Original Article
Impact of Community-Based Cardiac Rehabilitation on Clinical Parameters of Patients with Cardiovascular Diseases
Kheng Yong Ong,1 Elise Yap,2 Yvonne May Fen Chia,3 Hung Yong Tay,4 Peter Ting,5 Sui Yung Chan,2 Yu Heng Kwan2, 3, 4
- Summary
- Supplementary Material
- References
- About this Article
Abstract
Background:
Cardiac rehabilitation (CR) programmes have been shown to improve patient outcomes, but vary widely in their components. The impact of Singapore’s CR programme on clinical outcomes is currently not known.
Objective:
To evaluate the effects of a community-based CR programme on important clinical parameters in patients with cardiovascular disease in Singapore.
Method:
A retrospective cohort study was conducted. Cardiovascular patients who had completed a hospital-based CR programme were included. Patients who continued with community-based CR (n = 94) during the period of 2009-2013 were compared with patients who received regular care (n = 157). Changes in clinical and physical examination parameters between baseline and one-year post follow-up were analyzed. Within-group differences were compared using the paired t-test, while multivariate linear regression was used to compare the changes in the various parameters between the intervention and control groups. The primary outcome measure was low density lipoprotein (LDL) levels.
Results:
Patients in the intervention group had significant lowering of LDL (2.5 to 2.2 mmol/L, p<0.01), while the control group’s LDL increased (2.2 to 2.4 mmol/L, p<0.01). The intervention group had greater improvements in LDL (-0.3 vs. +0.2 mmol/L, p<0.01), triglycerides (-0.1 vs. +0.1 mmol/L, p=0.01), total cholesterol (-0.3 vs. +0.3 mmol/L, p<0.01), fasting blood glucose (-0.5 vs. +0.3 mmol/L, p<0.01), systolic blood pressure (-3.2 vs. +5 mmHg, p<0.01) and diastolic blood pressure (-2.6 vs. +2.8 mmHg, p<0.01).
Conclusion:
The community-based CR programme in Singapore is associated with improvements in several cardiovascular clinical parameters and may be of benefit to cardiovascular patients.
Keywords:
Community - Cardiovascular Disease - Cardiac Rehabilitation - Clinical Outcomes - Low density lipoprotein
a Department of Pharmacy, Singapore General Hospital, Republic of Singapore,
b Department of Pharmacy, Faculty of Science, National University of Singapore, Republic of Singapore,
c Duke-NUS Medical School, Republic of Singapore,
d Heart Wellness Centre, Singapore Heart Foundation, Republic of Singapore,
e Department of Cardiology, National Heart Centre Singapore, Republic of Singapore.
Supplementary Material
Nil
References
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About this Article
TitleImpact of Community-Based Cardiac Rehabilitation on Clinical Parameters of Patients with Cardiovascular Diseases
Open Access
Available under Open Access
Journal
>> ASEAN Heart Journal
>> 24:1
Online Date
21 November 2019
DOI
10.7603/s40602-016-0005-4
Online ISSN
2315-4551
Publisher
ASEAN Federation of Cardiology
Additional Links
Topics
Cardiology
Keywords
Community
Cardiovascular Disease
Cardiac Rehabilitation
Clinical Outcomes
Low density lipoprotein
Author Affiliations
1. Department of Pharmacy, Singapore General Hospital, Republic of Singapore, Singapore
2. Department of Pharmacy, Faculty of Science, National University of Singapore, Republic of Singapore, Singapore
3. Duke-NUS Medical School, 8 College Road, Republic of Singapore, 169857, Singapore
4. Heart Wellness Centre, Singapore Heart Foundation, Republic of Singapore, Singapore
5. Department of Cardiology, National Heart Centre Singapore, Republic of Singapore, Singapore