Department of Medicine, University of Illinois College of Medicine at Chicago, Section of Health Promotion Research, Chicago, Illinois, USA.
Heart. 2011 Jul;97(14):1169-74. doi: 10.1136/hrt.2010.202036. Epub 2011 May 10.
To compare the long-term effectiveness of hospital versus telephone-monitored home-based exercise training during cardiac rehabilitation (CR) on exercise capacity and habitual physical activity.
Six-year follow-up of patients who participated in a randomised controlled trial of hospital versus monitored home-based exercise training during CR after coronary artery bypass graft surgery.
Outpatient CR centre in Central-South Ontario, Canada.
196 Patients who participated in the original randomised controlled trial and who attended an evaluation 1 year after CR.
6 months of home or hospital-based exercise training during CR.
Peak oxygen uptake (peak Vo₂), Physical Activity Scale in the Elderly (PASE) to assess habitual activity, semi-structured interviews to assess vital status, demographic and descriptive information.
Of the 196 eligible patients, 144 (75.5%; 74 Hospital, 70 Home) were available for participation. Patients were predominantly male (n = 120; 83.3%) aged 70 ± 9.5 years. Clinical and sociodemographic outcomes were similar in both groups. While exercise performance declined over time, there were significant between-group differences in peak Vo₂) (1506 ± 418 ml/min vs 1393 ± 341 ml/min; p = 0.017) and PASE scores (166.7 ± 90.2 vs 139.7 ± 66.5; p = 0.001) at 6-year follow-up in favour of the home group.
Home and hospital-based exercise training maintained exercise capacity above pre-CR levels 6 years after CR. Exercise training initiated in the home environment in low-risk patients undergoing coronary artery bypass graft surgery conferred greater long-term benefit on Vo₂ and persistent physical activity compared with traditional hospital-based CR.
比较心脏康复期间医院与电话监测家庭为基础的运动训练在运动能力和习惯性体力活动方面的长期效果。
冠状动脉旁路移植手术后参加医院与监测家庭为基础的运动训练随机对照试验的患者的 6 年随访。
加拿大中南部安大略省的门诊心脏康复中心。
196 名参加原始随机对照试验并在心脏康复后 1 年接受评估的患者。
心脏康复期间的 6 个月家庭或医院为基础的运动训练。
峰值摄氧量（peak Vo₂），评估习惯性活动的老年体力活动量表（PASE），半结构访谈评估生命状态、人口统计学和描述性信息。
在 196 名合格患者中，有 144 名（75.5%；74 名医院，70 名家庭）可参加。患者主要为男性（n = 120；83.3%），年龄 70 ± 9.5 岁。两组患者的临床和社会人口统计学结果相似。虽然随着时间的推移运动表现下降，但在 peak Vo₂）（1506 ± 418 ml/min 与 1393 ± 341 ml/min；p = 0.017）和 PASE 评分（166.7 ± 90.2 与 139.7 ± 66.5；p = 0.001）方面存在显著的组间差异，家庭组的结果更好。
心脏康复后 6 年，家庭和医院为基础的运动训练使运动能力保持在心脏康复前的水平以上。在接受冠状动脉旁路移植手术的低危患者中，从家庭环境开始的运动训练与传统的医院为基础的心脏康复相比，在 Vo₂和持续体力活动方面具有更大的长期益处。
