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Prognostic factors influencing all-cause mortality and hospitalizations after inpatient cardiac rehabilitation for acute coronary events

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dc.contributor.author Cazacu, Janna
dc.contributor.author Lîsîi, Dorin
dc.contributor.author Priscu, Oxana
dc.contributor.author Bursacovschi, Daniela
dc.contributor.author Dodu, Stela
dc.contributor.author Guțan, Inesa
dc.contributor.author Botnari, Natalia
dc.contributor.author Oprea, Cătălina
dc.contributor.author Costiuc, Maria
dc.contributor.author Jucovschi, Constantin
dc.contributor.author Vataman, Eleonora
dc.date.accessioned 2024-12-17T11:58:43Z
dc.date.available 2024-12-17T11:58:43Z
dc.date.issued 2024
dc.identifier.citation CAZACU, Janna; LÎSÎI, Dorin; PRISCU, Oxana, et al. Prognostic factors influencing all-cause mortality and hospitalizations after inpatient cardiac rehabilitation for acute coronary events. In: Archives of Balkan Medical Union. 2024, vol. 59, no. 2, pp. 174-187. ISSN 1584-9244 https://doi.org/10.31688/ABMU.2024.59.2.05 en_US
dc.identifier.issn 1584-9244
dc.identifier.uri https://doi.org/10.31688/ABMU.2024.59.2.05
dc.identifier.uri http://repository.usmf.md/handle/20.500.12710/29032
dc.description.abstract Introduction. The comprehensive cardiac rehabilitation (CR) program is essential to improve outcomes. The objective of the study was to identify the prognostic factors for all-cause mortality and hospitalizations during 12 months after inpatient CR for an acute cardiac event and to investigate the impact of a supervised home-based CR program on these outcomes. Material and methods. The study included 449 patients with coronary artery disease who completed the institutional CR program and were divided into 2 groups after discharge: CR(+) group – supervised home-based CR program (186 patients) and CR(-) group – 263 patients who were not supervised. The follow up period was 12 months. Results. The all-cause mortality rate one year after inpatient CR was 5.7%. Prognostic factors for mortality were age, heart failure (HF) NYHA III, HF with reduced ejection fraction (HFrEF), pulmonary congestion at discharge, length of stay in the intensive care unit and CR department. The hospitalization rate was 40.3%. The prognostic factors for hospitalizations were HF NYHA III, HFrEF, N-terminal pro-B-type natriuretic peptide (NT-proBNP), left ventricular ejection fraction, pulmonary congestion at discharge, Charlson comorbidity index and duration of hospitalization in the CR department. In the CR(+) group the mortality (3.22% vs 7.6%, p<0.05) and hospitalization rate (34% vs 48.3%, p<0.01) were lower than in the CR(-) group. Conclusions. In our study, age, HF features, pulmonary congestion at discharge, length of stay in intensive care unit and CR departments were identified as main prognostic factors for all-cause mortality and hospitalizations during one year after institutional CR. The all-cause mortality and hospitalization rate were lower in patients who completed the supervised home-based CR program. en_US
dc.language.iso en en_US
dc.publisher The Balkan Medical Union en_US
dc.subject all-cause mortality en_US
dc.subject hospitalizations en_US
dc.subject myocardial revascularization en_US
dc.subject cardiac rehabilitation en_US
dc.title Prognostic factors influencing all-cause mortality and hospitalizations after inpatient cardiac rehabilitation for acute coronary events en_US
dc.type Article en_US


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