Coronary Heart Disease Clinical Trial
Official title:
Outpatient Cardiac Rehabilitation Versus Hospital. Cost-effectiveness Study
The hypothesis is that home based clinical rehabilitation (CR) is less expensive than
hospital based CR with similar clinical effectiveness. The investigators will compare the
results of two forms of CR on
1. direct and indirect healthcare costs
2. effectiveness on mortality, morbidity, modifiable risk factors control, functional
capacity measured by exercise testing, health related quality of life and satisfaction
rate
3. cost/effectiveness analysis
The main reasons for patients not to participate in a cardiac rehabilitation program that
usually develops by group in the hospital or in a gym, are problems of access to hospital,
disgust for participating in a group activity and problems in reconciling their work and /
or home with the program schedule. These problems could be overcome by outcome cardiac
rehabilitation and thus could increase the number of patients benefit from treatment in
either the environment extra or intra-hospital.
Low and medium coronary patients sent to cardiac rehabilitation program at our center within
the first 12 weeks after presenting with acute coronary syndrome or been revascularized will
be included in the study. The prescription of intensity of effort is based on heart rate
reached during the stress test for the initial evaluation in all cases, although at
home-program heart rate will be monitored using heart rate monitor and / or by the Borg
scale. In this way outpatient group patient could performed training sessions individually
and at the time of day that best suits their capabilities. The other program components:
control of risk factors, health education and counseling will be identical in both groups of
patients.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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