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The remote exercise...
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Bäck, MariaGothenburg University,Göteborgs universitet,Linköpings universitet,Linköping University,Sahlgrenska University Hospital,Sahlgrenska Academy,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Sahlgrens Univ Hosp, Sweden; Univ Gothenburg, Sweden; Sahlgrens Univ Hosp, Sweden,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
(författare)
The remote exercise SWEDEHEART study-Rationale and design of a multicenter registry-based cluster randomized crossover clinical trial (RRCT)
- Artikel/kapitelEngelska2023
Förlag, utgivningsår, omfång ...
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Elsevier BV,2023
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-506406
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-506406URI
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https://doi.org/10.1016/j.ahj.2023.04.014DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:152767452URI
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https://lup.lub.lu.se/record/ec4de7c5-5d32-441c-ad34-c0e6fcaddcf6URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-195314URI
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https://gup.ub.gu.se/publication/326105URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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Funding Agencies|Swedish Research Council [2018-02794]; Family Kamprad Foundation [20190122]; Swedish Research Council for Health, Working Life and Welfare (FORTE) [2019-00422]; Swedish Heart Lung Foundation [20200930]; ALF agreement; Healthcare committee Region Vaestra Gotaland [ALFGBG- 965846]
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Background: Despite proven benefits of exercise-based cardiac rehabilitation (EBCR), few patients with myocardial infarction (MI) participate in and complete these programs.Study design and objectives: The Remote Exercise SWEDEHEART study is a large multicenter registry-based cluster randomized crossover clinical trial with a planned enrollment of 1500 patients with a recent MI. Patients at intervention centers will be offered supervised EBCR, either delivered remotely, center-based or as a combination of both modes, as self -preferred choice. At control centers, patients will be offered supervised center-based EBCR, only. The duration of each time period (intervention/control) for each center will be 15 months and then cross-over occurs. The primary aim is to evaluate if remotely delivered EBCR, offered as an alternative to center-based EBCR, can increase participation in EBCR sessions. The proportion completers in each group will be presented in a supportive responder analysis. The key secondary aim is to investigate if remote EBCR is as least as effective as center-based EBCR, in terms of physical fitness and patient-reported outcome measures. Follow-up of major adverse cardiovascular events (cardiovascular-and all-cause mortality, recurrent hospitalization for acute coronary syndrome, heart failure hospitalization, stroke, and coronary revascularization) will be performed at 1 and 3 years. Safety monitoring of serious adverse events will be registered, and a cost-effectiveness analysis will be conducted to estimate the cost per quality-adjusted life-year (QALY) associated with the intervention compared with control.Conclusions: The cluster randomized crossover clinical trial Remote Exercise SWEDEHEART study is evaluating if par-ticipation in EBCR sessions can be increased, which may contribute to health benefits both on a group level and for individual patients including a more equal access to health care.Trial registration The study is registered atClinicalTrials.gov (Identifier: NCT04260958) (Am Heart J 2023;262:110-118.)
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Leosdottir, MargretLund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups,Skåne University Hospital,Skane Univ Hosp, Sweden; Lund Univ, Sweden(Swepub:lu)medf-mle
(författare)
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Ekstrom, MattiasKarolinska Institutet,Danderyd Hosp, Dept Clin Sci, Div Cardiovasc Med, Stockholm, Sweden.,Danderyd Hospital
(författare)
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Hambraeus, KristinaFalun Cent Hosp, Dept Cardiol, Falun, Sweden.,Falun Central Hospital
(författare)
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Ravn-Fischer, Annica,1974Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine(Swepub:gu)xravan
(författare)
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Öberg, BirgittaLinköpings universitet,Linköping University,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten(Swepub:liu)birob80
(författare)
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Östlund, OllieUppsala University,Uppsala Univ, Sweden
(författare)
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James, Stefan,1964-Uppsala University,Uppsala universitet,Institutionen för medicinska vetenskaper,Uppsala kliniska forskningscentrum (UCR),Uppsala Univ, Sweden; Uppsala Univ, Sweden(Swepub:uu)stjam367
(författare)
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Linköping UniversitySahlgrenska University Hospital
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:American Heart Journal: Elsevier BV262, s. 110-1180002-87031097-6744
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