心脏康复治疗参与率与医院再入院之间的关联。
The Association Between Cardiac Rehabilitation Attendance and Hospital Readmission.
作者信息
House Chad M, Anstadt Mary A, Stuck Logan H, Nelson William B
机构信息
Department of Cardiology, Regions Hospital, St Paul, Minnesota (CMH, MAA, WBN).
HealthPartners Medical Group, Bloomington, Minnesota (CMH, MAA, WBN).
出版信息
Am J Lifestyle Med. 2016 Sep 28;12(6):513-520. doi: 10.1177/1559827616670118. eCollection 2018 Nov-Dec.
Cardiac rehabilitation is associated with improved clinical outcomes, but the impact of individual cardiac rehabilitation sessions on readmission rates is less studied. A retrospective evaluation of the relationship between the number of cardiac rehabilitation sessions completed and all-cause and cardiac readmission rates at 1 year was conducted. The 1-year cardiac readmission counts were modeled via Poisson regression. Of the 347 patients included in the primary analysis, 227 (65%) completed all assigned cardiac rehabilitation sessions. At 1 year, 135 patients (39%) had at least 1 cardiac readmission, and 155 patients (45%) had at least 1 all-cause readmission. The primary result was that every additional cardiac rehabilitation session completed was associated with a 1.75% lower incidence rate of 1-year cardiac readmission (P = .01) and a 2% lower incidence rate of all-cause hospital readmission (P = .001). Regardless of the number of cardiac rehabilitation sessions assigned, each additional session attended was associated with reduced cardiac readmission by 1.75% and all-cause readmission by 2%.
心脏康复与改善临床结局相关，但单次心脏康复治疗对再入院率的影响研究较少。我们对完成的心脏康复治疗次数与1年时的全因再入院率和心脏相关再入院率之间的关系进行了回顾性评估。通过泊松回归对1年内心脏相关再入院次数进行建模。在纳入初步分析的347例患者中，227例（65%）完成了所有指定的心脏康复治疗。1年时，135例患者（39%）至少有1次心脏相关再入院，155例患者（45%）至少有1次全因再入院。主要结果是，每多完成一次心脏康复治疗，1年内心脏相关再入院发生率降低1.75%（P = .01），全因住院再入院发生率降低2%（P = .001）。无论分配的心脏康复治疗次数如何，每多参加一次治疗，心脏相关再入院率降低1.75%，全因再入院率降低2%。
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