Background: Data from the Italian SurveY on carDiac rEhabilitation (ISYDE-2008) provide insight into the level of implementation of Cardiac Rehabilitation (CR) in patients with chronic heart failure (CHF). Methods: Data from 165 CR units were collected online from January 28th to February 10th, 2008. Results: The study cohort consisted of 2281 patients (66.911.8 yrs); 285 (71.312.2 yrs, 66% male) CHF patients and 1996 (66.311.6 yrs, 74% male) non-CHF patients. Compared to non-CHF, CHF patients were older, showed more comorbidity, and had a lower left ventricular ejection fraction (EF). During the course of CR, CHF patients had reduced access to functional evaluation, underwent more complications, and had less secondary prevention information and a longer length of in-hospital stay. CHF patients were also more likely transferred to intensive care units (9% versus 3%, p < 0.0001), and less likely discharged at home (85% versus 92%, p < 0.0001), respectively, compared to non-CHF patients. Discharge medications were significantly different in CHF as compared to non-CHF patients. Finally, CHF patients had higher death rate during CR programs (1.7% versus 0.5%, p¼0.01). After adjusting for age, ejection fraction, comorbidity and complications during CR program, multivariate logistic analysis showed that respiratory insufficiency (OR 2.3, 95% CI, 1.3-4.1, p¼0.002), acute kidney insufficiency or worsening chronic kidney disease (OR 2.9, 95% CI, 1.5-5.6, p¼0.001) and cognitive impairment (OR 3.7, 95% CI, 2.0-6.7, p < 0.001) were significant predictors of death in CHF patients. Conclusions: The ISYDE-2008 survey provided a detailed snapshot of CR in CHF patients, and confirmed the complexity and the differences in clinical presentation and course of CHF patients entering CR programs.

Cardiac rehabilitation in chronic heart failure patients: data from the italian survey on cardiac rehabilitation (ISYDE) / Giallauria, Francesco; Fattirolli, F; Tramarin, R; Ambrosetti, M; Griffo, R; Riccio, C; Temporelli, Pl; Vigorito, Carlo. - In: EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY. - ISSN 2047-4873. - STAMPA. - 19 (suppl. 1):(2012), pp. 105-105. (Intervento presentato al convegno EuroPRevent 2012 tenutosi a Dublin nel May 2012).

Cardiac rehabilitation in chronic heart failure patients: data from the italian survey on cardiac rehabilitation (ISYDE)

GIALLAURIA, FRANCESCO;VIGORITO, CARLO
2012

Abstract

Background: Data from the Italian SurveY on carDiac rEhabilitation (ISYDE-2008) provide insight into the level of implementation of Cardiac Rehabilitation (CR) in patients with chronic heart failure (CHF). Methods: Data from 165 CR units were collected online from January 28th to February 10th, 2008. Results: The study cohort consisted of 2281 patients (66.911.8 yrs); 285 (71.312.2 yrs, 66% male) CHF patients and 1996 (66.311.6 yrs, 74% male) non-CHF patients. Compared to non-CHF, CHF patients were older, showed more comorbidity, and had a lower left ventricular ejection fraction (EF). During the course of CR, CHF patients had reduced access to functional evaluation, underwent more complications, and had less secondary prevention information and a longer length of in-hospital stay. CHF patients were also more likely transferred to intensive care units (9% versus 3%, p < 0.0001), and less likely discharged at home (85% versus 92%, p < 0.0001), respectively, compared to non-CHF patients. Discharge medications were significantly different in CHF as compared to non-CHF patients. Finally, CHF patients had higher death rate during CR programs (1.7% versus 0.5%, p¼0.01). After adjusting for age, ejection fraction, comorbidity and complications during CR program, multivariate logistic analysis showed that respiratory insufficiency (OR 2.3, 95% CI, 1.3-4.1, p¼0.002), acute kidney insufficiency or worsening chronic kidney disease (OR 2.9, 95% CI, 1.5-5.6, p¼0.001) and cognitive impairment (OR 3.7, 95% CI, 2.0-6.7, p < 0.001) were significant predictors of death in CHF patients. Conclusions: The ISYDE-2008 survey provided a detailed snapshot of CR in CHF patients, and confirmed the complexity and the differences in clinical presentation and course of CHF patients entering CR programs.
2012
Cardiac rehabilitation in chronic heart failure patients: data from the italian survey on cardiac rehabilitation (ISYDE) / Giallauria, Francesco; Fattirolli, F; Tramarin, R; Ambrosetti, M; Griffo, R; Riccio, C; Temporelli, Pl; Vigorito, Carlo. - In: EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY. - ISSN 2047-4873. - STAMPA. - 19 (suppl. 1):(2012), pp. 105-105. (Intervento presentato al convegno EuroPRevent 2012 tenutosi a Dublin nel May 2012).
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11588/492859
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