在心力衰竭患者中家庭心脏康复参与率
S Hammad Jafri1, Reema Qureshi2, Tiffany Tin T Ho2
1Providence Veterans Affairs Medical Center, Providence, RI; Alpert Medical School, Brown University, Providence, RI.
Current problems in cardiology
|August 6, 2023
概括
家庭心脏康复 (HBCR) 显著降低了心力衰竭 (HF) 患者的死亡率和住院治疗. 降低射出分数 (HFrEF) 和保存射出分数 (HFpEF) 的心力衰竭患者在完成HBCR后表现出相同的改善.
科学领域:
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 心脏衰竭 (HF) 带来了显著的发病率和死亡率挑战.
- 家庭心脏康复 (HBCR) 是无法参加中心计划的患者的重要替代方案.
- 在HF患者中,HBCR对心血管结局的影响仍未得到充分研究.
研究的目的:
- 为了评估HF患者的心血管结果,请参阅HBCR.
- 为了比较参加HBCR和没有参加HBCR的患者之间的结果.
- 评估HBCR对HFrEF和HFpEF患者亚组的有效性.
主要方法:
- 188名HF患者的回顾性研究 (HFrEF/HFpEF) 引用HBCR.
- 在12个月内,HBCR参与者和非参与者之间的结局 (死亡率,住院病例) 的比较.
- 对HFrEF和HFpEF患者的亚组分析,比较HBCR前后的临床和功能性测量.
主要成果:
- 完成HBCR与初级复合结局 (全因死亡率和心血管住院病例) 的风险明显降低 (调整HR=0.32).
- 与非参加者相比,HBCR组的患者经历了较低的全因死亡率和全因住院治疗.
- 在HBCR后,在HFrEF和HFpEF组中观察到体重,血压,脂质概况,运动能力 (6MWT) 和生活质量 (PHQ-9) 的显著改善.
结论:
- 完成HBCR与降低HF患者全因死亡率和住院风险有关.
- 对于HFrEF和HFpEF患者来说,HBCR提供了可比的好处.
- 对于HF患者来说,HBCR是一种有效和可访问的康复选择,特别是那些没有批准传统CR的HFpEF患者.
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