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| Name | Class |
|---|---|
| Region MidtJylland Denmark | OTHER |
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Cardiac rehabilitation is an individual adapted multidisciplinary intervention for people suffering from Heart Disease. It involves;
The purpose is quick and complete recovery and to reduce the chance of recurrence.
In Denmark people admitted with Acute Cardiac Disease is referred to a course of hospital based cardiac rehabilitation at discharge.
The Danish Municipal Reform of 2007 changed the responsibility of rehabilitation from the Regions, who runs the hospitals, to the municipalities.
Shared care is in this setting that elements of treatment are completed different places in Health Care.
The aim of this study is:
Primary outcome is participation in cardiac rehabilitation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hospital-based | No Intervention |
| |
| Shared care Model | Active Comparator |
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Shared Care model | Behavioral |
|
| Measure | Description | Time Frame |
|---|---|---|
| Participation in cardiac rehabilitation | Participation in cardiac rehabilitation is evaluated for each element. Participation is defined as at least 50% for each element.
Full participation is in 6 of 6 elements if smoker or 5/5 if non-smoker. Partial full participation is in 5/6 if smoker or 4/5 if non-smoker. | 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change of BMI and / or abdominal circumference | 4 and 12 months | |
| 24-hour Ambulatory Blood Pressure | 4 og 12 months | |
| Blood Cholesterol values (Total, LDL, HDL) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jannik B Bertelsen, MD | Hjertemedicinsk Afdeling B, Aarhus University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Silkeborg Hospital | Silkeborg | Region Midt | 8600 | Denmark | ||
| Aarhus University Hospital. Department of Cardiology and Medicine |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29531754 | Derived | Bertelsen JB, Dehbarez NT, Refsgaard J, Kanstrup H, Johnsen SP, Qvist I, Christensen B, Sogaard R, Christensen KL. Shared care versus hospital-based cardiac rehabilitation: a cost-utility analysis based on a randomised controlled trial. Open Heart. 2018 Feb 7;5(1):e000584. doi: 10.1136/openhrt-2016-000584. eCollection 2018. | |
| 27566597 |
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| ID | Term |
|---|---|
| D054058 | Acute Coronary Syndrome |
| D017202 | Myocardial Ischemia |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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|
| 4 and 12 months |
| Fasting Blood glucose | 4 and 12 months |
| Exercise Capacity | 4 and 12 months |
| Lifestyle changes | Diet, Physical Activity, Smoking, Alcohol consumption. | 4 and 12 months |
| Depression score | Estimated by Hospital Anxiety and Depression Scale | 4 and 12 months |
| Compliance to pharmaceutical treatment | 4 and 12 months |
| Readmission | Total and cardiovascular | 4 and 12 months |
| Change in Health Related Quality of Living | SF-12 HeartQoL EQ-5D | 4 and 12 months |
| Difference in Health economic costs | 4 and 12 months |
| Aarhus |
| 8000 |
| Denmark |
| Viborg Hospital, Hospital Unit of Viborg, Silkeborg, Hammel and Skive | Viborg | 8800 | Denmark |
| Bertelsen JB, Refsgaard J, Kanstrup H, Johnsen SP, Qvist I, Christensen B, Christensen KL. Cardiac rehabilitation after acute coronary syndrome comparing adherence and risk factor modification in a community-based shared care model versus hospital-based care in a randomised controlled trial with 12 months of follow-up. Eur J Cardiovasc Nurs. 2017 Apr;16(4):334-343. doi: 10.1177/1474515116666781. Epub 2016 Sep 23. |