Female gender, older age, high-risk stratification, and greater comorbidities were associated with impaired gains in health-related quality of life during phase II cardiac rehabilitation.
Observational (n=301)
Do patient characteristics (age, gender, comorbidities, risk stratification) influence health-related quality of life in patients enrolled in a phase II cardiac rehabilitation program?
Female gender, older age, higher comorbidities, and high-risk stratification are associated with impaired gains in health-related quality of life during phase II cardiac rehabilitation, highlighting the need for tailored interventions.
Associations of age, gender, cardiac procedure (coronary artery bypass grafting or percutaneous transluminal coronary angioplasty), risk stratification, and number of comorbidities with health-related quality of life (HRQL) were examined among 217 men and 84 women (mean age, 63+/-11 years) consecutively enrolled in a phase II cardiac rehabilitation program. Female gender and high-risk stratification were independently associated with impaired treatment gains in most areas of HRQL. Older age and having a greater number of comorbidities were also associated with impaired gains in specific areas. HRQL was generally lower at baseline but not post-treatment in coronary artery bypass grafting vs. percutaneous transluminal coronary angioplasty patients. Cardiac rehabilitation patients also had lower HRQL scores than an age-matched, normative sample at baseline (most areas) and post-treatment (mainly on role physical). Findings reinforce the need for cardiac rehabilitation programs to tailor assessments and risk factor modification strategies to patient characteristics associated with low levels of HRQL, especially in women and those with higher risk stratification.
Jamieson et al. (Sat,) conducted a observational in Cardiac rehabilitation (n=301). Patient characteristics (age, gender, cardiac procedure, risk stratification, comorbidities) was evaluated on Health-related quality of life (HRQL). Female gender, older age, high-risk stratification, and greater comorbidities were associated with impaired gains in health-related quality of life during phase II cardiac rehabilitation.