January 1, 2017Polish Journal of Cardio-Thoracic SurgeryOpen Access

Impact of post-hospital cardiac rehabilitation on the quality of life of patients after surgical treatment for coronary artery disease

Q: What is the clinical evidence from this study?

Study design: Observational. Population: Coronary artery disease (n=100). Intervention: Early post-hospital cardiac rehabilitation vs. Baseline (pre-rehabilitation). Primary outcome: Quality of life (occurrence of anxiety) (p=<0.01).

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Key result

Early post-hospital cardiac rehabilitation significantly improved quality of life in patients after coronary artery bypass grafting, reducing the occurrence of anxiety from 44% to 21%.

Why the study?

Does early cardiac rehabilitation improve quality of life in patients after coronary artery bypass grafting?

Population

100 patients undergoing early cardiac rehabilitation in stationary conditions after coronary artery bypass…

Design

Cohort

Follow-up

Duration of the early rehabilitation cycle

Authors

JDJózefa DąbekMedical University of Silesia EPEwelina PykaMedical University of Silesia JPJoanna PiotrkowiczMedical University of Silesia

Discussion

Member takes

Implication

Early post-CABG rehab improves QoL but leaves gains incomplete; supports optimization trials before broader adoption.

Study Design

Type

Observational (n=100)

Multicenter

Structured PICO

Does early cardiac rehabilitation improve quality of life in patients after coronary artery bypass grafting?

Population

100 patients (21% female, mean age 58.4 years) who underwent coronary artery bypass grafting and completed early stationary post-hospital cardiac rehabilitation.

Intervention

Early cardiac rehabilitation (second phase) in stationary conditions.

Outcome

Quality of life, including psychological aspects and subjective ailments, assessed by a custom questionnaire on the first and last day of the rehabilitation cycle.patient reported

Main Result

Absolute Event Rate: 21% vs 44%

p-value: p=<0.01

Early post-hospital cardiac rehabilitation significantly improves psychological well-being and reduces subjective physical ailments in patients recovering from coronary artery bypass grafting.

Limitations

Short period of time passed since the surgery, making it difficult for some patients to evaluate changes
Lack of a parallel control group (pre-post observational design)
Use of a custom, subjective questionnaire
Short period of time passed since the surgery (early postoperative period)
Use of a custom, non-standardized questionnaire
Lack of a control group

Cite This Study

Dąbek et al. (2017) conducted an observational in Coronary artery disease (n=100). Early post-hospital cardiac rehabilitation vs. Baseline (pre-rehabilitation) was evaluated on Quality of life (occurrence of anxiety) (p=<0.01). Early post-hospital cardiac rehabilitation significantly improved quality of life in patients after coronary artery bypass grafting, reducing the occurrence of anxiety from 44% to 21%.

synapsesocial.com/papers/6a937bdd2fa4a371660aa9fb https://doi.org/10.5114/kitp.2017.68743

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Impact of post-hospital cardiac rehabilitation on the quality of life of patients after surgical treatment for coronary artery disease

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Impact of post-hospital cardiac rehabilitation on the quality of life of patients after surgical treatment for coronary artery disease

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Also Consider

Also Consider