OcrV1, Main, Exploration, bibRecord, 000D08

Outpatient Rehabilitation in Patients With Coronary Artery and Peripheral Arterial Occlusive Disease

Identifieur interne : 000D08 ( Main/Exploration ); précédent : 000D07; suivant : 000D09

Outpatient Rehabilitation in Patients With Coronary Artery and Peripheral Arterial Occlusive Disease

Auteurs : Raban V. Jeger [Suisse] ; Peter Rickenbacher [Suisse] ; Matthias E. Pfisterer [Suisse] ; Andreas Hoffmann [Suisse]

Source :

Archives of physical medicine and rehabilitation [ 0003-9993 ] ; 2008.

RBID : Pascal:08-0215844

Descripteurs français

Pascal (Inist)
- Artériopathie oblitérante, Pathologie de l'appareil circulatoire, Ambulatoire, Rééducation, Homme, Artère coronaire, Pronostic, Etude cohorte, Soin, Hôpital, Suisse, Marches, Charge travail, Bicyclette, Contrainte, Stress, Qualité de vie, Complication, Risque cardiovasculaire, Facteur risque, Coeur, Dérivation, Traitement.
Wicri :
- geographic : Suisse.
- topic : Homme.

English descriptors

KwdEn :
- Ambulatory, Bicycle, Bypass, Cardiovascular disease, Cardiovascular risk, Care, Cohort study, Complication, Constraint, Coronary artery, Heart, Hospital, Human, Marches, Occlusive arterial disease, Prognosis, Quality of life, Reeducation, Risk factor, Stress, Switzerland, Treatment, Workload.

Abstract

Objective: To assess participation rates and outcome in outpatient cardiac rehabilitation (OCR) of patients with peripheral arterial occlusive disease (PAOD). Design: Prospective cohort study. Setting: Referral center, ambulatory care. Participants: All patients undergoing OCR at 2 university hospitals in Switzerland from March 1999 to August 2005. Intervention: OCR during 3 months. Main Outcome Measures: Primary endpoints were workload during bicycle stress test and quality of life (QOL), both at the end of OCR. Secondary endpoints were complications during OCR and termination of OCR. Results: Of 1508 patients, 99 (7%) had PAOD (27 with Fontaine stage I, 69 with stage II, 3 with stage III). Patients with PAOD were older, had more cardiovascular risk factors, and were more likely to have undergone cardiac bypass grafting than those without PAOD. PAOD patients at OCR entry achieved a lower exercise workload than non-PAOD patients (PAOD patients, 105±31W and 69%±17% of target vs non-PAOD patients, 125±38W and 79%±19%; P<.001) but both groups achieved similar gains in exercise capacity at the end of OCR (PAOD patients, 126±44W and 82%±25% vs non-PAOD patients, 153±48W and 98%±24%; P<.001). For both groups, QOL was similar at baseline and follow-up, and improved equally in most dimensions. OCR was discontinued more often in patients with PAOD than in those without (18% vs 10%, P=.018). Cardiac and noncardiac complication rates were similar. Conclusions: Patients with PAOD undergoing OCR have a similar benefit but higher dropout rates than other patients. Thus, PAOD patients should be encouraged to participate in OCR, possibly by creating specifically tailored concepts.

Affiliations:

Suisse

Links toward previous steps (curation, corpus...)

to stream PascalFrancis, to step Corpus: 000285
to stream PascalFrancis, to step Curation: 000499
to stream PascalFrancis, to step Checkpoint: 000230
to stream Main, to step Merge: 000D20
to stream Main, to step Curation: 000D08

Le document en format XML

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<term>Cardiovascular disease</term>
<term>Cardiovascular risk</term>
<term>Care</term>
<term>Cohort study</term>
<term>Complication</term>
<term>Constraint</term>
<term>Coronary artery</term>
<term>Heart</term>
<term>Hospital</term>
<term>Human</term>
<term>Marches</term>
<term>Occlusive arterial disease</term>
<term>Prognosis</term>
<term>Quality of life</term>
<term>Reeducation</term>
<term>Risk factor</term>
<term>Stress</term>
<term>Switzerland</term>
<term>Treatment</term>
<term>Workload</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Artériopathie oblitérante</term>
<term>Pathologie de l'appareil circulatoire</term>
<term>Ambulatoire</term>
<term>Rééducation</term>
<term>Homme</term>
<term>Artère coronaire</term>
<term>Pronostic</term>
<term>Etude cohorte</term>
<term>Soin</term>
<term>Hôpital</term>
<term>Suisse</term>
<term>Marches</term>
<term>Charge travail</term>
<term>Bicyclette</term>
<term>Contrainte</term>
<term>Stress</term>
<term>Qualité de vie</term>
<term>Complication</term>
<term>Risque cardiovasculaire</term>
<term>Facteur risque</term>
<term>Coeur</term>
<term>Dérivation</term>
<term>Traitement</term>
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<front><div type="abstract" xml:lang="en">Objective: To assess participation rates and outcome in outpatient cardiac rehabilitation (OCR) of patients with peripheral arterial occlusive disease (PAOD). Design: Prospective cohort study. Setting: Referral center, ambulatory care. Participants: All patients undergoing OCR at 2 university hospitals in Switzerland from March 1999 to August 2005. Intervention: OCR during 3 months. Main Outcome Measures: Primary endpoints were workload during bicycle stress test and quality of life (QOL), both at the end of OCR. Secondary endpoints were complications during OCR and termination of OCR. Results: Of 1508 patients, 99 (7%) had PAOD (27 with Fontaine stage I, 69 with stage II, 3 with stage III). Patients with PAOD were older, had more cardiovascular risk factors, and were more likely to have undergone cardiac bypass grafting than those without PAOD. PAOD patients at OCR entry achieved a lower exercise workload than non-PAOD patients (PAOD patients, 105±31W and 69%±17% of target vs non-PAOD patients, 125±38W and 79%±19%; P<.001) but both groups achieved similar gains in exercise capacity at the end of OCR (PAOD patients, 126±44W and 82%±25% vs non-PAOD patients, 153±48W and 98%±24%; P<.001). For both groups, QOL was similar at baseline and follow-up, and improved equally in most dimensions. OCR was discontinued more often in patients with PAOD than in those without (18% vs 10%, P=.018). Cardiac and noncardiac complication rates were similar. Conclusions: Patients with PAOD undergoing OCR have a similar benefit but higher dropout rates than other patients. Thus, PAOD patients should be encouraged to participate in OCR, possibly by creating specifically tailored concepts.</div>
</front>
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<tree><country name="Suisse"><noRegion><name sortKey="Jeger, Raban V" sort="Jeger, Raban V" uniqKey="Jeger R" first="Raban V." last="Jeger">Raban V. Jeger</name>
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<name sortKey="Hoffmann, Andreas" sort="Hoffmann, Andreas" uniqKey="Hoffmann A" first="Andreas" last="Hoffmann">Andreas Hoffmann</name>
<name sortKey="Pfisterer, Matthias E" sort="Pfisterer, Matthias E" uniqKey="Pfisterer M" first="Matthias E." last="Pfisterer">Matthias E. Pfisterer</name>
<name sortKey="Rickenbacher, Peter" sort="Rickenbacher, Peter" uniqKey="Rickenbacher P" first="Peter" last="Rickenbacher">Peter Rickenbacher</name>
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Outpatient Rehabilitation in Patients With Coronary Artery and Peripheral Arterial Occlusive Disease

Outpatient Rehabilitation in Patients With Coronary Artery and Peripheral Arterial Occlusive Disease

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri