Article

Effects of cardiac rehabilitation (CR) provided within
the first 3 months of revascularization on reducing recurrent revascularization
in patients with coronary heart disease in Taiwan.
METHODS: In this
population-based cohort study, we used the claims data of 1 million beneficiaries
who were randomly selected from all beneficiaries enrolled in Taiwan's National
Health Insurance program from 1996 to 2000. Between 2000 and 2007, 2838 patients
underwent a first-event revascularization. Of these patients, 442 (15.6%)
underwent CR within the first 3 months of admission for revascularization. The
remaining 84.4% (n = 2396) served as the non-CR group. All the study patients
were followed-up until the end of 2008 for any recurrent revascularization. A
propensity score-adjusted Cox proportional hazard model was used to estimate the
relative risk of recurrent revascularization associated with CR. RESULTS: During
the 1- to 9-year follow-up, 69 patients (15.6%) in the CR group and 840 (35.1%)
patients in the non-CR group experienced recurrent revascularization. The results
of the propensity score-adjusted Cox proportional hazard regression analysis
showed that CR was significantly associated with a reduced risk of recurrent
revascularization with a hazard ratio of 0.48 (95% CI, 0.37 to -0.62).
CONCLUSIONS: Cardiac rehabilitation within the first 3 months of
revascularization is significantly associated with a reduced risk of recurrent
revascularization. This preventive effect was more pronounced in men compared
with other subgroups of patients.

Langue : ANGLAIS