Phase I Cardiovascular Rehabilitation, Risk Stratification, and Length of Hospitalization in Post-Percutaneous Coronary Intervention (PCI) Patients
DOI:
https://doi.org/10.26630/jk.v15i3.4732Keywords:
Acute coronary syndrome, Cardiac rehabilitation, Cardiac catheterizationAbstract
Percutaneous Coronary Intervention (PCI) is one of the most effective actions for patients with Acute Coronary Syndrome (ACS), which can improve prognosis and minimize hospitalization time. To optimize medical therapy programs, PCI must be complemented with further preventive measures, such as cardiovascular rehabilitation, including lifestyle modification and risk stratification. This study aims to analyze the relationship between phase I cardiovascular rehabilitation, risk stratification, and length of hospitalization in post-PCI patients. The study design was a retrospective cohort sourced from electronic medical record data. Respondents were divided into groups: those exposed and those not exposed to phase I cardiovascular rehabilitation. Risk stratification and length of hospitalization were studied as study outcomes. Among 201 patients who were followed up during hospitalization, high-risk stratification was more in the unexposed group: exposed group (92.2%: 90.8%; RR 0.85, 95%CI 0.340-2.104). Length of hospitalization ≥3 days was more in the unexposed group: exposed group (63.1%: 59.2%; RR 0.904 95%CI (0.639-1.279). Length of hospitalization ≥3 days was more in the high stratification group: low stratification (63.6%: 35.3%; RR 0.555 95%CI (0.289-1.066). Phase I cardiovascular rehabilitation was not associated with risk stratification and length of hospitalization. Patient risk stratification was related to the length of hospitalization of post-PCI patients. Phase I cardiovascular rehabilitation is an integral part of medical therapy that can reduce adverse events in post-PCI patients.
References
Ambrosetti, M., Abreu, A., Corrà, U., Davos, C.H., Hansen, D., Frederix, I., Iliou, M.C., Pedretti, RFE, Schmid, J.P., Vigorito, C., Voller, H. , Wilhelm, M., Piepoli, M.F., Bjarnason-Wehrens, B., Berger, T., Cohen-Solal, A., Cornelissen, V., Dendale, P., Doehner, W., … Zwisler, ADO (2021 ). Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology. European Journal of Preventive Cardiology, 28 (5), 460–495. https://doi.org/10.1177/2047487320913379
Bhat, A.G., Farah, M., Szalai, H., Song, T., Lindenauer, P.K., Visintainer, P., & Pack, QR (2021). Evaluation of the American Association of Cardiovascular and Pulmonary Rehabilitation Exercise Risk Stratification Classification Tool without Exercise Testing. Journal of Cardiopulmonary Rehabilitation and Prevention, 41 (4), 257–263. https://doi.org/10.1097/HCR.0000000000000584
Chow, C.K., Brieger, D., Ryan, M., Kangaharan, N., Hyun, K.K., & Briffa, T. (2019). Secondary prevention therapies in acute coronary syndrome and relation to outcomes: Observational study. Heart Asia, 11 (1), 1–8. https://doi.org/10.1136/heartasia-2018-011122
Corrà, U., Giordano, A., Gnemmi, M., Gambarin, F.I., Marcassa, C., & Pistono, M. (2022). Cardiovascular disease patients and predictors of length of stay of residence of cardiac rehabilitation. A specific rehabilitation is mandatory in very old patients? Monaldi Archives for Chest Disease, 92 (4), 191–198. https://doi.org/10.4081/monaldi.2022.2125
Gheisari, F., Emami, M., Raeisi Shahraki, H., Samipour, S., & Nematollahi, P. (2020). The Role of Gender in the Importance of Risk Factors for Coronary Artery Disease. Cardiology Research and Practice, 2020. https://doi.org/10.1155/2020/6527820
Kanazawa, N., Iijima, H., & Fushimi, K. (2020). In-hospital cardiac rehabilitation and clinical outcomes in patients with acute myocardial infarction after percutaneous coronary intervention: A retrospective cohort study. BMJ Open , 10 (9), 1–9. https://doi.org/10.1136/bmjopen-2020-039096
Kaneko, H., Itoh, H., Kamiya, K., Morita, K., Sugimoto, T., Konishi, M., Kiriyama, H., Kamon, T., Fujiu, K., Michihata, N., Jo, T., Takeda, N., Morita, H., Yasunaga, H., & Komuro, I. (2021). Acute-phase initiation of cardiac rehabilitation and clinical outcomes in hospitalized patients for acute heart failure. International Journal of Cardiology, 340 (August), 36–41. https://doi.org/10.1016/j.ijcard.2021.08.041
Ministry of Health Republic Indonesia. (2018). Laporan Riset Kesehatan Dasar Tahun 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan.
Pack, QR, Priya, A., Song, T., Pekow, P.S., Berry, R., Atreya, A.R., Ades, P.A., & Lindenauer, P.K. (2019). Cardiac Rehabilitation Utilization during an Acute Cardiac Hospitalization: A NATIONAL SAMPLE. Journal of Cardiopulmonary Rehabilitation and Prevention, 39 (1), 19–26. https://doi.org/10.1097/HCR.0000000000000374
Qin, H., Mayer, H., Öztürk, B., & Badr Eslam, R. (2021). Patients' Perspectives With Acute Coronary Syndrome After Percutaneous Coronary Intervention. Journal for Nurse Practitioners, 17 (5), 588–593. https://doi.org/10.1016/j.nurpra.2021.02.06
Ahmed, F., Gamil Abdelhamid, R., Hamdi El-Soussi, A., Eid AbuRuz, M., Arsyed Subu, M., Maria Dias, J., & Ibrahim Sanhoury, M. (2022). Barriers to cardiac rehabilitation-physical activities practices: An observational descriptive study. International Journal of African Nursing Sciences, 16 (May), 100429. https://doi.org/10.1016/j.ijans.2022.100429
Romelah, K. (2021). Differences in Vital Signs and ECG Before and After Phase 1 Cardiac Rehabilitation in Coronary Heart Disease Patients. Media Husada Journal Of Nursing Science, 2 (3), 167–178. https://doi.org/10.33475/mhjns.v2i3.68
Saripudin, NF, Emaliyawati, E., & Somantri, I. (2018). Obstacles for Coronary Heart Disease (CHD) Patients to Undergo Cardiac Rehabilitation. Indonesian Nurses Journal, 2 (1), 20. https://doi.org/10.32584/jpi.v2i1.37
Shajrawi, A., Granat, M., Jones, I., & Astin, F. (2021). Physical Activity and Cardiac Self-Efficacy Levels during Early Recovery after Acute Myocardial Infarction: A Jordanian Study. Journal of Nursing Research, 29 (1). https://doi.org/10.1097/JNR.0000000000000408
Sola, M., Thompson, A.D., Coe, A.B., Marshall, V.D., Thomas, M.P., Prescott, H.C., & Konerman, M.C. (2019). Utilization of Cardiac Rehabilitation Among Cardiac Intensive Care Unit Survivors. American Journal of Cardiology, 124 (9), 1478–1483. https://doi.org/10.1016/j.amjcard.2019.07.039
Zhang, Y., Cao, H.X., Jiang, P., & Tang, H.Q. (2018). Cardiac rehabilitation in acute myocardial infarction patients after percutaneous coronary intervention. Medicine (United States), 97 (8). https://doi.org/10.1097/MD.0000000000009785
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Muhammad Sukri Tanjung, Dudut Tanjung, Nur Asnah Sitohang, Dedi Ardinata
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish in this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors can enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.