Key result
Cardiac rehab in frail older adults links to physical function gains matching nonfrail patients.
Why the study?
Many older adults with CVD are not referred to cardiac rehabilitation under the assumption they are too frail to benefit, prompting investigation into whether frail adults derive similar benefits to intermediate-frail and nonfrail adults.
Does phase II cardiac rehabilitation improve physical function in frail older adults with cardiovascular disease compared to intermediate-frail and nonfrail adults?
Cohort (n=243)
Does phase II cardiac rehabilitation improve physical function in frail older adults with cardiovascular disease compared to intermediate-frail and nonfrail adults?
p-value: p=0.007
Cardiac rehabilitation improves physical function in frail older adults with CVD to a similar or greater extent than in less frail patients, supporting their referral to CR.
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May support CR referral for frail older adults with CVD; extends observational data but leaves open need for randomized confirmation.
Lutz et al. (2020) conducted a cohort in Cardiovascular disease (n=243). Phase II cardiac rehabilitation vs. Intermediate-frail and nonfrail patients was evaluated on Changes in physical function measures (6MWD, gait speed, tandem stand, TUG, hand grip strength) (p=0.007). Cardiac rehabilitation in frail older adults with cardiovascular disease improved physical function similarly to nonfrail patients, including greater improvements in Timed Up & Go (P=0.007).
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