Eficacia de un programa de rehabilitación cardiaca en polideportivo municipal comparado con el programa hospitalarioensayo controlado aleatorizado eCARCEX

  1. Izquierdo-García, Juan 1
  2. Arranz–Escudero, Adrián 1
  3. Tello de Meneses, Rocío 2
  4. de la Torre, Noelia 2
  5. Amat-Macías, Isabel M. 3
  6. Castillo Martín, Juan I. 4
  7. Sanz-Ayán, M. Paz 4
  8. Moreno, Guillermo 2
  1. 1 Universidad Complutense de Madrid. Facultad de Enfermería, Fisioterapia y Podología. Departamento de Radiología, Rehabilitación y Fisioterapia. Madrid. España.
  2. 2 Servicio Madrileño de Salud. Hospital Universitario 12 de Octubre. Servicio de Cardiología. Madrid. España.
  3. 3 Ayuntamiento de Madrid. Centro Deportivo Municipal Plata y Castañar. Madrid. España.
  4. 4 Servicio Madrileño de Salud. Hospital Universitario 12 de Octubre. Servicio de Rehabilitación. Madrid. España.
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Zeitschrift:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Datum der Publikation: 2023

Ausgabe: 46

Nummer: 3

Seiten: 11-20

Art: Artikel

DOI: 10.23938/ASSN.1050 DIALNET GOOGLE SCHOLAR lock_openOpen Access editor

Andere Publikationen in: Anales del sistema sanitario de Navarra

Zusammenfassung

Background. This study aimed to analyze the effects of an outpatient cardiac rehabilitation program in a municipal sports center on functional capacity and adherence to physical exercise - among other variables - compared to an in-hospital program. Methods. Randomized clinical trial that included two parallel groups of acute coronary syndrome patients who performed a cardiac rehabilitation program that consisted of moderate physical exercise intervals along with learning healthy habits in a municipal sports center (experimental group) and in a tertiary hospital (control group) between September 2019 and June 2020. We collected the following data: compliance, anthropometrical, clinical, psychological variables, diet and tobacco habits, strength and functional capacity from ergospirometry. Results. Twenty-two patients completed the cardiac rehabilitation program (experimental group=12, control group=10). Significant improvement was observed for cholesterol, the sit-and-stand test, cardiac frequency in VT1 and VT2, and watts in VT1 in the control group, and for HDL-cholesterol, triglycerides, the sit-and-stand test, and frequency, and watts in VT1 in the experimental group. Better achievement was found in the control group for cardiac frequency in VT2 (11.17 vs 2.88 bpm) and in EG for HDL-cholesterol (11.0 vs 0.63 mg/dL). Conclusions. We are unable to determine the effectiveness of the out-of-hospital cardiac rehabilitation program due to a lack of power (high number of withdrawals caused by COVID-19 lockdown). However, the experimented group achieved higher HDL-cholesterol levels, while cardiac frequency in VT2 was higher in the control group.

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Fuente de los datos: Dialnet