Phase I Cardiovascular Rehabilitation, Risk Stratification, and Length of Hospitalization in Post-Percutaneous Coronary Intervention (PCI) Patients

Authors

  • Muhammad Sukri Tanjung Faculty of Nursing, Universitas Sumatera Utara, Medan, Indonesia
  • Dudut Tanjung Faculty of Nursing, Universitas Sumatera Utara, Medan, Indonesia
  • Nur Asnah Sitohang Faculty of Nursing, Universitas Sumatera Utara, Medan, Indonesia
  • Dedi Ardinata Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia

DOI:

https://doi.org/10.26630/jk.v15i3.4732

Keywords:

Acute coronary syndrome, Cardiac rehabilitation, Cardiac catheterization

Abstract

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

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Published

27-11-2024