PMID- 32316758
OWN - NLM
STAT- MEDLINE
DCOM- 20210503
LR  - 20210503
IS  - 1873-1953 (Electronic)
IS  - 1474-5151 (Linking)
VI  - 19
IP  - 7
DP  - 2020 Oct
TI  - Early rehabilitation in cardiology - heart failure: The ERIC-HF protocol, a novel 
      intervention to decompensated heart failure patients rehabilitation.
PG  - 592-599
LID - 10.1177/1474515120913806 [doi]
AB  - BACKGROUND: Decompensated heart failure patients are characterised by functional 
      dependence and low exercise tolerance. Aerobic exercise can improve symptoms, 
      functional capacity and an increase in exercise tolerance. However, the benefits 
      of early rehabilitation have not yet been validated. OBJECTIVE: To evaluate the 
      safety and feasibility of an aerobic exercise training programme in functional 
      capacity of decompensated heart failure patients. METHODOLOGY: A single centre, 
      parallel, randomised controlled, open label trial, with 100 patients. The 
      training group (TG, n=50) performed the training protocol and the control group 
      (CG, n=50) performed the usual rehabilitation procedures. The London chest 
      activity of daily living (LCADL) scale, the Barthel index (BI) and the 6 minute 
      walking test (6MWT) at discharge were used to evaluate the efficacy of the 
      protocol. Safety was measured by the existence of adverse events. RESULTS: The 
      mean age of the patients was 70 years, 20% were New York Heart Association (NYHA) 
      class IV and 80% NYHA class III at admission. The major heart failure aetiology 
      was ischaemic (35 patients) and valvular disease (25 patients). There were no 
      significant differences between groups at baseline in terms of sociodemographic 
      or pathophysiological characteristics. There was a statistically significant 
      difference of 54.2 meters for the training group (P=0.026) in the 6MWT and at 
      LCADL 12 versus 16 (P=0.003), but the BI did not: 96 versus 92 (P=0.072). No 
      major adverse events occurred. CONCLUSIONS: The training protocol demonstrated 
      safety and efficacy, promoting functional capacity. This study elucidated about 
      the benefits of a systematised implementation of physical exercise during the 
      patient's clinical stabilisation phase, which had not yet been demonstrated.Trial 
      registration: Clinicaltrials.gov NCT03838003, URL: 
      https://clinicaltrials.gov/ct2/show/NCT03838003.
FAU - Delgado, Bruno Miguel
AU  - Delgado BM
AD  - Porto University, Instituto de Ciencias Biomedicas Abel Salazar, Portugal.
AD  - Cardiology Department, CHUP, Portugal.
AD  - NursID, Cintesis, Portugal.
FAU - Lopes, Ivo
AU  - Lopes I
AD  - Cardiology Department of Centro Hospitalar do Porto, Hospital de St Antonio 
      Largo, Prof Abel Salazar, Portugal.
FAU - Gomes, Barbara
AU  - Gomes B
AD  - Rehabilitation Department, Escola Superior de Enfermagem do Porto, Portugal.
FAU - Novo, Andre
AU  - Novo A
AD  - NursID, Cintesis, Portugal.
AD  - Nursing Department, Instituto Politecnico de Braganca, Portugal.
LA  - eng
SI  - ClinicalTrials.gov/NCT03838003
PT  - Comparative Study
PT  - Journal Article
DEP - 20200422
PL  - England
TA  - Eur J Cardiovasc Nurs
JT  - European journal of cardiovascular nursing
JID - 101128793
SB  - IM
MH  - Aged
MH  - Cardiac Rehabilitation/*methods
MH  - Exercise/*psychology
MH  - Exercise Therapy/*methods
MH  - Exercise Tolerance/*physiology
MH  - Female
MH  - Heart Failure/diagnosis/*rehabilitation
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Quality of Life/*psychology
OTO - NOTNLM
OT  - Heart failure
OT  - exercise
OT  - functional capacity
OT  - rehabilitation nurse
OT  - safety
EDAT- 2020/04/23 06:00
MHDA- 2021/05/04 06:00
CRDT- 2020/04/23 06:00
PHST- 2020/04/23 06:00 [pubmed]
PHST- 2021/05/04 06:00 [medline]
PHST- 2020/04/23 06:00 [entrez]
AID - 10.1177/1474515120913806 [doi]
PST - ppublish
SO  - Eur J Cardiovasc Nurs. 2020 Oct;19(7):592-599. doi: 10.1177/1474515120913806. 
      Epub 2020 Apr 22.