RSS Cientifico geral The effects of early rehabilitation on functional exercise tolerance in decompensated heart failure patients: results of a multicenter randomized cont

  • Criador do t贸pico RCAAP Rss Feeder
  • Start date
R

RCAAP Rss Feeder

Guest
Breve resumo:
To analyze (1) the effect of an aerobic training program on functional exercise tolerance in decompensated heart failure (DHF) patients; (2) to assess the effects of an aerobic training program on functional independence; and (3) dyspnea during activities of daily living. Design A randomized controlled clinical trial with follow-up at discharge. Settings Eight hospitals. Recruitment took place between 9/ 2017 and 3/2019. Group Assignments Patients with DHF who were admitted to the hospital, were randomly assigned to usual rehabilitation care guideline recommended (control group) or aerobic training program (exercise group). Main outcome Functional exercise tolerance was measured with a 6-min walking test at discharge. Results In total 257 patients with DHF were included, with a mean age of 67鈥壜扁11 years, 84% (n鈥=鈥205) had a reduced ejection fraction and the hospital stay was 16鈥壜扁10 days. At discharge, patients in the intervention group walked further compared to the control group (278鈥壜扁117m vs 219鈥壜扁115m, p鈥<鈥0.01) and this difference stayed significant after correcting for confounders (p鈥<鈥0.01). A significant difference was found favoring the exercise group in functional independence (96鈥壜扁7 vs 93鈥壜扁12, p鈥=鈥0.02) and dyspnea associated to ADL (13鈥壜扁5 vs 17鈥壜扁7, p鈥<鈥0.01) and these differences persisted after correcting for baseline values and confounders (functional independence p鈥<鈥0.01; dyspnea associated with ADL p鈥=鈥0.02). Conclusion The ERIC-HF program is safe, feasible, and effective in increasing functional exercise tolerance and functional independence in hospitalized patients admitted due to DHF.​



Info Adicional:
To analyze (1) the effect of an aerobic training program on functional exercise tolerance in decompensated heart failure (DHF) patients; (2) to assess the effects of an aerobic training program on functional independence; and (3) dyspnea during activities of daily living. Design A randomized controlled clinical trial with follow-up at discharge. Settings Eight hospitals. Recruitment took place between 9/ 2017 and 3/2019. Group Assignments Patients with DHF who were admitted to the hospital, were randomly assigned to usual rehabilitation care guideline recommended (control group) or aerobic training program (exercise group). Main outcome Functional exercise tolerance was measured with a 6-min walking test at discharge. Results In total 257 patients with DHF were included, with a mean age of 67鈥壜扁11 years, 84% (n鈥=鈥205) had a reduced ejection fraction and the hospital stay was 16鈥壜扁10 days. At discharge, patients in the intervention group walked further compared to the control group (278鈥壜扁117m vs 219鈥壜扁115m, p鈥<鈥0.01) and this difference stayed significant after correcting for confounders (p鈥<鈥0.01). A significant difference was found favoring the exercise group in functional independence (96鈥壜扁7 vs 93鈥壜扁12, p鈥=鈥0.02) and dyspnea associated to ADL (13鈥壜扁5 vs 17鈥壜扁7, p鈥<鈥0.01) and these differences persisted after correcting for baseline values and confounders (functional independence p鈥<鈥0.01; dyspnea associated with ADL p鈥=鈥0.02). Conclusion The ERIC-HF program is safe, feasible, and effective in increasing functional exercise tolerance and functional independence in hospitalized patients admitted due to DHF.



Autor:




Clica para continuares a ler...
 
Voltar
Topo