The Impact of Early Cardiac Rehabilitation by using Classification of the Status on Admission for Patients with Congestive Heart Failure

Abstract

BackgroundCardiac rehabilitation is an important adjunct to medical therapy in patients with congestive heart failure (CHF). However, there is no indicator to progress cardiac rehabilitation in patients with CHF.The purpose of this study is to evaluate the impact of early cardiac rehabilitation by using classification of the status of the patients with CHF on admission.Methods80 patients of intervention cardiac rehabilitation group (I group) and 69 patients of control cardiac rehabilitation group (C group) were enrolled. Patients in I group were scored by respiratory status (0:Oxygen <3L/min, 1: Oxygen >3L/min, 2: treatment with NPPV or Endotracheal intubation), Activity of Daily Living (0: Independence, 1:outside activity with support, 2:limited activity only inside), and BNP (0:<500pg/ml, 1:500-1999pg/ml, 2:>2000pg/ml), and were classified into four groups by total score (mild:0, moderate:1-3, severe:4-5, most severe:6). Then according to this score, cardiac rehabilitation was started immediately. We compared the duration in hospitalization between two groups, and evaluated the safety.ResultsThere were no significant differences between two groups on admission. Duration in hospitalization in I group could be shorter (I group; 21.0±10.9 days vs C group; 25.9±12.3 days, p<0.05).ConclusionCardiac rehabilitation by using this classification could be performed without serious accident. We considered that early mobilization prevent the Activity of Daily Living from lowering and lead to early discharge. BackgroundCardiac rehabilitation is an important adjunct to medical therapy in patients with congestive heart failure (CHF). However, there is no indicator to progress cardiac rehabilitation in patients with CHF.The purpose of this study is to evaluate the impact of early cardiac rehabilitation by using classification of the status of the patients with CHF on admission. Cardiac rehabilitation is an important adjunct to medical therapy in patients with congestive heart failure (CHF). However, there is no indicator to progress cardiac rehabilitation in patients with CHF. The purpose of this study is to evaluate the impact of early cardiac rehabilitation by using classification of the status of the patients with CHF on admission. Methods80 patients of intervention cardiac rehabilitation group (I group) and 69 patients of control cardiac rehabilitation group (C group) were enrolled. Patients in I group were scored by respiratory status (0:Oxygen <3L/min, 1: Oxygen >3L/min, 2: treatment with NPPV or Endotracheal intubation), Activity of Daily Living (0: Independence, 1:outside activity with support, 2:limited activity only inside), and BNP (0:<500pg/ml, 1:500-1999pg/ml, 2:>2000pg/ml), and were classified into four groups by total score (mild:0, moderate:1-3, severe:4-5, most severe:6). Then according to this score, cardiac rehabilitation was started immediately. We compared the duration in hospitalization between two groups, and evaluated the safety. 80 patients of intervention cardiac rehabilitation group (I group) and 69 patients of control cardiac rehabilitation group (C group) were enrolled. Patients in I group were scored by respiratory status (0:Oxygen <3L/min, 1: Oxygen >3L/min, 2: treatment with NPPV or Endotracheal intubation), Activity of Daily Living (0: Independence, 1:outside activity with support, 2:limited activity only inside), and BNP (0:<500pg/ml, 1:500-1999pg/ml, 2:>2000pg/ml), and were classified into four groups by total score (mild:0, moderate:1-3, severe:4-5, most severe:6). Then according to this score, cardiac rehabilitation was started immediately. We compared the duration in hospitalization between two groups, and evaluated the safety. ResultsThere were no significant differences between two groups on admission. Duration in hospitalization in I group could be shorter (I group; 21.0±10.9 days vs C group; 25.9±12.3 days, p<0.05). There were no significant differences between two groups on admission. Duration in hospitalization in I group could be shorter (I group; 21.0±10.9 days vs C group; 25.9±12.3 days, p<0.05). ConclusionCardiac rehabilitation by using this classification could be performed without serious accident. We considered that early mobilization prevent the Activity of Daily Living from lowering and lead to early discharge. Cardiac rehabilitation by using this classification could be performed without serious accident. We considered that early mobilization prevent the Activity of Daily Living from lowering and lead to early discharge.