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September 16, 2020Journal of Cardiopulmonary Rehabilitation and PreventionOpen Access

Development of a Simple Clinical Tool for Predicting Early Dropout in Cardiac Rehabilitation

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Why the study?

Can a simple clinical tool predict early dropout (<12 sessions) in patients enrolled in cardiac rehabilitation?

Population

1,199 patients enrolled in cardiac rehabilitation, including a derivation cohort of 657 patients who…

Design

Cohort

Key result

A single-center clinical risk model predicted nonadherence to cardiac rehabilitation (<12 sessions) with fair validity in an independent cohort (C-statistic = 0.62).

Authors

QPQuinn R. PackPVPaul VisintainerMFMichel Eid Farah

Discussion

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Overview

May identify high-risk CR patients for targeted support; hypothesis-generating and requires prospective validation before clinical use.

Study Design

Type

Cohort (n=1,199)

Multicenter

No

Structured PICO

Can a simple clinical tool predict early dropout (<12 sessions) in patients enrolled in cardiac rehabilitation?

P
Population
1,199 patients who completed ≥1 cardiac rehabilitation session across derivation (n=657) and validation (n=542) cohorts.
E
Exposure
Multivariable logistic regression predictive model for early dropout from cardiac rehabilitation.
O
Outcome
Attending <12 sessions of cardiac rehabilitation (early dropout).

A simple, single-center risk model can identify patients at risk of early dropout from cardiac rehabilitation, though its predictive validity was only fair in a validation cohort.

Limitations

  • Single-center study
  • single-center
  • fair validity in the validation cohort

Cite This Study

Pack et al. (2020) conducted a cohort in Cardiac rehabilitation nonadherence (n=1,199). Clinical risk prediction model was evaluated on Attending <12 sessions of cardiac rehabilitation. A single-center clinical risk model predicted nonadherence to cardiac rehabilitation (<12 sessions) with fair validity in an independent cohort (C-statistic = 0.62).

synapsesocial.com/papers/6a734a7c64decaab472c25c9https://doi.org/10.1097/hcr.0000000000000541
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