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May 6, 2019View

A stroke recovery program integrating modified cardiac rehabilitation was associated with lower mortality, as nonparticipants had a 9.09 times higher hazard of death (P=0.039).

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Why the study?

This study investigated the implementation, safety, and outcomes of a stroke recovery program integrating modified cardiac rehabilitation for stroke survivors using feasibility and matched subgroup analyses.

Does a stroke recovery program integrating modified cardiac rehabilitation reduce mortality and improve functional performance in stroke survivors?

Population

783 stroke survivors discharged from an inpatient rehabilitation facility to an outpatient setting

Comparison

Stroke recovery program integrating modified cardiac rehabilitation vs standard of care rehabilitation

Design

Prospective cohort study

Follow-up

1-yr poststroke

Key result

A stroke recovery program integrating modified cardiac rehabilitation was associated with lower mortality, as nonparticipants had a 9.09 times higher hazard of death (P=0.039).

Authors

SCSara J. CuccurulloTFTalya K. FlemingWKWilliam J. Kostis

Discussion

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Overview

Should not yet change practice in stroke survivors; hypothesis-generating for integrating modified cardiac rehabilitation into recovery programs.

Study Design

Type

Cohort (n=783)

Structured PICO

Does a stroke recovery program integrating modified cardiac rehabilitation reduce mortality and improve functional performance in stroke survivors?

P
Population
783 stroke survivors discharged from an inpatient rehabilitation facility to an outpatient setting, followed for 1 year.
E
Exposure
Stroke recovery program (SRP) integrating modified cardiac rehabilitation (36 sessions)
C
Comparator
Standard of care rehabilitation
O
Outcome
All-cause mortality and functional performance (Activity Measure of Post-Acute Care domains)hard clinical

Main Result

Hazard Ratio: 9.09

p-value: p=0.039

Integrating modified cardiac rehabilitation into a stroke recovery program significantly reduces 1-year mortality and improves functional and cardiovascular performance.

Cite This Study

Cuccurullo et al. (2019) conducted a cohort in Stroke (n=783). Stroke recovery program integrating modified cardiac rehabilitation vs. Standard of care rehabilitation was evaluated on Mortality (HR 9.09, p=0.039). A stroke recovery program integrating modified cardiac rehabilitation was associated with lower mortality, as nonparticipants had a 9.09 times higher hazard of death (P=0.039).

synapsesocial.com/papers/6a88141ca082a64c2914ba7fhttps://doi.org/10.1097/phm.0000000000001214
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Feasibility of integrating survivors of stroke into cardiac rehabilitation: A mixed methods pilot study2021 · 16 citations
  2. 2Adapted cardiac rehabilitation for people with sub-acute, mild-to-moderate stroke: a mixed methods feasibility study2021 · 15 citations
  3. 3Feasibility of Integrating Survivors of Stroke Into Cardiac Rehabilitation: A Mixed Methods Pilot Study2021
  4. 4Integrating Survivors of Stroke Into Exercise‐Based Cardiac Rehabilitation Improves Endurance and Functional Strength2021 · 40 citations
  5. 5Feasibility and effects of adapted cardiac rehabilitation after stroke: a prospective trial2010 · 94 citations