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ATLANTIC HEALTH EXPLORATION AND DISCOVERY
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Poster Presentations

These posters are part of the Collaborative Atlantic Health Research Conference 2021. We encourage you to ask questions to and engage in discussion with our presenters this week, by leaving comments on their post.

Presenting authors are BOLDED.

Influence of Frailty on Cardiac Rehabilitation Goal Achievement

8/9/2021

6 Comments

 
by Evan MacEachern, Dr. Scott Kehler

Abstract: Heart disease patients are living with more health problems. Multiple health problems can be expressed as frailty. Frailty is important in cardiac rehabilitation (CR); however, it is uncertain whether patient frailty affects CR goal achievement. CR patients underwent a frailty assessment upon admission to the program. A 25-item frailty index (FI) including health problems related to age determined patient frailty status (scores range from 0-1; higher scores indicate higher frailty). Patients were categorized by admission frailty score (<0.20, 0.20-0.30, 0.30-0.40, >0.40). CR goals (e.g., improve fitness) were determined by patients. Logistic regression analyses adjusted for age, sex, education, and diagnosis. Secondary analysis investigated if obtaining a clinically significant change in frailty score (a 0.03 improvement in the FI) from admission to graduation improved CR goal achievement. Of the 759 participants (age 59.5±9.8, 24% female), 607 (80%) patients achieved a CR goal at graduation. Lower levels of frailty were associated with CR goal achievement (FI<0.20: OR=4.06[1.83-9.01]; FI 0.20-0.30: OR=2.32[1.35-3.97]; FI 0.30-0.40: OR=1.19[0.764-1.86]; FI>0.40 = Reference). Every 1% increase in FI score revealed 1.2% reduced odds of achieving a CR goal (OR=0.98[0.95-0.98]). Clinical improvements in frailty during CR was not associated with CR goal achievement (OR=1.19[0.76-1.86]). Lower levels of admission frailty were associated with CR goal achievement. Additionally, every 1% increase in admission FI score resulted in 1.2% reduced odds of CR goal achievement. Patients who improved their frailty score during CR were not associated with achieving CR goals.  
6 Comments
Jack Quach
8/11/2021 12:48:57 am

Nice research! Interesting that the benefit on frailty isn't related to goal completions.

Reply
Evan MacEachern
8/11/2021 12:50:41 pm

Thanks, Jack! I also found the results of frailty improvement interesting.

Reply
natasha prystay
8/11/2021 12:37:11 pm

What was the duration of the cardiac rehabilitation program?

Reply
Evan MacEachern
8/11/2021 12:51:49 pm

Thank you for your question, Natasha. The duration of cardiac rehabilitation from this sample was 12 weeks (3 months).

Reply
Jim Johnson
8/11/2021 01:11:53 pm

Great read. Just curious, were there different proportions of male and female participants in your sample?

Reply
Evan MacEachern
8/11/2021 01:51:34 pm

Hi Jim, thank you for your question. This sample used in this analysis consisted of 179 (24%) participants identifying as female. The remaining 580 (76%) identified as male.

Reply



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  • Home
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        • Posters
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