The findings from this systematic review suggest favorable effects on the readmission rates .
As well , the individualized patient education intervention is effective in promoting statistically significant changes in quality of life , performance of health behaviours , depression , and anxiety
The objective of this systematic review was to compare the effectiveness of individualized patient education interventions to st and ardized patient education interventions on the rate of readmission , performance of specific health behaviours , depression , anxiety , and cognition during the post-hospital discharge recovery period following cardiovascular surgery .
Long-term effects of an expanded cardiac rehabilitation programme after myocardial infarction or coronary artery bypass surgery: a five-year follow-up of a randomized controlled study
Objective : To investigate the long-term effect of exp and ed cardiac rehabilitation on a composite end-point , consisting of cardiovascular death , myocardial infa rct ion or readmission for cardiovascular disease , in patients with coronary artery disease . Design : Single-centre prospect i ve r and omized controlled trial . Setting : University hospital . Subjects : Two hundred and twenty-four patients with acute myocardial infa rct ion or undergoing coronary artery by-pass grafting . Intervention : Patients were r and omized to exp and ed cardiac rehabilitation ( a one-year stress management programme , increased physical training , staying at a ‘ patient hotel ’ for five days after the event , and cooking sessions ) , or to st and ard cardiac rehabilitation . Main measures : Data on cardiovascular death , myocardial infa rct ion , readmission for cardiovascular disease and days at hospital for cardiovascular reasons were obtained from national registries of the Swedish National Board of Health and Welfare . Results : The primary end-point occurred in 121 patients altogether ( 54 % ) . The number of cardiovascular events were reduced in the exp and ed rehabilitation group compared with the st and ard cardiac rehabilitation ( 53 patients ( 47.7 % ) versus 68 patients ( 60.2 % ) ; hazard ratio 0.69 ; P = 0.049 ) . This was mainly because of a reduction of myocardial infa rct ions in the exp and ed rehabilitation group . During the five years 12 patients ( 10.8 % ) versus 23 patients ( 20.3 % ) ; hazard ratio 0.47 ; P = 0.047 had a myocardial infa rct ion . Days at hospital for cardiovascular reasons were significantly reduced in patients who received exp and ed cardiac rehabilitation ( median 6 days ) compared with st and ard cardiac rehabilitation ( median 10 days ; P = 0.02 ) . Conclusion : Exp and ed cardiac rehabilitation after acute myocardial infa rct ion or coronary artery bypass grafting reduces cardiovascular morbidity and days at hospital for cardiovascular reasons
The findings from this systematic review suggest favorable effects on the readmission rates .
As well , the individualized patient education intervention is effective in promoting statistically significant changes in quality of life , performance of health behaviours , depression , and anxiety
The objective of this systematic review was to compare the effectiveness of individualized patient education interventions to st and ardized patient education interventions on the rate of readmission , performance of specific health behaviours , depression , anxiety , and cognition during the post-hospital discharge recovery period following cardiovascular surgery .