Shared Care Rehabilitation After Acute Coronary Syndrome
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 入组人数
- 212
- 试验地点
- 6
- 主要终点
- Participation in cardiac rehabilitation
研究概览
简要总结
Cardiac rehabilitation is an individual adapted multidisciplinary intervention for people suffering from Heart Disease. It involves;
- Dietary counseling,
- Exercise training,
- Psychosocial support,
- Physician
- smoking cessation
- Patient education
The purpose is quick and complete recovery and to reduce the chance of recurrence.
In Denmark people admitted with Acute Cardiac Disease is referred to a course of hospital based cardiac rehabilitation at discharge.
The Danish Municipal Reform of 2007 changed the responsibility of rehabilitation from the Regions, who runs the hospitals, to the municipalities.
Shared care is in this setting that elements of treatment are completed different places in Health Care.
The aim of this study is:
- to establish a shared care model for Cardiac rehabilitation following admission with Acute Coronary Syndrome and
- to compare this model to the existing hospital based cardiac rehabilitation after admission with Acute Coronary Syndrome.
Primary outcome is participation in cardiac rehabilitation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 79 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Admission with Acute Coronary Syndrome
- •Resident in district of Department of Cardiology, Aarhus University Hospital, Silkeborg or Viborg Hospital, part of the "Hospitalsenheden Midt" Viborg, Silkeborg, Skive, Hammel.
- •Accept both models of cardiac rehabilitation
- •written informed consent
排除标准
- •Resident outside the district of Department of Cardiology, Aarhus University Hospital, Viborg Hospital or Silkeborg Hospital, part of "Hospitalsenheden Midt" (Viborg, Silkeborg, Skive, Hammel).
- •Age 80 years or older
- •Heart Failure (Ejection Fraction less than 40%)
- •Severe Comorbidity
- •Resuscitated and need of support from ergotherapist after discharge.
结局指标
主要结局
Participation in cardiac rehabilitation
时间窗: 4 months
Participation in cardiac rehabilitation is evaluated for each element. Participation is defined as at least 50% for each element. * Smoking cessation * Dietary counseling * Exercise training * Physician * Patient education * Psychosocial support Full participation is in 6 of 6 elements if smoker or 5/5 if non-smoker. Partial full participation is in 5/6 if smoker or 4/5 if non-smoker.
次要结局
- Change of BMI and / or abdominal circumference(4 and 12 months)
- Blood Cholesterol values (Total, LDL, HDL)(4 and 12 months)
- Exercise Capacity(4 and 12 months)
- Lifestyle changes(4 and 12 months)
- 24-hour Ambulatory Blood Pressure(4 og 12 months)
- Depression score(4 and 12 months)
- Difference in Health economic costs(4 and 12 months)
- Fasting Blood glucose(4 and 12 months)
- Compliance to pharmaceutical treatment(4 and 12 months)
- Readmission(4 and 12 months)
- Change in Health Related Quality of Living(4 and 12 months)