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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/24015

Title: Exercise-based cardiac rehabilitation in twelve European countries results of the European cardiac rehabilitation registry
Authors: Benzer, Werner
Rauch, Bernhard
Schmid, Jean-Paul
Zwisler, Ann Dorthe
Dendale, Paul
Davos, Constantinos H.
Koudi, Evangelia
Simon, Attila
Abreu, Ana
Pogosova, Nana
Gaita, Dan
Miletic, Bojan
Boenner, Gerd
Ouarrak, Taoufik
McGee, Hannah
Issue Date: 2017
Abstract: Aim: Results from EuroCaReD study should serve as a benchmark to improve guideline adherence and treatment quality of cardiac rehabilitation (CR) in Europe. Methods and results: Data from 2.054 CR patients in 12 European countries were derived from 69 centres. 76% were male. Indication for CR differed between countries being predominantly ACS in Switzerland (79%), Portugal (62%) and Germany (61%), elective PCI in Greece (37%), Austria (36%) and Spain (32%), and CABG in Croatia and Russia (36%). A minority of patients presented with chronic heart failure (4%). At CR start, most patients already were under medication according to current guidelines for the treatment of CV risk factors. A wide range of CR programme designs was found (duration 3 to 24 weeks; total number of sessions 30 to 196). Patient programme adherence after admission was high (85%). With reservations that eCRF follow-up data exchange remained incomplete, patient CV risk profiles experienced only small improvements. CR success as defined by an increase of exercise capacity >25 W was significantly higher in young patients and those who were employed. Results differed by countries. After CR only 9% of patients were admitted to a structured post-CR programme. Conclusions: Clinical characteristics of CR patients, indications and programmes in Europe are different. Guideline adherence is poor. Thus, patient selection and CR programme designs should become more evidence-based. Routine eCRF documentation of CR results throughout European countries was not sufficient in its first application because of incomplete data exchange. Therefore better adherence of CR centres to minimal routine clinical standards is requested. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
Notes: [Benzer, Werner] Reha Sports Inst, Feldkirch, Austria. [Benzer, Werner] Case Management Ctr, Feldkirch, Austria. [Rauch, Bernhard; Ouarrak, Taoufik] Inst Herzinfarktforsch, Ludwigshafen, Germany. [Schmid, Jean-Paul] Spital Tiefenau, Dept Cardiol, Bern, Switzerland. [Zwisler, Ann Dorthe] Univ Southern Denmark, Natl Ctr Rehabil & Palliat, Odense, Denmark. [Zwisler, Ann Dorthe] Odense Univ Hosp, Odense, Denmark. [Dendale, Paul] Hasselt Univ, Hasselt, Belgium. [Dendale, Paul] Hartctr Hasselt, Hasselt, Belgium. [Davos, Constantinos H.] Acad Athens, Biomed Res Fdn, CV Res Lab, Athens, Greece. [Koudi, Evangelia] Aristotle Univ Thessaloniki, Sports Med Lab, Thessaloniki, Greece. [Simon, Attila] State Hosp Cardiol, Balatonfured, Hungary. [Abreu, Ana] Hosp Santa Marta, Serv Cardiol, Lisbon, Portugal. [Pogosova, Nana] Fed Hlth Ctr, Moscow, Russia. [Pogosova, Nana] Natl Ctr Prevent Med, Moscow, Russia. [Gaita, Dan] Univ Med & Pharm, Cardiac Rehabil Clin, Timisoara, Romania. [Miletic, Bojan] Thalassotherapia Opatija, Clin Diagnost Rehabil & Prevent CV Dis, Opatija, Croatia. [Boenner, Gerd] Pk Klinikum Lazariterhof, Bad Krozingen, Germany. [McGee, Hannah] Royal Coll Surgeons Ireland, Dept Psychol, Dublin, Ireland.
URI: http://hdl.handle.net/1942/24015
DOI: 10.1016/j.ijcard.2016.11.059
ISI #: 000393408600009
ISSN: 0167-5273
Category: A1
Type: Journal Contribution
Appears in Collections: Research publications

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