Changes in Clinical Characteristics and Outcomes of Patients Admitted to Inpatient Cardiac Rehabilitation
Abstract
:1. Introduction
2. Methods
2.1. Study Design and Data Sources
2.2. Cardiac Rehabilitation Program
2.3. Data Collection and Outcome Assessment
2.4. Data Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Year | Pt. | F | M | Age | Main Diagnosis | Comorbid. | Complic. | CR Sessions | Hospital Stay |
---|---|---|---|---|---|---|---|---|---|
n | n (%) | n (%) | Mean ± SD | Freq. (%) | Median IQR (25;75) | Median IQR (25;75) | Mean ± SD | Mean ± SD | |
2006 | 65 | 22 (34) | 43 (66) | 69.7 ± 10.1 | CABG (54%) | 1 (1;3) | 0 (0;1) | 13.8 ± 2.9 | 16.5 ± 3.3 |
2007 | 94 | 24 (26) | 70 (75) | 68.0 ± 10.1 | CABG (44%) | 2 (1;3) | 0 (0;1) | 14.1 ± 3.3 | 17.0 ± 4.0 |
2008 | 79 | 24 (30) | 55 (70) | 68.6 ± 9.3 | CABG (41%) | 1 (0;3) | 0 (0;1) | 14.8 ± 3.2 | 18.1 ± 4.6 |
2009 | 112 | 38 (34) | 74 (66) | 69.5 ± 10.1 | CABG (47%) | 2 (1;3) | 0 (0;1) | 13.4 ± 3.5 | 16.5 ± 4.4 |
2010 | 83 | 30 (36) | 53 (64) | 70.2 ± 9.7 | CABG (46%) | 2 (1;3) | 1 (0;1) | 13.6 ± 3.6 | 16.5 ± 4.8 |
2011 | 121 | 38 (31) | 83 (69) | 70.0 ± 10.5 | CVS (38%) | 2 (1;4) | 0 (0;1) | 13.3 ± 2.8 | 16.3 ± 3.9 |
2012 | 168 | 67 (40) | 101 (60) | 70.0 ± 9.5 | CVS (41%) | 2 (1;4) | 0 (0;1) | 12.8 ± 2.7 | 15.9 ± 3.7 |
2013 | 193 | 60 (31) | 133 (69) | 70.9 ± 10.2 | CVS (40%) | 2 (1;3) | 0 (0;1) | 12.7 ± 2.1 | 15.4 ± 2.9 |
2014 | 87 | 40 (46) | 47 (54) | 69.8 ± 11.6 | CVS (45%) | 3 (2;4) | 1 (0;1) | 12.9 ± 2.4 | 15.9 ± 2.9 |
2015 | 100 | 33 (33) | 67 (67) | 69.6 ± 9.5 | CABG (41%) | 2 (1;3) | 0 (0;1) | 13.2 ± 3.6 | 16.1 ± 5.3 |
2016 | 104 | 48 (46) | 56 (54) | 70.9 ± 9.3 | CVS (47%) | 2 (1;3) | 0 (0;1) | 12.7 ± 1.6 | 15.3 ± 1.9 |
2017 | 197 | 65 (33) | 132 (67) | 71.4 ± 8.4 | CABG (44%) | 3 (2;4) | 0 (0;1) | 12.9 ± 1.6 | 15.5 ± 2.0 |
2018 | 148 | 44 (30) | 104 (70) | 71.1 ± 9.6 | CABG (43%) | 3 (2;4) | 1 (0;1) | 12.8 ± 1.8 | 15.4 ± 2.7 |
Total | 1551 | 533 (34) | 1018 (66) | 70.2 ± 9.7 | CABG (41%) | 2 (1;4) | 0 (0;1) | 13.2 ± 2.7 | 16.0 ± 3.6 |
Year | ULW | 30STS | 6MWD | Borg D | Borg F | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
T0 | T1 | Δ | T0 | T1 | Δ | T0 | T1 | Δ | T0 | T1 | Δ | T0 | T1 | Δ | |
Mean ± SD | Mean ± SD | Mean ± SD | Median IQR (25;75) | Median IQR (25;75) | |||||||||||
2006 | 11.9 ± 6.9 | 18.5 ± 6.7 | 6.5 ± 4.7 | 6.8 ± 5.9 | 10.3 ± 7.0 | 3.5 ± 3.9 | 239 ± 161 | 354 ± 142 | 115 ± 93 | 6 (5;7) | 2 (2;4) | −3 (−4;−2) | 6 (5;7) | 3 (2;4) | −3 (−4;−2) |
2007 | 13.4 ± 6.2 | 19.9 ± 6.5 | 6.4 ± 5.1 | 7.5 ± 5.2 | 10.9 ± 6.2 | 3.2 ± 3.0 | 242 ± 132 | 336 ± 131 | 94 ± 74 | 5 (4;7) | 2 (1;4) | −3 (−4;−2) | 5 (4;7) | 2 (1;4) | −3 (−4;−2) |
2008 | 14.3 ± 7.0 | 19.8 ± 6.9 | 5.0 ± 4.9 | 7.1 ± 6.1 | 10.8 ± 7.0 | 3.5 ± 3.0 | 235 ± 139 | 342 ± 131 | 107 ± 71 | 6 (5;7) | 2 (1;4) | −3 (−4;−2) | 6 (5;7) | 2 (1;3) | −3 (−5;−2) |
2009 | 14.4 ± 6.7 | 20.5 ± 6.4 | 5.7 ± 5.1 | 8.0 ± 5.4 | 12.2 ± 6.2 | 3.4 ± 3.4 | 231 ± 131 | 342 ± 127 | 110 ± 72 | 6 (4;7) | 2 (2;3) | −3 (−4;−2) | 6 (4;8) | 3 (2;4) | −3 (−4;−2) |
2010 | 19.4 ± 6.6 | 25.2 ± 8.0 | 4.7 ± 6.9 | 9.5 ± 4.6 | 13.9 ± 5.8 | 3.2 ± 3.3 | 243 ± 131 | 356 ± 118 | 114 ± 63 | 5 (3;6) | 2 (1;3) | −2 (−4;−1) | 5 (3;6) | 2 (1;3) | −3 (−4;−2) |
2011 | 19.7 ± 8.2 | 25.3 ± 8.1 | 4.8 ± 6.2 | 9.4 ± 6.1 | 13.3 ± 5.8 | 2.9 ± 3.3 | 263 ± 137 | 359 ± 133 | 96 ± 62 | 4 (3;6) | 2 (2;3) | −2 (−3;−1) | 4 (3;6) | 2 (1;3) | −2 (−3;−1) |
2012 | 18.7 ± 6.4 | 25.0 ± 6.6 | 5.4 ± 5.0 | 8.7 ± 4.5 | 13.1 ± 5.2 | 3.3 ± 3.1 | 237 ± 120 | 346 ± 119 | 109 ± 67 | 5 (3;7) | 2 (1;3) | −2 (−4;−1) | 4 (3;6) | 2 (1;3) | −2 (−4;−1) |
2013 | 19.6 ± 6.1 | 25.2 ± 5.7 | 4.9 ± 4.3 | 9.6 ± 4.5 | 13.4 ± 5.1 | 3.1 ± 2.9 | 259 ± 118 | 357 ± 126 | 99 ± 63 | 4 (3;5) | 2 (1;2) | −2 (−3;−1) | 4 (2;6) | 2 (1;3) | −2 (−3;−1) |
2014 | 20.1 ± 7.7 | 26.9 ± 10.8 | 6.2 ± 8.5 | 8.8 ± 4.9 | 13.4 ± 5.0 | 3.5 ± 3.5 | 241 ± 122 | 356 ± 117 | 115 ± 64 | 5 (3;8) | 2 (1;3) | −3 (−4;−2) | 4 (3;7) | 2 (1;4) | −2 (−4;−1) |
2015 | 17.7 ± 6.4 | 24.9 ± 7.6 | 6.7 ± 5.7 | 9.5 ± 4.8 | 13.6 ± 5.2 | 3.4 ± 3.2 | 271 ± 118 | 389 ± 124 | 118 ± 77 | 4 (3;7) | 2 (1;3) | −2 (−4;−1) | 4 (2;7) | 2 (0;3) | −2 (−4;−1) |
2016 | 18.3 ± 6.8 | 24.9 ± 7.2 | 6.0 ± 6.2 | 8.6 ± 5.3 | 12.9 ± 6.2 | 3.6 ± 4.3 | 270 ± 119 | 379 ± 122 | 110 ± 70 | 4 (3;5) | 2 (1;3) | −2 (−3;−1) | 4 (3;5) | 2 (1;2) | −2 (−3;−1) |
2017 | 19.3 ± 6.7 | 25.4 ± 7.1 | 5.6 ± 5.2 | 8.3 ± 5.2 | 12.5 ± 5.0 | 3.6 ± 3.1 | 271 ± 108 | 378 ± 110 | 107 ± 61 | 5 (3;6) | 2 (1;3) | −3 (−4;−1) | 4 (2;6) | 2 (1;3) | −2 (−4; 0) |
2018 | 17.9 ± 6.2 | 23.4 ± 6.2 | 5.5 ± 5.0 | 8.4 ± 4.5 | 12.0 ± 4.2 | 3.5 ± 2.4 | 267 ± 105 | 376 ± 122 | 109 ± 61 | 4 (3;6) | 2 (1;3) | −3 (−4;−1) | 4 (2;6) | 2 (1;3) | −2 (−4;−1) |
Total | 17.7 ± 7.1 | 23.8 ± 7.5 | 5.6 ± 4.9 | 8.6 ± 5.2 | 12.6 ± 5.6 | 3.4 ± 4.2 | 254 ± 124 | 361 ± 124 | 107 ± 68 | 5 (3;7) | 2 (1;3) | −3 (−4;−1) | 5 (3;7) | 2 (1;3) | −2 (−4;−1) |
Year | ΔULW | Δ30STS | Δ6MWD | ΔBorg D | ΔBorg F | |||||
---|---|---|---|---|---|---|---|---|---|---|
n | % | n | % | n | % | n | % | n | % | |
2006 | 42 | 64.6 | 37 | 56.9 | 58 | 89.2 | 58 | 89.2 | 56 | 86.2 |
2007 | 54 | 57.4 | 47 | 50.0 | 80 | 85.1 | 85 | 90.4 | 85 | 90.4 |
2008 | 42 | 53.2 | 45 | 57.0 | 68 | 86.1 | 70 | 88.6 | 74 | 93.7 |
2009 | 60 | 53.6 | 65 | 58.0 | 103 | 92.0 | 100 | 89.3 | 101 | 90.2 |
2010 | 36 | 43.4 | 42 | 50.6 | 80 | 96.4 | 72 | 86.7 | 75 | 90.4 |
2011 | 52 | 43.0 | 55 | 45.5 | 106 | 87.6 | 94 | 77.7 | 101 | 83.5 |
2012 | 88 | 52.4 | 92 | 54.8 | 152 | 90.5 | 145 | 86.3 | 143 | 85.1 |
2013 | 90 | 46.6 | 112 | 58.0 | 171 | 88.6 | 159 | 82.4 | 160 | 82.9 |
2014 | 45 | 51.7 | 48 | 55.2 | 80 | 92.0 | 75 | 86.2 | 65 | 74.7 |
2015 | 58 | 58.0 | 56 | 56.0 | 94 | 94.0 | 87 | 87.0 | 77 | 77.0 |
2016 | 55 | 52.9 | 62 | 59.6 | 95 | 91.3 | 83 | 79.8 | 81 | 77.9 |
2017 | 104 | 52.8 | 121 | 61.4 | 186 | 94.4 | 162 | 82.2 | 135 | 68.5 |
2018 | 73 | 49.3 | 84 | 56.8 | 140 | 94.6 | 123 | 83.1 | 115 | 77.7 |
Total | 799 | 51.5 | 866 | 55.8 | 1413 | 91.1 | 1313 | 84.7 | 1268 | 81.8 |
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Costi, S.; Tonelli, R.; Brogneri, A.; Florini, F.; Tilocca, N.; Vicentini, M.; Baroncini, S.; Cerulli, M.; Clini, E. Changes in Clinical Characteristics and Outcomes of Patients Admitted to Inpatient Cardiac Rehabilitation. Int. J. Environ. Res. Public Health 2021, 18, 8871. https://doi.org/10.3390/ijerph18168871
Costi S, Tonelli R, Brogneri A, Florini F, Tilocca N, Vicentini M, Baroncini S, Cerulli M, Clini E. Changes in Clinical Characteristics and Outcomes of Patients Admitted to Inpatient Cardiac Rehabilitation. International Journal of Environmental Research and Public Health. 2021; 18(16):8871. https://doi.org/10.3390/ijerph18168871
Chicago/Turabian StyleCosti, Stefania, Roberto Tonelli, Antonio Brogneri, Fabio Florini, Nicolò Tilocca, Massimo Vicentini, Serena Baroncini, Massimo Cerulli, and Enrico Clini. 2021. "Changes in Clinical Characteristics and Outcomes of Patients Admitted to Inpatient Cardiac Rehabilitation" International Journal of Environmental Research and Public Health 18, no. 16: 8871. https://doi.org/10.3390/ijerph18168871