Factors Related to Participation in Cardiac Rehabilitation in Patients With Acute Coronary Syndrome

NCT05551429 | Completed

• 1 other identifier: Participation in Cardiac Rehab
• Study Type: observational
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Acute coronary syndrome (ACS) is one of the most important causes of mortality and morbidity all over the world. Cardiac rehabilitation (CR) is a crucial part of secondary prevention and optimal care of patients with ACS. However, the participation rate in CR after ACS is far from expected. In our study, we will aim to examine the rate of participation in cardiac rehabilitation and the factors affecting it in patients followed up for acute coronary syndrome in the coronary intensive care unit of our hospital. Our main hypothesis is that the lower rate of participation in cardiac rehabilitation in patients with acute coronary syndrome is associated with one or more of that older age, female gender, multimorbidity, poor functional capacity, lower health literacy level or quality of life levels.

Conditions

Acute Coronary Syndrome; Cardiovascular Diseases; Cardiac Rehabilitation

Keywords

Acute Coronary Syndrome; Cardiac Rehabilitation; Myocardial Infarction; Participation; Health Literacy; Rehabilitation Barriers

Outcome Measures

Primary Outcomes (1)

• Rate of participation in the CR

  Number of patients admitted to the first CR session four weeks after discharge from the ICU

  Four weeks after discharge from ICU

Secondary Outcomes (6)

• Timed Up and Go Test

  At initial evaluation of the participant in ICU

• Measurement of hand grip strength

  At initial evaluation of the participant in ICU

• Two minute Step Test

  At initial evaluation of the participant in ICU

• World Health Organization Quality of Life Scale-Short Form

  At initial evaluation of the participant in ICU

• Turkish Health Literacy Scale-32

  At initial evaluation of the participant in ICU

Study Arms (1)

Patients with Acute Coronary Syndrome

The study sample will comprise acute coronary syndrome patients admitted to Gazi University Faculty of Medicine, Cardiology Department, Coronary Intensive Care Unit because of one or more of the diagnoses of acute ST-elevation myocardial infarction (MI), acute non-ST elevation MI and unstable angina pectoris. Patients who are hemodynamically stable and have no signs of residual ischemia after acute care will be informed by the cardiologist about the study. After the inclusion process, patients will be evaluated in terms of clinical characteristics, muscle strength, quality of life, and health literacy. They will be given detailed information about CR and an appointment will be made four weeks later for starting the exercise program. In the follow-up, the Cardiac Rehabilitation Barriers Scale-Turkish Version will be applied to those who do not participate in the initial exercise program.

Behavioral: Invitation to the CR

Interventions

Invitation to the CR BEHAVIORAL

1. Oral and written information emphasise the benefits of cardiac rehabilitation in terms of treatment of heart diseases, increasing functional capacity, reducing morbidity and mortality, and enhancing secondary prevention. 2. Introducing the scope and method of administration of CR to patients. 3. Setting up the appointment for the initial CR session four weeks later.

Patients with Acute Coronary Syndrome

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients aged 18-75 years admitted to the coronary intensive care unit with the diagnosis of acute coronary syndrome

You may qualify if:

• Being hospitalized in the coronary intensive care unit with the diagnosis of acute coronary syndrome
• Being able to walk and get up from a chair without the support of a person
• Agree to take part in the study

You may not qualify if:

• Presence of any conditions that prevent exercise training (severe orthopaedic, neurological or rheumatological disease, acute infection, acute pericarditis, endocrine and metabolic disorders, etc.)
• Presence of neuropsychiatric diseases or conditions that may prevent cooperation
• Persisting unstable angina
• Having severe stenosis or insufficiency of heart valve
• Congenital structural heart diseases
• Presence of decompensated heart failure
• Uncontrolled arrhythmias that may cause hemodynamic instability during exercise
• Exercise contraindication decision of the cardiologist

Sponsors & Collaborators

• Gazi University: lead

Study Sites (1)

Gazi University Hospital, Department of Physical Medicine and Rehabilitation

Ankara, 06560, Turkey (Türkiye)

Location

Related Publications (6)

• Price KJ, Gordon BA, Bird SR, Benson AC. A review of guidelines for cardiac rehabilitation exercise programmes: Is there an international consensus? Eur J Prev Cardiol. 2016 Nov;23(16):1715-1733. doi: 10.1177/2047487316657669. Epub 2016 Jun 27.

  PMID: 27353128 BACKGROUND

• Pio CSA, Chaves G, Davies P, Taylor R, Grace S. Interventions to Promote Patient Utilization of Cardiac Rehabilitation: Cochrane Systematic Review and Meta-Analysis. J Clin Med. 2019 Feb 5;8(2):189. doi: 10.3390/jcm8020189.

  PMID: 30764517 BACKGROUND

• Grace SL, Krepostman S, Brooks D, Jaglal S, Abramson BL, Scholey P, Suskin N, Arthur H, Stewart DE. Referral to and discharge from cardiac rehabilitation: key informant views on continuity of care. J Eval Clin Pract. 2006 Apr;12(2):155-63. doi: 10.1111/j.1365-2753.2006.00528.x.

  PMID: 16579824 BACKGROUND

• Ades PA, Keteyian SJ, Wright JS, Hamm LF, Lui K, Newlin K, Shepard DS, Thomas RJ. Increasing Cardiac Rehabilitation Participation From 20% to 70%: A Road Map From the Million Hearts Cardiac Rehabilitation Collaborative. Mayo Clin Proc. 2017 Feb;92(2):234-242. doi: 10.1016/j.mayocp.2016.10.014. Epub 2016 Nov 15.

  PMID: 27855953 BACKGROUND

• Coşkun, Özge Keniş, et al. Validity and reliability of the Turkish version of cardiac rehabilitation barriers scale. Gülhane Tip Dergisi 61.2 (2019): 59.

  BACKGROUND

• Okyay, P., et al. A new Health Literacy Scale: Turkish Health Literacy Scale and its psychometric properties: Pinar Okyay. The European Journal of Public Health 25.suppl_3 (2015): ckv175-220.

  BACKGROUND

Related Links

• WHO methods and data sources for country-level causes of death 2000-2019
• Turkish Health Literacy Survey (TSOY-32)

MeSH Terms

Conditions

Acute Coronary Syndrome; Cardiovascular Diseases; Myocardial Infarction

Condition Hierarchy (Ancestors)

Myocardial Ischemia; Heart Diseases; Vascular Diseases; Infarction; Ischemia; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Necrosis

Study Officials

• Nesrin Demirsoy, MD

  Gazi University Faculty of Medicine

  PRINCIPAL INVESTIGATOR

• Levent Karataş, MD

  Gazi University Faculty of Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: September 15, 2022
• First Posted: September 22, 2022
• Study Start: September 22, 2022
• Primary Completion: December 11, 2023
• Study Completion: January 12, 2024
• Last Updated: January 22, 2024

Record last verified: 2024-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)