be admitted for inpatient exercise-based cardiac rehabilitation, this programme should be followed by an outpatient exercise-based cardiac rehabilitation to further improve and stabilize these patient-reported outcome variables.

Author-supplied keywords

  • Aged
  • Ambulatory Care
  • Anxiety
  • Anxiety: etiology
  • Anxiety: prevention & control
  • Austria
  • Depression
  • Depression: etiology
  • Depression: prevention & control
  • Exercise Therapy
  • Female
  • Follow-Up Studies
  • Heart Diseases
  • Heart Diseases: psychology
  • Heart Diseases: rehabilitation
  • Humans
  • Male
  • Middle Aged
  • Quality of Life
  • Questionnaires
  • Rehabilitation Centers
  • Residential Facilities
  • Socioeconomic Factors
  • Time Factors
  • Treatment Outcome

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Authors

  • Werner Benzer

  • Marion Platter

  • Neil B Oldridge

  • Helmut Schwann

  • Kurt Machreich

  • Werner Kullich

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