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Exercise-Based Cardiac Rehabilitation in Twelve European Countries Results of the European Cardiac Rehabilitation Registry

2017Journal article Open access
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dc.contributor.authorBenzer, W
dc.contributor.authorRauch, B
dc.contributor.authorSchmid, JP
dc.contributor.authorZwisler, A
dc.contributor.authorDendale, P
dc.contributor.authorDavos, C
dc.contributor.authorKoudi, E
dc.contributor.authorSimon, A
dc.contributor.authorAbreu, A
dc.contributor.authorPogosova, N
dc.contributor.authorGaita, D
dc.contributor.authorMiletic, B
dc.contributor.authorBönner, G
dc.contributor.authorOuarrak, T
dc.contributor.authorMcGee, H
dc.date.accessioned2016-12-05T16:03:29Z
dc.date.available2016-12-05T16:03:29Z
dc.date.issued2017
dc.description.abstractAIM: Results from EuroCaReD study should serve as a benchmark to improve guideline adherence and treatment quality of cardiac rehabilitation (CR) in Europe. METHODS AND RESULTS: Data from 2.054 CR patients in 12 European countries were derived from 69 centres. 76% were male. Indication for CR differed between countries being predominantly ACS in Switzerland (79%), Portugal (62%) and Germany (61%), elective PCI in Greece (37%), Austria (36%) and Spain (32%), and CABG in Croatia and Russia (36%). A minority of patients presented with chronic heart failure (4%). At CR start, most patients already were under medication according to current guidelines for the treatment of CV risk factors. A wide range of CR programme designs was found (duration 3 to 24weeks; total number of sessions 30 to 196). Patient programme adherence after admission was high (85%). With reservations that eCRF follow-up data exchange remained incomplete, patient CV risk profiles experienced only small improvements. CR success as defined by an increase of exercise capacity >25W was significantly higher in young patients and those who were employed. Results differed by countries. After CR only 9% of patients were admitted to a structured post-CR programme. CONCLUSIONS: Clinical characteristics of CR patients, indications and programmes in Europe are different. Guideline adherence is poor. Thus, patient selection and CR programme designs should become more evidence-based. Routine eCRF documentation of CR results throughout European countries was not sufficient in its first application because of incomplete data exchange. Therefore better adherence of CR centres to minimal routine clinical standards is requested.pt_PT
dc.identifier.citationInt J Cardiol. 2016 Nov 11;228:58-67pt_PT
dc.identifier.doi10.1016/j.ijcard.2016.11.059pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2588
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.subjectHSM CARpt_PT
dc.subjectCardiac Rehabilitation/methodspt_PT
dc.subjectCardiac Rehabilitation/statistics & numerical datapt_PT
dc.subjectEurope/epidemiologypt_PT
dc.subjectExercise Therapy/methodspt_PT
dc.subjectGuideline Adherencept_PT
dc.subjectHealth Planning Guidelinespt_PT
dc.subjectHeart Diseases/epidemiologypt_PT
dc.subjectHeart Diseases/rehabilitation
dc.subjectPatient Selection
dc.subjectPreventive Health Services/methods
dc.subjectPreventive Health Services/organization & administration
dc.subjectQuality Assurance, Health Care
dc.subjectRegistries/statistics & numerical data
dc.subjectRisk Factors
dc.titleExercise-Based Cardiac Rehabilitation in Twelve European Countries Results of the European Cardiac Rehabilitation Registrypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage67pt_PT
oaire.citation.startPage58pt_PT
oaire.citation.titleInternational Journal of Cardiologypt_PT
oaire.citation.volume228pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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