Factors Associated With Participation in Hospital-Based Cardiac Rehabilitation Program in Patients With Acute Coronary Syndrome
Sponsor study identifier
observational
60
1 country
1
Study Start
September 22, 2022
Actual (reported)Primary Completion
December 11, 2023
Actual (reported)Study Completion
January 12, 2024
Actual (reported)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.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
January 12, 2024
Actual (reported)Click on a node to explore related trials.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
September 15, 2022
Actual (reported)September 22, 2022
Actual (reported)September 22, 2022
Actual (reported)December 11, 2023
Actual (reported)January 12, 2024
Actual (reported)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
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
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.
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.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Patients aged 18-75 years admitted to the coronary intensive care unit with the diagnosis of acute coronary syndrome
Gazi University Hospital, Department of Physical Medicine and Rehabilitation
Ankara, 06560, Turkey (Türkiye)
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.
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.
Nesrin Demirsoy, MD
Gazi University Faculty of Medicine
Levent Karataş, MD
Gazi University Faculty of Medicine
60 participants (actual enrollment reported by the registry).
First Submitted
September 15, 2022
First Posted
September 22, 2022
Study Start
September 22, 2022
Actual (reported)Aggressive Smoking Cessation Trial (ASAP)
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
Contact the study team to confirm eligibility.
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.
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.
Coşkun, Özge Keniş, et al. Validity and reliability of the Turkish version of cardiac rehabilitation barriers scale. Gülhane Tip Dergisi 61.2 (2019): 59.
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.
Primary Completion
December 11, 2023
Actual (reported)Study Completion
January 12, 2024
Actual (reported)Last Updated
January 22, 2024
Record last verified: 2024-01
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