PMID- 15718182
OWN - NLM
STAT- MEDLINE
DCOM- 20050624
LR  - 20220427
IS  - 1388-9842 (Print)
IS  - 1388-9842 (Linking)
VI  - 7
IP  - 3
DP  - 2005 Mar 16
TI  - Randomised controlled trial of cardiac rehabilitation in elderly patients with 
      heart failure.
PG  - 411-7
AB  - BACKGROUND: Heart failure, a condition predominantly affecting the elderly, 
      represents an ever-increasing clinical and financial burden for the NHS. Cardiac 
      rehabilitation, a service that incorporates patient education, exercise training 
      and lifestyle modification, requires further evaluation in heart failure 
      management. AIM: The aim of this study was to determine whether a cardiac 
      rehabilitation programme improved on the outcomes of an outpatient heart failure 
      clinic (standard care) for patients, over 60 years of age, with chronic heart 
      failure. METHODS: Two hundred patients (60-89 years, 66% male) with New York 
      Heart Association (NYHA) II or III heart failure confirmed by echocardiography 
      were randomised. Both standard care and experimental groups attended clinic with 
      a cardiologist and specialist nurse every 8 weeks. Interventions included 
      exercise prescription, education, dietetics, occupational therapy and 
      psychosocial counselling. The main outcome measures were functional status (NYHA, 
      6-min walk), health-related quality of life (MLHF and EuroQol) and hospital 
      admissions. RESULTS: There were significant improvements in MLHF and EuroQol 
      scores, NYHA classification and 6-min walking distance (meters) at 24 weeks 
      between the groups (p<0.001). The experimental group had fewer admissions (11 vs. 
      33, p<0.01) and spent fewer days in hospital (41 vs. 187, p<0.001). CONCLUSIONS: 
      Cardiac rehabilitation, already widely established in the UK, offers an effective 
      model of care for older patients with heart failure.
FAU - Austin, Jacky
AU  - Austin J
AD  - Gwent Healthcare Trust, Nevill Hall Hospital, Abergavenny, Monmouthshire, NP7 
      9SA, United Kingdom. jackie.austin@gwent.wales.nhs.uk
FAU - Williams, Robert
AU  - Williams R
FAU - Ross, Linda
AU  - Ross L
FAU - Moseley, Laurie
AU  - Moseley L
FAU - Hutchison, Stephen
AU  - Hutchison S
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Eur J Heart Fail
JT  - European journal of heart failure
JID - 100887595
SB  - IM
MH  - Aged
MH  - Exercise Therapy
MH  - Female
MH  - Heart Failure/*rehabilitation/therapy
MH  - Humans
MH  - Life Style
MH  - Male
MH  - Middle Aged
MH  - Nurse Practitioners
MH  - *Outpatient Clinics, Hospital
MH  - Patient Care Team
MH  - Patient Education as Topic
MH  - Quality of Life
MH  - State Medicine
MH  - Time Factors
MH  - United Kingdom
EDAT- 2005/02/19 09:00
MHDA- 2005/06/25 09:00
CRDT- 2005/02/19 09:00
PHST- 2004/06/22 00:00 [received]
PHST- 2004/07/26 00:00 [revised]
PHST- 2004/10/14 00:00 [accepted]
PHST- 2005/02/19 09:00 [pubmed]
PHST- 2005/06/25 09:00 [medline]
PHST- 2005/02/19 09:00 [entrez]
AID - S1388-9842(04)00282-X [pii]
AID - 10.1016/j.ejheart.2004.10.004 [doi]
PST - ppublish
SO  - Eur J Heart Fail. 2005 Mar 16;7(3):411-7. doi: 10.1016/j.ejheart.2004.10.004.