This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Salvetti, X. M. Articles by Vincenzo de Paola, A. A. Search for Related Content PubMed PubMed Citation Articles by Salvetti, X. M. Articles by Vincenzo de Paola, A. A. Pubmed/NCBI databases Medline Plus Health Information Exercise for Children Exercise and Physical Fitness Social Bookmarking                         What's this?

How much do the benefits cost? Effects of a home-based training programme on cardiovascular fitness, quality of life, programme cost and adherence for patients with coronary disease

Department of Cardiology, São Paulo Federal University, Paulista School of Medicine, São Paulo, Brazil, xiosalvetti{at}hotmail.com

Japy Angelini Oliveira

Department of Cardiology, São Paulo Federal University, Paulista School of Medicine, São Paulo, Brazil

Denise Maria Servantes

Department of Cardiology, São Paulo Federal University, Paulista School of Medicine, São Paulo, Brazil

Angelo Amato Vincenzo de Paola

Department of Cardiology, São Paulo Federal University, Paulista School of Medicine, São Paulo, Brazil

Objective: To evaluate cost, adherence and effects on cardiovascular function and quality of life of a home-based cardiac rehabilitation programme for patients with coronary disease.

Design: A randomized, prospective controlled trial.

Setting: Department of Rehabilitation, University Hospital, Brazil.

Subjects: Thirty-nine low-risk patients were assigned to a home exercise training group (n = 19) or a control group (n = 20).

Interventions: The home group performed home-based training for three months with biweekly telephone monitoring.

Main outcome measures: The aerobic capacity and the quality of life (Medical Outcomes Study 36-Item Short Form Survey (SF-36)) of all patients were evaluated before and after the three-month period. Adherence was evaluated weekly. Programme cost was estimated using the Brazilian Classification of Medical Procedures.

Results: After training, the home group had higher peak Vo₂ from 28.8 (6.4) to 31.7 (8.1) mL/kg per minute, peak heart rate from 135 (22) to 143 (20) bpm, work rate from 4780 (2021) to 7103 (3057) kpm/min and exercise time from 11.5 (1.9) to 13.6 (2.3) minutes (P 0.05). The control group showed reduction in peak Vo₂ from 28.6 (6.6) to 26.8 (7.2) mL/kg per minute, peak Vo₂ pulse from 15.5 (3.9) to 14.3 (3.8) mL/bpm and exercise time from 11.5 (2.3) to 11.4 (2.7) minutes (P 0.05). The home group reported improvements in all domains of SF-36. The control group showed improvement in only three domains of SF-36. In the home group the average cost per patient was US$502.71 and the adherence achieved 100%.

Conclusion: The programme seems to provide an efficient low-cost approach to cardiac rehabilitation in low-risk patients.

Clinical Rehabilitation, Vol. 22, No. 10-11, 987-996 (2008)
DOI: 10.1177/0269215508093331


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				C A Polanczyk and J P Ribeiro Coronary artery disease in Brazil: contemporary management and future perspectives Heart, June 1, 2009; 95(11): 870 - 876. [Abstract] [Full Text] [PDF]