Inpatient Cardiac Rehabilitation after Transcatheter Aortic Valve Replacement Is Associated with Improved Clinical Performance and Quality of Life

Cardiac rehabilitation (CR) provides multifactorial support and intervention for cardiac patients and improves quality of life (QoL). We aimed to assess clinical performance and QoL changes in patients undergoing transcatheter aortic valve replacement (TAVR) scheduled directly to inpatient CR (CR gr...
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Autor*in:	Pawel Kleczynski [verfasserIn] Jaroslaw Trebacz [verfasserIn] Maciej Stapor [verfasserIn] Robert Sobczynski [verfasserIn] Janusz Konstanty-Kalandyk [verfasserIn] Boguslaw Kapelak [verfasserIn] Krzysztof Zmudka [verfasserIn] Jacek Legutko [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2021

Schlagwörter:	aortic valve stenosis cardiac rehabilitation frailty transcatheter aortic valve replacement

Übergeordnetes Werk:	In: Journal of Clinical Medicine - MDPI AG, 2013, 10(2021), 10, p 2125
Übergeordnetes Werk:	volume:10 ; year:2021 ; number:10, p 2125

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/jcm10102125

Katalog-ID:	DOAJ058934863

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520			\|a Cardiac rehabilitation (CR) provides multifactorial support and intervention for cardiac patients and improves quality of life (QoL). We aimed to assess clinical performance and QoL changes in patients undergoing transcatheter aortic valve replacement (TAVR) scheduled directly to inpatient CR (CR group) and those who were discharged home (DH group). The following patient-related outcomes were recorded: 5 m walk time (5MWT), 6 min walk test (6MWT), handgrip strength (HGS) with dynamometer, Katz index of Independence of Activities in Daily Living (KI of ADL), Hospital Anxiety and Depression Scores (HADS) Score. Quality of life was evaluated with Kansas City Cardiomyopathy Questionnaire (KCCQ). Baseline data, 30-day and 6- and 12-month data were assessed. The CR group consisted of 52 patients and 53 were in the discharged home (DH group). When we compared outcomes between the groups, the 5MWT, 6MWT, HGS KI of ADL, and KCCQ were significantly better in the CR group at 30 days (<i<p</i< = 0.03, <i<p</i< = 0.01, <i<p</i< = 0.02, <i<p</i< = 0.048, respectively), and no difference was found in HADS scores. At 6 months, the effect of CR was sustained for 6MWT, HGS, KI of ADL, and KCCQ (<i<p</i< = 0.001, <i<p</i< = 0.001, <i<p</i< = 0.03, <i<p</i< = 0.003, respectively) but not for 5MWT. Interestingly, at 12 months, the CR group had better performance only in 6MWT and HGS compared with the DH group (<i<p</i< = 0.04, <i<p</i< = 0.03, respectively). We showed that inpatient CR is strongly associated with better clinical performance and QoL in patients undergoing TAVR. All patients may benefit from CR after TAVR. The most important aspect of inpatient CR after TAVR from the patient’s perspective may be better performance in daily activities; however, performance was attenuated after 1 year.
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allfields	10.3390/jcm10102125 doi (DE-627)DOAJ058934863 (DE-599)DOAJbd9653260bc44dfa9c43994f466ba906 DE-627 ger DE-627 rakwb eng Pawel Kleczynski verfasserin aut Inpatient Cardiac Rehabilitation after Transcatheter Aortic Valve Replacement Is Associated with Improved Clinical Performance and Quality of Life 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Cardiac rehabilitation (CR) provides multifactorial support and intervention for cardiac patients and improves quality of life (QoL). We aimed to assess clinical performance and QoL changes in patients undergoing transcatheter aortic valve replacement (TAVR) scheduled directly to inpatient CR (CR group) and those who were discharged home (DH group). The following patient-related outcomes were recorded: 5 m walk time (5MWT), 6 min walk test (6MWT), handgrip strength (HGS) with dynamometer, Katz index of Independence of Activities in Daily Living (KI of ADL), Hospital Anxiety and Depression Scores (HADS) Score. Quality of life was evaluated with Kansas City Cardiomyopathy Questionnaire (KCCQ). Baseline data, 30-day and 6- and 12-month data were assessed. The CR group consisted of 52 patients and 53 were in the discharged home (DH group). When we compared outcomes between the groups, the 5MWT, 6MWT, HGS KI of ADL, and KCCQ were significantly better in the CR group at 30 days (<i<p</i< = 0.03, <i<p</i< = 0.01, <i<p</i< = 0.02, <i<p</i< = 0.048, respectively), and no difference was found in HADS scores. At 6 months, the effect of CR was sustained for 6MWT, HGS, KI of ADL, and KCCQ (<i<p</i< = 0.001, <i<p</i< = 0.001, <i<p</i< = 0.03, <i<p</i< = 0.003, respectively) but not for 5MWT. Interestingly, at 12 months, the CR group had better performance only in 6MWT and HGS compared with the DH group (<i<p</i< = 0.04, <i<p</i< = 0.03, respectively). We showed that inpatient CR is strongly associated with better clinical performance and QoL in patients undergoing TAVR. All patients may benefit from CR after TAVR. The most important aspect of inpatient CR after TAVR from the patient’s perspective may be better performance in daily activities; however, performance was attenuated after 1 year. aortic valve stenosis cardiac rehabilitation frailty transcatheter aortic valve replacement Medicine R Jaroslaw Trebacz verfasserin aut Maciej Stapor verfasserin aut Robert Sobczynski verfasserin aut Janusz Konstanty-Kalandyk verfasserin aut Boguslaw Kapelak verfasserin aut Krzysztof Zmudka verfasserin aut Jacek Legutko verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 10(2021), 10, p 2125 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:10 year:2021 number:10, p 2125 https://doi.org/10.3390/jcm10102125 kostenfrei https://doaj.org/article/bd9653260bc44dfa9c43994f466ba906 kostenfrei https://www.mdpi.com/2077-0383/10/10/2125 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2021 10, p 2125
spelling	10.3390/jcm10102125 doi (DE-627)DOAJ058934863 (DE-599)DOAJbd9653260bc44dfa9c43994f466ba906 DE-627 ger DE-627 rakwb eng Pawel Kleczynski verfasserin aut Inpatient Cardiac Rehabilitation after Transcatheter Aortic Valve Replacement Is Associated with Improved Clinical Performance and Quality of Life 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Cardiac rehabilitation (CR) provides multifactorial support and intervention for cardiac patients and improves quality of life (QoL). We aimed to assess clinical performance and QoL changes in patients undergoing transcatheter aortic valve replacement (TAVR) scheduled directly to inpatient CR (CR group) and those who were discharged home (DH group). The following patient-related outcomes were recorded: 5 m walk time (5MWT), 6 min walk test (6MWT), handgrip strength (HGS) with dynamometer, Katz index of Independence of Activities in Daily Living (KI of ADL), Hospital Anxiety and Depression Scores (HADS) Score. Quality of life was evaluated with Kansas City Cardiomyopathy Questionnaire (KCCQ). Baseline data, 30-day and 6- and 12-month data were assessed. The CR group consisted of 52 patients and 53 were in the discharged home (DH group). When we compared outcomes between the groups, the 5MWT, 6MWT, HGS KI of ADL, and KCCQ were significantly better in the CR group at 30 days (<i<p</i< = 0.03, <i<p</i< = 0.01, <i<p</i< = 0.02, <i<p</i< = 0.048, respectively), and no difference was found in HADS scores. At 6 months, the effect of CR was sustained for 6MWT, HGS, KI of ADL, and KCCQ (<i<p</i< = 0.001, <i<p</i< = 0.001, <i<p</i< = 0.03, <i<p</i< = 0.003, respectively) but not for 5MWT. Interestingly, at 12 months, the CR group had better performance only in 6MWT and HGS compared with the DH group (<i<p</i< = 0.04, <i<p</i< = 0.03, respectively). We showed that inpatient CR is strongly associated with better clinical performance and QoL in patients undergoing TAVR. All patients may benefit from CR after TAVR. The most important aspect of inpatient CR after TAVR from the patient’s perspective may be better performance in daily activities; however, performance was attenuated after 1 year. aortic valve stenosis cardiac rehabilitation frailty transcatheter aortic valve replacement Medicine R Jaroslaw Trebacz verfasserin aut Maciej Stapor verfasserin aut Robert Sobczynski verfasserin aut Janusz Konstanty-Kalandyk verfasserin aut Boguslaw Kapelak verfasserin aut Krzysztof Zmudka verfasserin aut Jacek Legutko verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 10(2021), 10, p 2125 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:10 year:2021 number:10, p 2125 https://doi.org/10.3390/jcm10102125 kostenfrei https://doaj.org/article/bd9653260bc44dfa9c43994f466ba906 kostenfrei https://www.mdpi.com/2077-0383/10/10/2125 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2021 10, p 2125
allfields_unstemmed	10.3390/jcm10102125 doi (DE-627)DOAJ058934863 (DE-599)DOAJbd9653260bc44dfa9c43994f466ba906 DE-627 ger DE-627 rakwb eng Pawel Kleczynski verfasserin aut Inpatient Cardiac Rehabilitation after Transcatheter Aortic Valve Replacement Is Associated with Improved Clinical Performance and Quality of Life 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Cardiac rehabilitation (CR) provides multifactorial support and intervention for cardiac patients and improves quality of life (QoL). We aimed to assess clinical performance and QoL changes in patients undergoing transcatheter aortic valve replacement (TAVR) scheduled directly to inpatient CR (CR group) and those who were discharged home (DH group). The following patient-related outcomes were recorded: 5 m walk time (5MWT), 6 min walk test (6MWT), handgrip strength (HGS) with dynamometer, Katz index of Independence of Activities in Daily Living (KI of ADL), Hospital Anxiety and Depression Scores (HADS) Score. Quality of life was evaluated with Kansas City Cardiomyopathy Questionnaire (KCCQ). Baseline data, 30-day and 6- and 12-month data were assessed. The CR group consisted of 52 patients and 53 were in the discharged home (DH group). When we compared outcomes between the groups, the 5MWT, 6MWT, HGS KI of ADL, and KCCQ were significantly better in the CR group at 30 days (<i<p</i< = 0.03, <i<p</i< = 0.01, <i<p</i< = 0.02, <i<p</i< = 0.048, respectively), and no difference was found in HADS scores. At 6 months, the effect of CR was sustained for 6MWT, HGS, KI of ADL, and KCCQ (<i<p</i< = 0.001, <i<p</i< = 0.001, <i<p</i< = 0.03, <i<p</i< = 0.003, respectively) but not for 5MWT. Interestingly, at 12 months, the CR group had better performance only in 6MWT and HGS compared with the DH group (<i<p</i< = 0.04, <i<p</i< = 0.03, respectively). We showed that inpatient CR is strongly associated with better clinical performance and QoL in patients undergoing TAVR. All patients may benefit from CR after TAVR. The most important aspect of inpatient CR after TAVR from the patient’s perspective may be better performance in daily activities; however, performance was attenuated after 1 year. aortic valve stenosis cardiac rehabilitation frailty transcatheter aortic valve replacement Medicine R Jaroslaw Trebacz verfasserin aut Maciej Stapor verfasserin aut Robert Sobczynski verfasserin aut Janusz Konstanty-Kalandyk verfasserin aut Boguslaw Kapelak verfasserin aut Krzysztof Zmudka verfasserin aut Jacek Legutko verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 10(2021), 10, p 2125 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:10 year:2021 number:10, p 2125 https://doi.org/10.3390/jcm10102125 kostenfrei https://doaj.org/article/bd9653260bc44dfa9c43994f466ba906 kostenfrei https://www.mdpi.com/2077-0383/10/10/2125 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2021 10, p 2125
allfieldsGer	10.3390/jcm10102125 doi (DE-627)DOAJ058934863 (DE-599)DOAJbd9653260bc44dfa9c43994f466ba906 DE-627 ger DE-627 rakwb eng Pawel Kleczynski verfasserin aut Inpatient Cardiac Rehabilitation after Transcatheter Aortic Valve Replacement Is Associated with Improved Clinical Performance and Quality of Life 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Cardiac rehabilitation (CR) provides multifactorial support and intervention for cardiac patients and improves quality of life (QoL). We aimed to assess clinical performance and QoL changes in patients undergoing transcatheter aortic valve replacement (TAVR) scheduled directly to inpatient CR (CR group) and those who were discharged home (DH group). The following patient-related outcomes were recorded: 5 m walk time (5MWT), 6 min walk test (6MWT), handgrip strength (HGS) with dynamometer, Katz index of Independence of Activities in Daily Living (KI of ADL), Hospital Anxiety and Depression Scores (HADS) Score. Quality of life was evaluated with Kansas City Cardiomyopathy Questionnaire (KCCQ). Baseline data, 30-day and 6- and 12-month data were assessed. The CR group consisted of 52 patients and 53 were in the discharged home (DH group). When we compared outcomes between the groups, the 5MWT, 6MWT, HGS KI of ADL, and KCCQ were significantly better in the CR group at 30 days (<i<p</i< = 0.03, <i<p</i< = 0.01, <i<p</i< = 0.02, <i<p</i< = 0.048, respectively), and no difference was found in HADS scores. At 6 months, the effect of CR was sustained for 6MWT, HGS, KI of ADL, and KCCQ (<i<p</i< = 0.001, <i<p</i< = 0.001, <i<p</i< = 0.03, <i<p</i< = 0.003, respectively) but not for 5MWT. Interestingly, at 12 months, the CR group had better performance only in 6MWT and HGS compared with the DH group (<i<p</i< = 0.04, <i<p</i< = 0.03, respectively). We showed that inpatient CR is strongly associated with better clinical performance and QoL in patients undergoing TAVR. All patients may benefit from CR after TAVR. The most important aspect of inpatient CR after TAVR from the patient’s perspective may be better performance in daily activities; however, performance was attenuated after 1 year. aortic valve stenosis cardiac rehabilitation frailty transcatheter aortic valve replacement Medicine R Jaroslaw Trebacz verfasserin aut Maciej Stapor verfasserin aut Robert Sobczynski verfasserin aut Janusz Konstanty-Kalandyk verfasserin aut Boguslaw Kapelak verfasserin aut Krzysztof Zmudka verfasserin aut Jacek Legutko verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 10(2021), 10, p 2125 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:10 year:2021 number:10, p 2125 https://doi.org/10.3390/jcm10102125 kostenfrei https://doaj.org/article/bd9653260bc44dfa9c43994f466ba906 kostenfrei https://www.mdpi.com/2077-0383/10/10/2125 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2021 10, p 2125
allfieldsSound	10.3390/jcm10102125 doi (DE-627)DOAJ058934863 (DE-599)DOAJbd9653260bc44dfa9c43994f466ba906 DE-627 ger DE-627 rakwb eng Pawel Kleczynski verfasserin aut Inpatient Cardiac Rehabilitation after Transcatheter Aortic Valve Replacement Is Associated with Improved Clinical Performance and Quality of Life 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Cardiac rehabilitation (CR) provides multifactorial support and intervention for cardiac patients and improves quality of life (QoL). We aimed to assess clinical performance and QoL changes in patients undergoing transcatheter aortic valve replacement (TAVR) scheduled directly to inpatient CR (CR group) and those who were discharged home (DH group). The following patient-related outcomes were recorded: 5 m walk time (5MWT), 6 min walk test (6MWT), handgrip strength (HGS) with dynamometer, Katz index of Independence of Activities in Daily Living (KI of ADL), Hospital Anxiety and Depression Scores (HADS) Score. Quality of life was evaluated with Kansas City Cardiomyopathy Questionnaire (KCCQ). Baseline data, 30-day and 6- and 12-month data were assessed. The CR group consisted of 52 patients and 53 were in the discharged home (DH group). When we compared outcomes between the groups, the 5MWT, 6MWT, HGS KI of ADL, and KCCQ were significantly better in the CR group at 30 days (<i<p</i< = 0.03, <i<p</i< = 0.01, <i<p</i< = 0.02, <i<p</i< = 0.048, respectively), and no difference was found in HADS scores. At 6 months, the effect of CR was sustained for 6MWT, HGS, KI of ADL, and KCCQ (<i<p</i< = 0.001, <i<p</i< = 0.001, <i<p</i< = 0.03, <i<p</i< = 0.003, respectively) but not for 5MWT. Interestingly, at 12 months, the CR group had better performance only in 6MWT and HGS compared with the DH group (<i<p</i< = 0.04, <i<p</i< = 0.03, respectively). We showed that inpatient CR is strongly associated with better clinical performance and QoL in patients undergoing TAVR. All patients may benefit from CR after TAVR. The most important aspect of inpatient CR after TAVR from the patient’s perspective may be better performance in daily activities; however, performance was attenuated after 1 year. aortic valve stenosis cardiac rehabilitation frailty transcatheter aortic valve replacement Medicine R Jaroslaw Trebacz verfasserin aut Maciej Stapor verfasserin aut Robert Sobczynski verfasserin aut Janusz Konstanty-Kalandyk verfasserin aut Boguslaw Kapelak verfasserin aut Krzysztof Zmudka verfasserin aut Jacek Legutko verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 10(2021), 10, p 2125 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:10 year:2021 number:10, p 2125 https://doi.org/10.3390/jcm10102125 kostenfrei https://doaj.org/article/bd9653260bc44dfa9c43994f466ba906 kostenfrei https://www.mdpi.com/2077-0383/10/10/2125 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2021 10, p 2125
language	English
source	In Journal of Clinical Medicine 10(2021), 10, p 2125 volume:10 year:2021 number:10, p 2125
sourceStr	In Journal of Clinical Medicine 10(2021), 10, p 2125 volume:10 year:2021 number:10, p 2125
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	aortic valve stenosis cardiac rehabilitation frailty transcatheter aortic valve replacement Medicine R
isfreeaccess_bool	true
container_title	Journal of Clinical Medicine
authorswithroles_txt_mv	Pawel Kleczynski @@aut@@ Jaroslaw Trebacz @@aut@@ Maciej Stapor @@aut@@ Robert Sobczynski @@aut@@ Janusz Konstanty-Kalandyk @@aut@@ Boguslaw Kapelak @@aut@@ Krzysztof Zmudka @@aut@@ Jacek Legutko @@aut@@
publishDateDaySort_date	2021-01-01T00:00:00Z
hierarchy_top_id	718632478
id	DOAJ058934863
language_de	englisch
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author	Pawel Kleczynski
spellingShingle	Pawel Kleczynski misc aortic valve stenosis misc cardiac rehabilitation misc frailty misc transcatheter aortic valve replacement misc Medicine misc R Inpatient Cardiac Rehabilitation after Transcatheter Aortic Valve Replacement Is Associated with Improved Clinical Performance and Quality of Life
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topic_title	Inpatient Cardiac Rehabilitation after Transcatheter Aortic Valve Replacement Is Associated with Improved Clinical Performance and Quality of Life aortic valve stenosis cardiac rehabilitation frailty transcatheter aortic valve replacement
topic	misc aortic valve stenosis misc cardiac rehabilitation misc frailty misc transcatheter aortic valve replacement misc Medicine misc R
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title	Inpatient Cardiac Rehabilitation after Transcatheter Aortic Valve Replacement Is Associated with Improved Clinical Performance and Quality of Life
ctrlnum	(DE-627)DOAJ058934863 (DE-599)DOAJbd9653260bc44dfa9c43994f466ba906
title_full	Inpatient Cardiac Rehabilitation after Transcatheter Aortic Valve Replacement Is Associated with Improved Clinical Performance and Quality of Life
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author_browse	Pawel Kleczynski Jaroslaw Trebacz Maciej Stapor Robert Sobczynski Janusz Konstanty-Kalandyk Boguslaw Kapelak Krzysztof Zmudka Jacek Legutko
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title_sort	inpatient cardiac rehabilitation after transcatheter aortic valve replacement is associated with improved clinical performance and quality of life
title_auth	Inpatient Cardiac Rehabilitation after Transcatheter Aortic Valve Replacement Is Associated with Improved Clinical Performance and Quality of Life
abstract	Cardiac rehabilitation (CR) provides multifactorial support and intervention for cardiac patients and improves quality of life (QoL). We aimed to assess clinical performance and QoL changes in patients undergoing transcatheter aortic valve replacement (TAVR) scheduled directly to inpatient CR (CR group) and those who were discharged home (DH group). The following patient-related outcomes were recorded: 5 m walk time (5MWT), 6 min walk test (6MWT), handgrip strength (HGS) with dynamometer, Katz index of Independence of Activities in Daily Living (KI of ADL), Hospital Anxiety and Depression Scores (HADS) Score. Quality of life was evaluated with Kansas City Cardiomyopathy Questionnaire (KCCQ). Baseline data, 30-day and 6- and 12-month data were assessed. The CR group consisted of 52 patients and 53 were in the discharged home (DH group). When we compared outcomes between the groups, the 5MWT, 6MWT, HGS KI of ADL, and KCCQ were significantly better in the CR group at 30 days (<i<p</i< = 0.03, <i<p</i< = 0.01, <i<p</i< = 0.02, <i<p</i< = 0.048, respectively), and no difference was found in HADS scores. At 6 months, the effect of CR was sustained for 6MWT, HGS, KI of ADL, and KCCQ (<i<p</i< = 0.001, <i<p</i< = 0.001, <i<p</i< = 0.03, <i<p</i< = 0.003, respectively) but not for 5MWT. Interestingly, at 12 months, the CR group had better performance only in 6MWT and HGS compared with the DH group (<i<p</i< = 0.04, <i<p</i< = 0.03, respectively). We showed that inpatient CR is strongly associated with better clinical performance and QoL in patients undergoing TAVR. All patients may benefit from CR after TAVR. The most important aspect of inpatient CR after TAVR from the patient’s perspective may be better performance in daily activities; however, performance was attenuated after 1 year.
abstractGer	Cardiac rehabilitation (CR) provides multifactorial support and intervention for cardiac patients and improves quality of life (QoL). We aimed to assess clinical performance and QoL changes in patients undergoing transcatheter aortic valve replacement (TAVR) scheduled directly to inpatient CR (CR group) and those who were discharged home (DH group). The following patient-related outcomes were recorded: 5 m walk time (5MWT), 6 min walk test (6MWT), handgrip strength (HGS) with dynamometer, Katz index of Independence of Activities in Daily Living (KI of ADL), Hospital Anxiety and Depression Scores (HADS) Score. Quality of life was evaluated with Kansas City Cardiomyopathy Questionnaire (KCCQ). Baseline data, 30-day and 6- and 12-month data were assessed. The CR group consisted of 52 patients and 53 were in the discharged home (DH group). When we compared outcomes between the groups, the 5MWT, 6MWT, HGS KI of ADL, and KCCQ were significantly better in the CR group at 30 days (<i<p</i< = 0.03, <i<p</i< = 0.01, <i<p</i< = 0.02, <i<p</i< = 0.048, respectively), and no difference was found in HADS scores. At 6 months, the effect of CR was sustained for 6MWT, HGS, KI of ADL, and KCCQ (<i<p</i< = 0.001, <i<p</i< = 0.001, <i<p</i< = 0.03, <i<p</i< = 0.003, respectively) but not for 5MWT. Interestingly, at 12 months, the CR group had better performance only in 6MWT and HGS compared with the DH group (<i<p</i< = 0.04, <i<p</i< = 0.03, respectively). We showed that inpatient CR is strongly associated with better clinical performance and QoL in patients undergoing TAVR. All patients may benefit from CR after TAVR. The most important aspect of inpatient CR after TAVR from the patient’s perspective may be better performance in daily activities; however, performance was attenuated after 1 year.
abstract_unstemmed	Cardiac rehabilitation (CR) provides multifactorial support and intervention for cardiac patients and improves quality of life (QoL). We aimed to assess clinical performance and QoL changes in patients undergoing transcatheter aortic valve replacement (TAVR) scheduled directly to inpatient CR (CR group) and those who were discharged home (DH group). The following patient-related outcomes were recorded: 5 m walk time (5MWT), 6 min walk test (6MWT), handgrip strength (HGS) with dynamometer, Katz index of Independence of Activities in Daily Living (KI of ADL), Hospital Anxiety and Depression Scores (HADS) Score. Quality of life was evaluated with Kansas City Cardiomyopathy Questionnaire (KCCQ). Baseline data, 30-day and 6- and 12-month data were assessed. The CR group consisted of 52 patients and 53 were in the discharged home (DH group). When we compared outcomes between the groups, the 5MWT, 6MWT, HGS KI of ADL, and KCCQ were significantly better in the CR group at 30 days (<i<p</i< = 0.03, <i<p</i< = 0.01, <i<p</i< = 0.02, <i<p</i< = 0.048, respectively), and no difference was found in HADS scores. At 6 months, the effect of CR was sustained for 6MWT, HGS, KI of ADL, and KCCQ (<i<p</i< = 0.001, <i<p</i< = 0.001, <i<p</i< = 0.03, <i<p</i< = 0.003, respectively) but not for 5MWT. Interestingly, at 12 months, the CR group had better performance only in 6MWT and HGS compared with the DH group (<i<p</i< = 0.04, <i<p</i< = 0.03, respectively). We showed that inpatient CR is strongly associated with better clinical performance and QoL in patients undergoing TAVR. All patients may benefit from CR after TAVR. The most important aspect of inpatient CR after TAVR from the patient’s perspective may be better performance in daily activities; however, performance was attenuated after 1 year.
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title_short	Inpatient Cardiac Rehabilitation after Transcatheter Aortic Valve Replacement Is Associated with Improved Clinical Performance and Quality of Life
url	https://doi.org/10.3390/jcm10102125 https://doaj.org/article/bd9653260bc44dfa9c43994f466ba906 https://www.mdpi.com/2077-0383/10/10/2125 https://doaj.org/toc/2077-0383
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