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Titolo:
Cardiac rehabilitation after coronary artery bypass surgery: 10-year results on mortality, morbidity and readmissions to hospital
Autore:
Hedback, B; Perk, J; Hornblad, M; Ohlsson, U;
Indirizzi:
Linkoping Univ Hosp, Ctr Heart, Dept Cardiol, S-58185 Linkoping, Sweden Linkoping Univ Hosp Linkoping Sweden S-58185 , S-58185 Linkoping, Sweden Oskarshamn Hosp, Dept Internal Med & Rehabil, Oskarshamn, Sweden Oskarshamn Hosp Oskarshamn Sweden nal Med & Rehabil, Oskarshamn, Sweden
Titolo Testata:
JOURNAL OF CARDIOVASCULAR RISK
fascicolo: 3, volume: 8, anno: 2001,
pagine: 153 - 158
SICI:
1350-6277(200106)8:3<153:CRACAB>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
MYOCARDIAL-INFARCTION; RISK-INTERVENTION; RANDOMIZED TRIALS; FOLLOW-UP; DISEASE; EXERCISE; REDUCTION; SURVIVAL;
Keywords:
cardiac rehabilitation; coronary artery disease; coronary artery bypass surgery; secondary prevention; risk factors;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Hedback, B Linkoping Univ Hosp, Ctr Heart, Dept Cardiol, S-58185 Linkoping, Sweden Linkoping Univ Hosp Linkoping Sweden S-58185 inkoping, Sweden
Citazione:
B. Hedback et al., "Cardiac rehabilitation after coronary artery bypass surgery: 10-year results on mortality, morbidity and readmissions to hospital", J CARD RISK, 8(3), 2001, pp. 153-158

Abstract

Aim To evaluate the long-term secondary preventive effect of a comprehensive rehabilitation programme after coronary artery bypass grafting (CABG). Methods The study group included 49 consecutive patients who underwent bypass surgery and were then offered a rehabilitation programme consisting of education in risk-factor control, a physical training programme and regularfollow-up at a post-CABG clinic. The control group (n = 98), consisting of two well-matched CABG patients for each study patient, was offered the usual care with no access to a cardiac rehabilitation programme. The two groups were followed for 10 years and the results regarding cardiovascular mortality, morbidity, total cardiac events and readmissions to hospital were compared. Results The total mortality (study group 8.2%, control group 20.4%) and cardiovascular mortality (8.2 versus 15.3%) after 10 years did not differ significantly between the groups In the study group, nine patients (18.4%) had10 cardiac events (four cardiovascular deaths, five non-fatal myocardial infarctions and one CABG) compared to 34 patients (34.7%, P < 0.05) suffering 46 (P < 0.01) cardiac events (15 cardiovascular deaths, 18 non-fatal myocardial infarctions, eight CABG, five coronary angioplasties) in the controlgroup. The number of readmissions to hospital (2.1 versus 3.5 per patient)and length of admissions (11 versus 26 days per patient) was significantlylower in the study group (P < 0.01). Conclusion A comprehensive cardiac rehabilitation programme offered to patients after coronary artery bypass surgery will improve the long-term prognosis and reduce the need for hospital care. (C) 2001 Lippincott Williams & Wilkins.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 19:06:56