Inpatient cardiac rehabilitation after TAVR (n=52) was associated with better 6-minute walk test (p=0.01) and handgrip strength (p=0.02) at 30 days compared to discharge home (n=53).
Cohort (n=105)
Does inpatient cardiac rehabilitation improve clinical performance and quality of life in patients undergoing TAVR?
Inpatient cardiac rehabilitation after TAVR is associated with improved short-term clinical performance and quality of life, though some functional benefits attenuate by 1 year.
Cardiac rehabilitation (CR) provides multifactorial support and intervention for cardiac patients and improves quality of life (QoL). We aimed to assess clinical performance and QoL changes in patients undergoing transcatheter aortic valve replacement (TAVR) scheduled directly to inpatient CR (CR group) and those who were discharged home (DH group). The following patient-related outcomes were recorded: 5 m walk time (5MWT), 6 min walk test (6MWT), handgrip strength (HGS) with dynamometer, Katz index of Independence of Activities in Daily Living (KI of ADL), Hospital Anxiety and Depression Scores (HADS) Score. Quality of life was evaluated with Kansas City Cardiomyopathy Questionnaire (KCCQ). Baseline data, 30-day and 6- and 12-month data were assessed. The CR group consisted of 52 patients and 53 were in the discharged home (DH group). When we compared outcomes between the groups, the 5MWT, 6MWT, HGS KI of ADL, and KCCQ were significantly better in the CR group at 30 days (p = 0.03, p = 0.01, p = 0.02, p = 0.048, respectively), and no difference was found in HADS scores. At 6 months, the effect of CR was sustained for 6MWT, HGS, KI of ADL, and KCCQ (p = 0.001, p = 0.001, p = 0.03, p = 0.003, respectively) but not for 5MWT. Interestingly, at 12 months, the CR group had better performance only in 6MWT and HGS compared with the DH group (p = 0.04, p = 0.03, respectively). We showed that inpatient CR is strongly associated with better clinical performance and QoL in patients undergoing TAVR. All patients may benefit from CR after TAVR. The most important aspect of inpatient CR after TAVR from the patient’s perspective may be better performance in daily activities; however, performance was attenuated after 1 year.
Kleczyński et al. (Fri,) conducted a cohort in Transcatheter aortic valve replacement (TAVR) (n=105). Inpatient cardiac rehabilitation vs. Discharged home was evaluated on Clinical performance (5MWT, 6MWT, HGS, KI of ADL) and quality of life (KCCQ). Inpatient cardiac rehabilitation after TAVR (n=52) was associated with better 6-minute walk test (p=0.01) and handgrip strength (p=0.02) at 30 days compared to discharge home (n=53).