2.50
Hdl Handle:
http://hdl.handle.net/10755/160598
Type:
Presentation
Title:
Outcomes in Cardiac Rehabilitation Programs across Illinois
Abstract:
Outcomes in Cardiac Rehabilitation Programs across Illinois
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Gulanick, Meg, PhD
P.I. Institution Name:Loyola University Chicago
Title:Associate Professor
Contact Address:Marcella Niehoff School of Nursing, 6525 North Sheridan Road, Chicago, IL, 60626, USA
Contact Telephone:708.216.9687
Data from three outcome domains were compared in 1473 phase 2 cardiac rehabilitation (CR) outpatients representing 24 Illinois programs over 18-month period. Functional capacity (FC) was assessed using the Duke Activity Status Index (DASI) and class treadmill MET levels. Quality of life was assessed by SF-36 Health Survey. Increase in physical activity during and after CR was assessed as the behavioral domain through self-report of blocks walked daily. Measures were collected at CR entry (T1); exit (T2); 3 month follow-up (T3) and sent to a central site for analysis. Mean age of sample was 64 years, with 72% male. 78% had a revascularization diagnosis. 78% completed 36 sessions; 32% continued in phase 3 rehab. Analysis showed significant improvement in FC from T1 to T2 (DASI=22 vs. 31; METS 3.1 vs. 4.8), with this level maintained at T3 (DASI 32; METS 4.4).Men demonstrated significantly higher scores than women on both measures (DASI=24 vs. 18 entrance; 34 vs. 25 exit; METS 3.3 vs. 2.6 entrance; METS 5.2 vs. 3.8 exit). There was a negative correlation between age and FC, with a significant difference in the expected direction between those <62 years vs. older. Every SF36 subscale showed significant improvement between T1 and T2, with only role functioning showing continued improvement at T3. The behavioral domain measuring improvement in blocks walked showed significant increases from "before cardiac event" (X=7.8) to CR exit (X=11.2). An increase to 13.6 blocks was reported at T3 (n=340). These findings demonstrate that Illinois CR programs participating in this study collect important outcomes documenting significant patient improvements. Moreover, improvements in physical functioning and activity were maintained at 3 month F/U.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleOutcomes in Cardiac Rehabilitation Programs across Illinoisen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160598-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Outcomes in Cardiac Rehabilitation Programs across Illinois</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Gulanick, Meg, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Loyola University Chicago</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Marcella Niehoff School of Nursing, 6525 North Sheridan Road, Chicago, IL, 60626, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">708.216.9687</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mgulani@luc.edu</td></tr><tr><td colspan="2" class="item-abstract">Data from three outcome domains were compared in 1473 phase 2 cardiac rehabilitation (CR) outpatients representing 24 Illinois programs over 18-month period. Functional capacity (FC) was assessed using the Duke Activity Status Index (DASI) and class treadmill MET levels. Quality of life was assessed by SF-36 Health Survey. Increase in physical activity during and after CR was assessed as the behavioral domain through self-report of blocks walked daily. Measures were collected at CR entry (T1); exit (T2); 3 month follow-up (T3) and sent to a central site for analysis. Mean age of sample was 64 years, with 72% male. 78% had a revascularization diagnosis. 78% completed 36 sessions; 32% continued in phase 3 rehab. Analysis showed significant improvement in FC from T1 to T2 (DASI=22 vs. 31; METS 3.1 vs. 4.8), with this level maintained at T3 (DASI 32; METS 4.4).Men demonstrated significantly higher scores than women on both measures (DASI=24 vs. 18 entrance; 34 vs. 25 exit; METS 3.3 vs. 2.6 entrance; METS 5.2 vs. 3.8 exit). There was a negative correlation between age and FC, with a significant difference in the expected direction between those &lt;62 years vs. older. Every SF36 subscale showed significant improvement between T1 and T2, with only role functioning showing continued improvement at T3. The behavioral domain measuring improvement in blocks walked showed significant increases from &quot;before cardiac event&quot; (X=7.8) to CR exit (X=11.2). An increase to 13.6 blocks was reported at T3 (n=340). These findings demonstrate that Illinois CR programs participating in this study collect important outcomes documenting significant patient improvements. Moreover, improvements in physical functioning and activity were maintained at 3 month F/U.</td></tr></table>en_GB
dc.date.available2011-10-26T23:05:51Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:05:51Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.