Heart failure with reduced ejection fraction Cardiac rehabilitation,functional capacity, heart failure, clinical outcomes, readmission
Conditions
Interventions
The contextual Cardiac rehabilitation (CR) program will be applied in this study comprised of two phases, Hospital-based CR and home-based CR.
Phase I, Hospital-based cardiac rehabilitation
Day 1 Init
Experimental Behavioral,No Intervention No treatment
Contextual Cardiac rehabilitation program ,Usual care
Sponsors
Ramathibodi School of Nursing
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: 1. Aged 18 to 85 years, patients older than 85 years have a high for adverse events such as arrhythmia and sudden cardiac arrest, and the patients who are 60 years and older will be assessed for cognitive impairment using the MINI COG test and score more than 3 points. 2. Being diagnosed with HFrEF with LVEF 15 to 40% on echocardiography by a physician because the patients who have LVEF less than 15% have a high risk for embolic stroke and cardiac events. 3. The functional status of heart failure patients classified by the NYHA Functional Classifications are class I-III 4. Present clinical stability for 24 hours after treatment optimization with no symptoms of dyspnea, pulmonary edema, and ankle swelling following readiness to CR program form. 5. Independently perform basic activities of daily living before admission 6. Physicians allow participation in the CR program and pass all criteria of heart failure discharge.
Exclusion criteria
Exclusion criteria: 1. Cardiac emergency 2. Underwent coronary artery bypass grafting (CABG) or valve surgery within 1 to 3 months. 3. Unable to perform exercise because of noncardiac causes, such as musculoskeletal system problems, and disabilities from exercise. 4. Hemodialysis or chronic kidney disease (CKD) stage 4 to 5 undergoing hemodialysis next 6 months. 5. Uncontrolled HT 6. Unable to perform completely 6 MWT at baseline before enrollment in the CR Program. 7. Have experience in CR programs or enroll in other exercise programs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Readmission 28 days after discharge The time that HF patients who are discharged from the hospital are readmitted with the same illness and symptoms related to HF within 28 days.,Self-care behaviors 12 weeks The Self-Care of Heart Failure Index (SCHFI) version 7.2 ,Health-Related Quality of Life (HRQOL) 12 weeks The Minnesota Living with Heart Failure Questionnaire (MLHF), Functional capacity 12 weeks VO2 max | — |
Secondary
| Measure | Time frame |
|---|---|
| ER visits 12 weeks The number of hospital emergency room visits with symptoms related to HF such as orthopnea, pitting edema, dyspnea on exertion, PND, and chest pain within 3 months after discharge from the hospital.,Hospitalization 29 days - 12 weeks after discharge The number of times that patients who are discharged from the hospital come back to be admitted to the hospital for at least 24 hours after discharge from the hospital for more than 28 days. | — |
Countries
Thailand
Contacts
Public ContactWaiyaporn Promwong
Ramathibodi School of Nursing, Mahidol University
Outcome results
None listed