Cardiac Rehabilitation in Austrian Outpatient Facilities.

NCT05432921 | Unknown

• 1 other identifier: UISM-15
• Study Type: observational
• Target: 1,500
• Locations: 1 country
• Sites: 1

Brief Summary

Cardiac rehabilitation (CR) is a key component of the treatment of cardiac diseases. The Austrian outpatient CR model is unique, as it provides patients with an extended professionally supervised, multidisciplinary program of 4-6 weeks of phase II (OUT-II) and 12 months of phase III (OUT-III) CR CR including a "refresher". The aim of this retrospective analysis is to pool data from preferably all Austrian outpatient rehabilitation facilities and to analyze the efficacy of the Austrian cardiac rehabilitation model with a special focus on phase III. Data of patients who completed OUT-III between 1.1.2019 and 01.07.2022 will be analyzed. All patients undergo assessment of anthropometry, resting blood pressure, lipid profile, fasting blood glucose, exercise capacity, quality of life, anxiety and depression at the beginning (T1), in the middle (T2) and end of CR (T3).

Conditions

Cardiovascular Diseases

Keywords

cardiac rehabilitation; exercise training; lifestyle modification; coronary-artery-disease; myocardial infarction

Outcome Measures

Primary Outcomes (2)

• Change from baseline in physical work capacity (PWC) in phase III rehabilitation

  PWC is measured during a graded exercise test on a cycle ergometer at begin and end of outpatient cardiac rehabilitation

  12months

• Change from baseline in physical work capacity (PWC) within the first 6month of Phase III

  PWC is measured during a graded exercise test on a cycle ergometer at begin and midtime of outpatient cardiac rehabilitation

  3-6months

Secondary Outcomes (3)

• Change from baseline in LDL-Cholesterol in Phase III rehabilitation

  12months

• Change from baseline in Triglycerides in Phase III rehabilitation

  12months

• Change from baseline in Glucose in Phase III rehabilitation

  12months

Interventions

Lifestyle modification BEHAVIORAL

50min of endurance combined with 50min of strength training; 1-2 sessions/week for 6 month, follow up after 3-6month

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients that completed in- our outpatient phase II and phase III out-patient cardiac rehabilitation. Diagnoses that qualify for cardiac rehabilitation paid by health insurances comprise acute coronary syndrome; percutaneous coronary intervention; stable coronary heart disease; aortocoronary bypass surgery; other surgeries of the heart and the big vessels; heart and lung transplantation; chronic heart failure; pulmonary hypertension; peripheral artery occlusive disease; prevention in motivated high risk patients; electro-physiological intervention; implantation of a cardiac pacemaker or a defibrillator; haemodynamically stable arrhythmia; sustained ventricular tachycardia or cardiac arrest.

Sponsors & Collaborators

• Prof. Josef Niebauer M.D., Ph.D., MBA: lead

Study Sites (1)

Institute of Sports Medicine, Prevention and Rehabilitation, Paracelsus Medical University

Salzburg, 5020, Austria

Location

Related Publications (3)

• Adams V, Reich B, Uhlemann M, Niebauer J. Molecular effects of exercise training in patients with cardiovascular disease: focus on skeletal muscle, endothelium, and myocardium. Am J Physiol Heart Circ Physiol. 2017 Jul 1;313(1):H72-H88. doi: 10.1152/ajpheart.00470.2016. Epub 2017 May 5.

  PMID: 28476924 BACKGROUND

• Reich B, Benzer W, Harpf H, Hofmann P, Mayr K, Ocenasek H, Podolsky A, Pokan R, Porodko M, Puelacher C, Sareban M, Traninger H, Ziegelmeyer W, Niebauer J. Efficacy of extended, comprehensive outpatient cardiac rehabilitation on cardiovascular risk factors: A nationwide registry. Eur J Prev Cardiol. 2020 Jul;27(10):1026-1033. doi: 10.1177/2047487319898958. Epub 2020 Jan 14.

  PMID: 31937125 RESULT

• Niebauer J, Mayr K, Harpf H, Hofmann P, Muller E, Wonisch M, Pokan R, Benzer W. Long-term effects of outpatient cardiac rehabilitation in Austria: a nationwide registry. Wien Klin Wochenschr. 2014 Mar;126(5-6):148-55. doi: 10.1007/s00508-014-0527-3. Epub 2014 Mar 11.

  PMID: 24615677 RESULT

Related Links

• Paracelsus Medical University
• Institute of Sports Medicine, Prevention and Rehabilitation

MeSH Terms

Conditions

Cardiovascular Diseases; Coronary Artery Disease; Myocardial Infarction

Condition Hierarchy (Ancestors)

Coronary Disease; Myocardial Ischemia; Heart Diseases; Arteriosclerosis; Arterial Occlusive Diseases; Vascular Diseases; Infarction; Ischemia; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Necrosis

Study Officials

• Josef Niebauer, MD, PhD, MBA

  Paracelsus Medical University

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Head of Institute

Study Record Dates

• First Submitted: June 21, 2022
• First Posted: June 27, 2022
• Study Start: September 27, 2022
• Primary Completion: August 1, 2023
• Study Completion: December 31, 2023
• Last Updated: April 13, 2023

Record last verified: 2023-04

Data Sharing

• IPD Sharing: Will not share

Locations

AU (1)