期刊
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
卷 101, 期 11, 页码 1877-1886出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.apmr.2020.06.026
关键词
Atrial fibrillation; Cardiac rehabilitation; Patient readmission; Patient reported outcome measures; Rehabilitation; Quality of life
资金
- Danish Strategic Research Council [10-092790]
- Heart Centre Copenhagen University Hospital, Rigshospitalet
- Lundbeck Foundation [F-22911-02]
- Danish Heart Foundation [16-R107-A6736]
- Danish Health Foundation [15-B-0114]
- Aase og Ejnar Danielsens Foundation [10-001908]
- University College Copenhagen
Objective: To assess outcomes at 12 and 24 months after participation in a multidisciplinary cardiac rehabilitation program plus usual care compared with usual care alone for patients treated for atrial fibrillation with catheter ablation. Design: Long-term follow-up on the randomized CopenHeart(RFA) trial. Setting: Patients were enrolled and outcome assessed at the hospital and the intervention were carried out at the hospital or at local rehabilitation centers. Participants: Patients (N=210) treated for atrial fibrillation with catheter ablation included in the CopenHeartRFA trial. Interventions: A 6-month cardiac rehabilitation program consisting of physical exercise and psychoeducational consultations plus usual care or usual care alone. Main Outcome Measures: Physical capacity was measured by peak oxygen uptake (VO(2)peak) at 12 months, and patient-reported outcomes on perceived health, anxiety, and depression were collected by validated questionnaires at 12 and 24 months. Information on hospital admissions and mortality was collected through national registers up to 24 months. Results: Mean VO(2)peak was higher at 12 months in the cardiac rehabilitation group (cardiac rehabilitation group: 25.82 mL/kg/min vs usual care group, 22.43 mL/kg/min, P=.003). A lower proportion of patients had high levels of anxiety at 24 months in the cardiac rehabilitation group compared to usual care (12% vs 24%, P=.004). There was no difference in mortality or hospital admissions at 24 months between groups. Conclusions: This long-term follow-up of a comprehensive multidisciplinary cardiac rehabilitation program for patients treated for atrial fibrillation with catheter ablation found sustained improvements with respect to physical capacity and anxiety compared to usual care but no difference on mortality or hospital admission. (C) 2020 by the American Congress of Rehabilitation Medicine
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