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How much do the benefits cost? Effects of a home-based training programme on cardiovascular fitness, quality of life, programme cost and adherence for patients with coronary disease.
Clin Rehabil. 2008 Oct-Nov; 22(10-11):987-96.CR

Abstract

OBJECTIVE

To evaluate cost, adherence and effects on cardiovascular function and quality of life of a home-based cardiac rehabilitation programme for patients with coronary disease.

DESIGN

A randomized, prospective controlled trial.

SETTING

Department of Rehabilitation, University Hospital, Brazil.

SUBJECTS

Thirty-nine low-risk patients were assigned to a home exercise training group (n = 19) or a control group (n = 20).

INTERVENTIONS

The home group performed home-based training for three months with biweekly telephone monitoring.

MAIN OUTCOME MEASURES

The aerobic capacity and the quality of life (Medical Outcomes Study 36-Item Short Form Survey (SF-36)) of all patients were evaluated before and after the three-month period. Adherence was evaluated weekly. Programme cost was estimated using the Brazilian Classification of Medical Procedures.

RESULTS

After training, the home group had higher peak Vo2 from 28.8 (6.4) to 31.7 (8.1) mL/kg per minute, peak heart rate from 135 (22) to 143 (20) bpm, work rate from 4780 (2021) to 7103 (3057) kpm/min and exercise time from 11.5 (1.9) to 13.6 (2.3) minutes (P < or = .05). The control group showed reduction in peak Vo2 from 28.6 (6.6) to 26.8 (7.2) mL/kg per minute, peak Vo2 pulse from 15.5 (3.9) to 14.3 (3.8) mL/bpm and exercise time from 11.5 (2.3) to 11.4 (2.7) minutes (P < or = 0.05). The home group reported improvements in all domains of SF-36. The control group showed improvement in only three domains of SF-36. In the home group the average cost per patient was US$502.71 and the adherence achieved 100%.

CONCLUSION

The programme seems to provide an efficient low-cost approach to cardiac rehabilitation in low-risk patients.

Authors+Show Affiliations

Department of Cardiology, São Paulo Federal University, Paulista School of Medicine, São Paulo, Brazil. xiosalvetti@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

18955430

Citation

Salvetti, Xiomara Miranda, et al. "How Much Do the Benefits Cost? Effects of a Home-based Training Programme On Cardiovascular Fitness, Quality of Life, Programme Cost and Adherence for Patients With Coronary Disease." Clinical Rehabilitation, vol. 22, no. 10-11, 2008, pp. 987-96.
Salvetti XM, Oliveira JA, Servantes DM, et al. How much do the benefits cost? Effects of a home-based training programme on cardiovascular fitness, quality of life, programme cost and adherence for patients with coronary disease. Clin Rehabil. 2008;22(10-11):987-96.
Salvetti, X. M., Oliveira, J. A., Servantes, D. M., & Vincenzo de Paola, A. A. (2008). How much do the benefits cost? Effects of a home-based training programme on cardiovascular fitness, quality of life, programme cost and adherence for patients with coronary disease. Clinical Rehabilitation, 22(10-11), 987-96. https://doi.org/10.1177/0269215508093331
Salvetti XM, et al. How Much Do the Benefits Cost? Effects of a Home-based Training Programme On Cardiovascular Fitness, Quality of Life, Programme Cost and Adherence for Patients With Coronary Disease. Clin Rehabil. 2008 Oct-Nov;22(10-11):987-96. PubMed PMID: 18955430.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - How much do the benefits cost? Effects of a home-based training programme on cardiovascular fitness, quality of life, programme cost and adherence for patients with coronary disease. AU - Salvetti,Xiomara Miranda, AU - Oliveira,Japy Angelini, AU - Servantes,Denise Maria, AU - Vincenzo de Paola,Angelo Amato, PY - 2008/10/29/pubmed PY - 2009/2/12/medline PY - 2008/10/29/entrez SP - 987 EP - 96 JF - Clinical rehabilitation JO - Clin Rehabil VL - 22 IS - 10-11 N2 - OBJECTIVE: To evaluate cost, adherence and effects on cardiovascular function and quality of life of a home-based cardiac rehabilitation programme for patients with coronary disease. DESIGN: A randomized, prospective controlled trial. SETTING: Department of Rehabilitation, University Hospital, Brazil. SUBJECTS: Thirty-nine low-risk patients were assigned to a home exercise training group (n = 19) or a control group (n = 20). INTERVENTIONS: The home group performed home-based training for three months with biweekly telephone monitoring. MAIN OUTCOME MEASURES: The aerobic capacity and the quality of life (Medical Outcomes Study 36-Item Short Form Survey (SF-36)) of all patients were evaluated before and after the three-month period. Adherence was evaluated weekly. Programme cost was estimated using the Brazilian Classification of Medical Procedures. RESULTS: After training, the home group had higher peak Vo2 from 28.8 (6.4) to 31.7 (8.1) mL/kg per minute, peak heart rate from 135 (22) to 143 (20) bpm, work rate from 4780 (2021) to 7103 (3057) kpm/min and exercise time from 11.5 (1.9) to 13.6 (2.3) minutes (P < or = .05). The control group showed reduction in peak Vo2 from 28.6 (6.6) to 26.8 (7.2) mL/kg per minute, peak Vo2 pulse from 15.5 (3.9) to 14.3 (3.8) mL/bpm and exercise time from 11.5 (2.3) to 11.4 (2.7) minutes (P < or = 0.05). The home group reported improvements in all domains of SF-36. The control group showed improvement in only three domains of SF-36. In the home group the average cost per patient was US$502.71 and the adherence achieved 100%. CONCLUSION: The programme seems to provide an efficient low-cost approach to cardiac rehabilitation in low-risk patients. SN - 0269-2155 UR - https://www.unboundmedicine.com/medline/citation/18955430/How_much_do_the_benefits_cost_Effects_of_a_home_based_training_programme_on_cardiovascular_fitness_quality_of_life_programme_cost_and_adherence_for_patients_with_coronary_disease_ L2 - http://journals.sagepub.com/doi/full/10.1177/0269215508093331?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -