Cargando…
Adherence of Older Cardiac Patients to a Home-Based Cardiac Rehabilitation Program
Referral to home-based cardiac rehabilitation (HBCR) is low among older and frailer patients due to low expectations regarding adherence by healthcare professionals. The aim of this study was to determine adherence to HBCR when old and frail patients are referred, and to explore any differences in b...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10204551/ https://www.ncbi.nlm.nih.gov/pubmed/37218833 http://dx.doi.org/10.3390/geriatrics8030053 |
_version_ | 1785045860808130560 |
---|---|
author | van Erck, Dennis Terbraak, Michel Dolman, Christine D. Weijs, Peter J. M. Henriques, José P. Delewi, Ronak Verweij, Lotte Jepma, Patricia Scholte op Reimer, Wilma J. M. Schoufour, Josje D. |
author_facet | van Erck, Dennis Terbraak, Michel Dolman, Christine D. Weijs, Peter J. M. Henriques, José P. Delewi, Ronak Verweij, Lotte Jepma, Patricia Scholte op Reimer, Wilma J. M. Schoufour, Josje D. |
author_sort | van Erck, Dennis |
collection | PubMed |
description | Referral to home-based cardiac rehabilitation (HBCR) is low among older and frailer patients due to low expectations regarding adherence by healthcare professionals. The aim of this study was to determine adherence to HBCR when old and frail patients are referred, and to explore any differences in baseline characteristics between adherent and nonadherent patients. Data of the Cardiac Care Bridge were used (Dutch trial register NTR6316). The study included hospitalized cardiac patients ≥ 70 years old and at high risk of functional loss. Adherence to HBCR was confirmed when two-thirds of the intended nine sessions were followed. Of the 153 patients included (age: 82 ± 6 years, 54% female), 29% could not be referred due to death before referral, not returning home, or practical problems. Of the 109 patients who were referred, 67% adhered. Characteristics associated with non-adherence were older age (84 ± 6 vs. 82 ± 6, p = 0.05) and higher handgrip strength in men (33 ± 8 vs. 25 ± 11, p = 0.01). There was no difference in comorbidity, symptoms, or physical capacity. Based on these observations, most older cardiac patients who return home after hospital admission appear to adhere to HBCR after referral, suggesting that most older cardiac patients are motivated and capable of receiving HBCR. |
format | Online Article Text |
id | pubmed-10204551 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-102045512023-05-24 Adherence of Older Cardiac Patients to a Home-Based Cardiac Rehabilitation Program van Erck, Dennis Terbraak, Michel Dolman, Christine D. Weijs, Peter J. M. Henriques, José P. Delewi, Ronak Verweij, Lotte Jepma, Patricia Scholte op Reimer, Wilma J. M. Schoufour, Josje D. Geriatrics (Basel) Communication Referral to home-based cardiac rehabilitation (HBCR) is low among older and frailer patients due to low expectations regarding adherence by healthcare professionals. The aim of this study was to determine adherence to HBCR when old and frail patients are referred, and to explore any differences in baseline characteristics between adherent and nonadherent patients. Data of the Cardiac Care Bridge were used (Dutch trial register NTR6316). The study included hospitalized cardiac patients ≥ 70 years old and at high risk of functional loss. Adherence to HBCR was confirmed when two-thirds of the intended nine sessions were followed. Of the 153 patients included (age: 82 ± 6 years, 54% female), 29% could not be referred due to death before referral, not returning home, or practical problems. Of the 109 patients who were referred, 67% adhered. Characteristics associated with non-adherence were older age (84 ± 6 vs. 82 ± 6, p = 0.05) and higher handgrip strength in men (33 ± 8 vs. 25 ± 11, p = 0.01). There was no difference in comorbidity, symptoms, or physical capacity. Based on these observations, most older cardiac patients who return home after hospital admission appear to adhere to HBCR after referral, suggesting that most older cardiac patients are motivated and capable of receiving HBCR. MDPI 2023-05-13 /pmc/articles/PMC10204551/ /pubmed/37218833 http://dx.doi.org/10.3390/geriatrics8030053 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Communication van Erck, Dennis Terbraak, Michel Dolman, Christine D. Weijs, Peter J. M. Henriques, José P. Delewi, Ronak Verweij, Lotte Jepma, Patricia Scholte op Reimer, Wilma J. M. Schoufour, Josje D. Adherence of Older Cardiac Patients to a Home-Based Cardiac Rehabilitation Program |
title | Adherence of Older Cardiac Patients to a Home-Based Cardiac Rehabilitation Program |
title_full | Adherence of Older Cardiac Patients to a Home-Based Cardiac Rehabilitation Program |
title_fullStr | Adherence of Older Cardiac Patients to a Home-Based Cardiac Rehabilitation Program |
title_full_unstemmed | Adherence of Older Cardiac Patients to a Home-Based Cardiac Rehabilitation Program |
title_short | Adherence of Older Cardiac Patients to a Home-Based Cardiac Rehabilitation Program |
title_sort | adherence of older cardiac patients to a home-based cardiac rehabilitation program |
topic | Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10204551/ https://www.ncbi.nlm.nih.gov/pubmed/37218833 http://dx.doi.org/10.3390/geriatrics8030053 |
work_keys_str_mv | AT vanerckdennis adherenceofoldercardiacpatientstoahomebasedcardiacrehabilitationprogram AT terbraakmichel adherenceofoldercardiacpatientstoahomebasedcardiacrehabilitationprogram AT dolmanchristined adherenceofoldercardiacpatientstoahomebasedcardiacrehabilitationprogram AT weijspeterjm adherenceofoldercardiacpatientstoahomebasedcardiacrehabilitationprogram AT henriquesjosep adherenceofoldercardiacpatientstoahomebasedcardiacrehabilitationprogram AT delewironak adherenceofoldercardiacpatientstoahomebasedcardiacrehabilitationprogram AT verweijlotte adherenceofoldercardiacpatientstoahomebasedcardiacrehabilitationprogram AT jepmapatricia adherenceofoldercardiacpatientstoahomebasedcardiacrehabilitationprogram AT scholteopreimerwilmajm adherenceofoldercardiacpatientstoahomebasedcardiacrehabilitationprogram AT schoufourjosjed adherenceofoldercardiacpatientstoahomebasedcardiacrehabilitationprogram |