Abschlussbericht des Rehabilitationswissenschaftlichen Forschungsverbundes Ulm, Teilprojekt: Determinanten und Ansatzpunkte zur Verbesserung langfristiger Erfolge der stationären kardiologischen Rehabilitation
LicenseStandard (Fassung vom 03.05.2003)
Rehabilitation therapy of patients with coronary heart disease (CHD) aims at reducing cardiovascular risk factors and at maintaining reduced risk factor levels. The aim of this analysis was to assess to what degree current in-patient rehabilitation and subsequent out-patient care by general practitioners achieve these goals. As part of the KAROLA-study (long-term success of cardiological rehabilitation therapy) 1206 patients between 30 and 70 years of age (mean age: male 58.3 years, female 60.8 years) who underwent in-patient rehabilitation due to CHD between January 1999 and May 2000 were recruited. Risk factor levels were assessed at the beginning and at the end of in-patient rehabilitation, and patients were re-examined one year after discharge using a standardized exam conducted by the GP. During in-patient rehabilitaion therapy important risk factors of CHD improved on average, but these improvements are only partly sustained in the long term. In in-patient rehabilitation most patients do have to undergo major changes in dietary intake to comply with recommendations. Although some proportion of patients continued to adhere to dietary recommendations in the long run, further research into strategies to improve maintenance of dietary changes is needed to further enhance the long-term benefits from cardiac rehabilitation. Furthermore, we found clear evidence that the impact of smoking abstinence on long term prognosis of patients with coronary heart disease may be considerably larger than suggested by previous studies. Our results underline the importance of efforts to support smoking cessation and to prevent relapse in patients with coronary heart disease. To ensure long-term success of rehabilitation measures more effective maintenance of risk factor modification in subsequent outpatient care is needed.
Subject HeadingsRehabilitationsmedizin [GND]
Coronary disease. Rehabilitation [MeSH]
Rehabilitation. Research [MeSH]