Drop-out predictors in cardiac rehabilitation programmes and the impact of sex differences among coronary heart disease patients in an Iranian sample: a cohort study
| العنوان: | Drop-out predictors in cardiac rehabilitation programmes and the impact of sex differences among coronary heart disease patients in an Iranian sample: a cohort study |
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| المؤلفون: | Katayoun Rabiei, Nizal Sarrafzadegan, Noushin Mohammadifard, Shahin Shirani, Ali Kabir, Hamidreza Roohafza |
| المصدر: | Clinical Rehabilitation. 21:362-372 |
| بيانات النشر: | SAGE Publications, 2007. |
| سنة النشر: | 2007 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Patient Dropouts, Referral, medicine.medical_treatment, Coronary Disease, Physical Therapy, Sports Therapy and Rehabilitation, Iran, 030204 cardiovascular system & hematology, Risk Assessment, Body Mass Index, Cohort Studies, 03 medical and health sciences, Sex Factors, 0302 clinical medicine, Humans, Medicine, Framingham Risk Score, Ejection fraction, Rehabilitation, 030504 nursing, Waist-Hip Ratio, business.industry, Smoking, Age Factors, Middle Aged, Logistic Models, Bypass surgery, Cohort, Physical therapy, Female, 0305 other medical science, business, Body mass index, Cohort study |
| الوصف: | Objective : To determine whether patients who subsequently drop out of a structured cardiac rehabilitation programme could be prospectively distinguished from those who remain in the programme based upon their initial baseline characteristics. Design : A cohort study. Setting : A referral rehabilitation department in a cardiovascular research and training institute. Subjects : One thousand one hundred and fifteen coronary heart disease patients including patients with ischaemic heart disease, and those undergoing bypass surgery or percutaneous coronary interventions. Interventions : Demographic characteristics, coronary heart disease risk factors, ejection fraction, functional capacity and laboratory tests were considered at baseline. Main measures : Patients who completed all 24 sessions of the cardiac rehabilitation programme were compared with drop-out cases who did not. Results : Four hundred and ninety-nine patients (44.8%) completed the whole cardiac rehabilitation programme. Women (adjusted odds ratio (AOR) 1.817, P < 0.001), older patients (AOR 1.015, P = 0.047), patients with lower risk of coronary heart disease (AOR 1.573, P = 0.008) or lower body mass index (BMI) (AOR 0.945, P = 0.001) and higher waist-to-hip ratio (AOR 12.871, P = 0.009) and those who were non-smokers (AOR 1.779, P = 0.001) were significantly more likely to complete cardiac rehabilitation. Conclusions : Developing interventions to address special needs of young, obese, smoker male patients who have a lower waist-to-hip ratio and higher clinical risk may be important, especially in attempts to retain this high-risk group in cardiac rehabilitation therapy. |
| تدمد: | 1477-0873 0269-2155 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::21ed4d56b7908b6b9db5cca20b7aa0dfTest https://doi.org/10.1177/0269215507072193Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....21ed4d56b7908b6b9db5cca20b7aa0df |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14770873 02692155 |
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