Long-Term Prognosis of Acute Myocardial Infarction Evaluation of the Effects of Systematic Rehabilitation in Hospitalization

Hiroko Uchida; Takeshi Hasegawa; Toshiki Kuwabara; Kaneomi EBARA; Yoshinori Fujita; Hirokazu Niitani; Masahiro Hayashi; Yasuhiko Shiohara; Masataka Shoda; Takayoshi Maruoka; Fujio Nakata

doi:10.2169/naika.73.1781

December 10, 1984Nihon Naika Gakkai ZasshiOpen Access

Long-Term Prognosis of Acute Myocardial Infarction Evaluation of the Effects of Systematic Rehabilitation in Hospitalization

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Why the study?

Does systematic in-hospital rehabilitation improve long-term survival in patients with acute myocardial infarction?

Key Points

To evaluate the long-term prognostic impact and functional outcomes of a systematic in-hospital cardiac rehabilitation program following acute myocardial infarction.
Followed 290 patients with acute myocardial infarction who completed an in-hospital rehabilitation program and survived at least 1 month post-infarction.
Conducted a matched case-control comparison of 49 rehabilitation participants against 49 non-rehabilitation controls matched for age, sex, infarction frequency, and Peel prognostic index.
The overall cohort achieved 1-year, 5-year, and 10-year survival rates of 92%, 77%, and 51%, respectively, with cardiac deaths accounting for 63% of all fatalities.
Among patients aged 65 or younger, 70% returned to work, with higher return-to-work rates correlated with greater exercise capacity at discharge and longer survival.
In the matched analysis, the rehabilitation group showed higher 1-year survival (98% vs 92%), 5-year survival (90% vs 66%), and return-to-work rates (70% vs 45%) than non-rehabilitation controls, though differences were not statistically significant.

Structured PICO

Does systematic in-hospital rehabilitation improve long-term survival in patients with acute myocardial infarction?

P

Population

290 patients with acute myocardial infarction who survived >1 month after onset, plus a matched cohort of 49 non-rehabilitation patients.

I

Intervention

Systematic in-hospital rehabilitation program

C

Comparator

No systematic rehabilitation (matched by sex, age, number of attacks, and Peel's prognostic index)

O

Outcome

Long-term survival rate (at 1, 5, and 10 years)hard clinical

Systematic in-hospital rehabilitation for acute myocardial infarction showed a trend toward improved 5-year survival and return-to-work rates, though not statistically significant in a small matched cohort.

Implication

Trend toward benefit in small observational cohort should not change practice; leaves open whether in-hospital rehabilitation improves post-MI survival.

Abstract

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Discussion

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Cite This Study

Uchida et al. (1984) studied this question.

synapsesocial.com/papers/6a175f930a2f3f8e14127174 https://doi.org/10.2169/naika.73.1781

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Long-Term Prognosis of Acute Myocardial Infarction Evaluation of the Effects of Systematic Rehabilitation in Hospitalization

Key Points

Structured PICO

Implication

Abstract

Discussion

Cite This Study

Long-Term Prognosis of Acute Myocardial Infarction Evaluation of the Effects of Systematic Rehabilitation in Hospitalization

Key Points

Structured PICO

Implication

Abstract

Discussion

Cite This Study

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