Nesello Pietro Felice Tomazini, Tairova Olga, Tairova Maria, Graciolli Lucas, Baroni Allan, Comparsi Eduardo, Marchi Thiago De
University of Caxias do Sul, Sports Medicine Institute, Caxias do Sul, Brazil.
University of Caxias do Sul, Cardiac Rehabilitation Service, Caxias do Sul, Brazil.
Open Access Maced J Med Sci. 2016 Dec 15;4(4):654-660. doi: 10.3889/oamjms.2016.125. Epub 2016 Nov 25.
This paper aims to assess the dropout rate in different age groups through the example of the large cardiac rehabilitation centre affiliated with the Institute of Sports Medicine, University of Caxias do Sul.
A historic cohort study comprising the following groups: Non-Old < 65 (n = 141); Young-Old 65-74 (n = 128); and Middle-Old 75-84 years old (n = 57). The exercise program lasted 48 sessions and dropout was defined as attendance of 50% of sessions or less. Logistic binominal regression was performed to assess the risk of dropout. For all analyses, a two-tailed P value of < 0.05 was used.
The total dropout rate was 38.6%. The Young-Old and Middle-Old groups showed lower dropouts compared to Non-Old patients (p = 0.01). Young-Old has 96% less risk for dropout compared to Non-Old group (adjusted odds ratios = 1.96 [1.16-3.29]). Furthermore, patients underwent the Coronary Artery Bypass Graft showed a lower rate of dropout (p = 0.001). The absence of CABG involved three times more risk of dropout (p = 0.001).
The Non-Old and the Middle-Old patients showed higher dropout rates compared to Young-Old. To ensure the best possible rehabilitation and to improve patients´ participation in CR, these programs should be adjusted to the needs of patients in terms of their age.
本文旨在以南卡希亚斯大学运动医学研究所附属大型心脏康复中心为例，评估不同年龄组的退出率。
一项历史性队列研究，包括以下几组：非老年组<65岁（n = 141）；年轻老年组65 - 74岁（n = 128）；中老年组75 - 84岁（n = 57）。运动项目持续48节课程，退出定义为参加课程节数的50%或更少。采用逻辑二项回归评估退出风险。所有分析均采用双侧P值<0.05。
总退出率为38.6%。与非老年患者相比，年轻老年组和中老年组的退出率较低（p = 0.01）。与非老年组相比，年轻老年组的退出风险降低了96%（调整后的优势比 = 1.96 [1.16 - 3.29]）。此外，接受冠状动脉搭桥术的患者退出率较低（p = 0.001）。未进行冠状动脉搭桥术的患者退出风险高出三倍（p = 0.001）。
与年轻老年组相比，非老年组和中老年组患者的退出率较高。为确保最佳康复效果并提高患者对心脏康复的参与度，这些项目应根据患者年龄需求进行调整。
