Key result
Delayed cardiac rehabilitation significantly impacted fitness outcomes, with patients being 1% less likely to improve across fitness measures for every 1-day increase in wait time (p<0.05).
Why the study?
Does delayed cardiac rehabilitation impact fitness outcomes in patients receiving routine cardiac care?
Observational
Yes
Does delayed cardiac rehabilitation impact fitness outcomes in patients receiving routine cardiac care?
Effect estimate: 1% decreased likelihood of improvement per 1-day delay
p-value: p=<0.05
Delayed initiation of cardiac rehabilitation is associated with a significantly reduced likelihood of improving fitness outcomes, emphasizing the need for timely provision.
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Longer waits for cardiac rehab were associated with reduced fitness gains; hypothesis-generating and requires prospective confirmation.
Fell et al. (2016) conducted an observational in Patients referred for cardiac rehabilitation (post-MI, PCI, CABG). Delayed cardiac rehabilitation vs. Timely cardiac rehabilitation was evaluated on Improvement across fitness-related measures (patient-reported exercise level, Dartmouth quality of life physical fitness scale, and incremental shuttle-walk test) (1% decreased likelihood of improvement per 1-day delay, p=<0.05). Delayed cardiac rehabilitation significantly impacted fitness outcomes, with patients being 1% less likely to improve across fitness measures for every 1-day increase in wait time (p<0.05).
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