Evaluation of clinical and paraclinical results for the PERFSCORE application patients diagnosed with acute myocardial infarction, who completed phases II and III of cardiac rehabilitation at the Central Military Hospital during 2016
DOI:
https://doi.org/10.28957/rcmfr.v28n2a5Keywords:
acute myocardial infarction, cardiac rehabilitation, performanceAbstract
An observational cross-sectional study was carried out, which evaluated the performance of the cardiac rehabilitation program of the Central Military Hospital of Bogotá, through the application of PERFSCORE to patients with acute myocardial infarction (AMI) who, during 2016, entered they completed Phase II and III of cardiac rehabilitation.
Materials and methods: An observational cross-sectional study that included 183 patients, with a mean age of 68 years, diagnosis of AMI that required percutaneous or surgical management, the sample was observed at admission and 9 months after completing phase III, variables were observed. clinical and paraclinical on admission and discharge that were analyzed by descriptive statistics; Likewise, the PERFSCORE was calculated, which scores the performance of the program at optimum> 28, between 22 and 28 satisfactory or unsatisfactory <22.
Results: 75 patients were met who met the inclusion criteria, within the variables of interest, it was observed that there were changes in favor of satisfactory control of the basic figures of heart rate, blood pressure, LDL levels. Likewise 58 patients corresponding to 77% of the sample obtained a PERFSCORE greater than 28.
Conclusions: The importance of an objective evaluation of the performance of cardiac rehabilitation programs is highlighted as a strategy for monitoring patients and improving programs.
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20. Hammill BG, Curtis LH, Schulman KA, Whellan DJ. Relationship between cardiac rehabilitation and long-term risks of death and myocardial infarction among elderly Medicare beneficiaries. Circulation. 2010; 63(7):802-9. https://doi.org/10.1161/CIRCULATIONAHA.109.876383
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2015; 385(9963):117-71. https://doi.org/10.1016/S0140-6736(14)61682-2
2. Doll J. Doll JA, Hellkamp A, Thomas L, Ho PM, Kontos MC, Whooley MA, et al. Effectiveness of cardiac rehabilitation among older patients after acute myocardial infarction. Am Heart J. 2015;170:855-64. https://doi.org/10.1016/j.ahj.2015.08.001
3. Kim C, Jung H, Choi HE, Kang SH. Cardiac rehabilitation after acute myocardial infarction resuscitated from cardiac arrest. Ann Rehabil Med. 2014; 38(6):799-804. https://doi.org/10.5535/arm.2014.38.6.799
4. Enriquez R. Estratificación de riesgo en rehabilitación cardiaca. Rev. peru. cardiol. 2013;39(3): 1-8.
5. Piepoli M. 2016 European Guidelines on cardiovascular disease prevention in clinical practice. Int J Behav Med. 2017; 24(3):321–
-419. https://doi.org/10.1007/s12529-016-9583-6
6. Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet. 2004;364(9438):937-52. https://doi.org/10.1016/S0140-6736(04)170189
7. Sandesara PB, Lambert CT, Gordon NF, Fletcher GF, Franklin BA, Wenger NK, et al. Cardiac rehabilitation and risk reduction time to “Rebrand and Reinvigorate”. J Am Coll Cardiol. 2015;65(4):389-395. https://doi.org/10.1016/j.jacc.2014.10.059.
8. Maras P, Doimo S, Altinier A, Della Mattia A, Scudeller L, Sinagra G, et al. ‘PERFSCORE’ – a multidimensional score: a simple way to predict the success of cardiac rehabilitation. J Cardiovasc Med. 2017;(0):1-8. https://doi.org/10.2459/JCM.0000000000000518
9. Laslett LJ, Alagona P Jr, Clark BA 3rd, Drozda JP Jr, Saldivar F, Wilson SR, et al. The worldwide environment of cardiovascular disease: Prevalence, diagnosis, therapy, and policy issues. J Am Coll Cardiol. 2012;60(25):1-49. https://doi.org/10.1016/j.jacc.2012.11.002.
10. Mudrick D, Shaffer L, Lalonde M, Ruhil A, Lam G, Hickerson J, et al. Cardiac rehabilitation participation reduces 90-day hospital readmissions after acute myocardial infarction or percutaneous coronary intervention. JACC. 2013; 61(10):1. https://doi.org/10.1016/S0735-1097(13)61418-7
11. Edström C. Plüss CE, Billing E, Held C, Henriksson P, Kiessling A, Karlsson MR, et al. Long-term effects of an expanded cardiac rehabilitation programme after myocardial infarction or coronary artery bypass surgery: a five-year follow-up of a randomized controlled study. Clin Rehabil. 2011; 25: 79– -87. https://doi.org/10.1177/0269215510376006
12. Stamler J, Stamler R, Neaton JD, Wentworth D, Daviglus ML, Garside D. Low risk-factor profile and long-term cardiovascular and noncardiovascular mortality and life expectancy: findings for 5 large cohorts of young adult and middle-aged men and women. JAMA. 1999; 282(21):2012-8. https://doi.org/10.1001/jama.282.21.2012
13. Faxon DP, Fuster V, Libby P, Beckman JA, Hiatt WR, Thompson RW, et al. Atherosclerotic Vascular Disease Conference: Writing Group III: pathophysiology. Circulation. 2004;109(21):2617-25. https://doi.org/10 .1161/01.CIR.0000128520.37674.EF
14. Forman DE1, Rich MW, Alexander KP, Zieman S, Maurer MS, Najjar SS, et al. Cardiac care for older adults. Time for a new paradigm. J Am Coll Cardiol. 2011; 57(18):1801-10. https://doi.org/10.1016/j.jacc.2011.02.014
15. Taylor RS, Brown A, Ebrahim S, Jolliffe J, Noorani H, Rees K. et al. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and metaanalysis of randomized controlled trials. Am
J Med. 2004; 116(10):682-92. https://doi.org/10.1016j.amjmed.2004.01.009
16. Wenger NK. Current status of cardiac rehabilitation. J Am Coll Cardiol. 2008; 51(17):1619-31. https://doi.org/10.1016/j.jacc.2008.01.030
17. Suaya JA1, Stason WB, Ades PA, Normand SL, Shepard DS.. Cardiac rehabilitation and survival in older coronary patients. J Am Coll Cardiol. 2009; 54(1):25-33. https://doi.org/10.1016/j.jacc.2009.01.078
18. Belardinelli R, Paolini I, Cianci G, Piva R, Georgiou D, Purcaro A. Exercise training intervention after coronary angioplasty: the ETICA trial. J Am Coll Cardiol. 2001; 37(7):1891-900. https://doi.org/10.1016/
S0735-1097(01)01236-0
19. Goel K, Lennon RJ, Tilbury RT, Squires RW, Thomas RJ. Impact of cardiac rehabilitation on mortality and cardiovascular events after percutaneous coronary intervention in the community. Circulation. 2011;123(21):234452. https://doi.org/10.1161/CIRCULATIONAHA.110.983536
20. Hammill BG, Curtis LH, Schulman KA, Whellan DJ. Relationship between cardiac rehabilitation and long-term risks of death and myocardial infarction among elderly Medicare beneficiaries. Circulation. 2010; 63(7):802-9. https://doi.org/10.1161/CIRCULATIONAHA.109.876383
21. Winstein CJ, Stein J, Arena R, Bates B, Cherney LR, Cramer S, et al. Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke J Cereb Circ. 2016; 47(6):e98-169. https://doi.org/10.1161/STR.0000000000000098
How to Cite
1.
Cabezas García L, Álvarez Fernández O. Evaluation of clinical and paraclinical results for the PERFSCORE application patients diagnosed with acute myocardial infarction, who completed phases II and III of cardiac rehabilitation at the Central Military Hospital during 2016. Rev. Colomb. Med. Fis. Rehabil. [Internet]. 2019 Apr. 2 [cited 2024 May 17];28(2):109-17. Available from: https://revistacmfr.org/index.php/rcmfr/article/view/220
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Published
2019-04-02
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