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Organizational and ...
Organizational and patient-level predictors for attaining key risk factor targets in cardiac rehabilitation after myocardial infarction: The Perfect-CR study.
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- Michelsen, Halldora Ögmundsdottir (författare)
- Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups,Helsingborg Hospital
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- Henriksson, Peter (författare)
- Karolinska Institute
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- Wallert, John (författare)
- Karolinska Institutet,Karolinska Institute
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- Bäck, Maria, 1978 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Sahlgrenska Univ Hosp Gothenburg, Sweden; Univ Gothenburg, Sweden,Sahlgrenska University Hospital,Sahlgrenska Academy
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- Sjölin, Ingela (författare)
- Skane Univ Hosp, Sweden,Skåne University Hospital
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- Schlyter, Mona (författare)
- Skane Univ Hosp, Sweden,Skåne University Hospital
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- Hagström, Emil (författare)
- Uppsala University,Uppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR),Uppsala Univ, Sweden; Uppsala Univ, Sweden
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- Kiessling, Anna (författare)
- Karolinska Institutet
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- Held, Claes, 1956- (författare)
- Uppsala University,Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi,Uppsala Univ, Sweden; Uppsala Univ, Sweden
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- Hag, Emma (författare)
- Cty Hosp Ryhov, Sweden,Ryhov County Hospital, Jönköping
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- Nilsson, Lennart, 1971- (författare)
- Linköping University,Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Klinisk genetik
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- Schiopu, Alexandru (författare)
- Lund University,Lunds universitet,Institutionen för translationell medicin,Medicinska fakulteten,Department of Translational Medicine,Faculty of Medicine,Skåne University Hospital,George Emil Palade University of Medicine, Pharmacy, Science, and Technology
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- Zaman, M Justin (författare)
- West Suffolk Hosp, England,West Suffolk Hospital
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- Leosdottir, Margret (författare)
- Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups,Skåne University Hospital
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(creator_code:org_t)
- Elsevier BV, 2023
- 2023
- Engelska.
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Ingår i: International journal of cardiology. - : Elsevier BV. - 1874-1754 .- 0167-5273. ; 371, s. 40-48
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Abstract
Ämnesord
Stäng
- Benefits of cardiac rehabilitation (CR) programme components on attaining risk factor targets post-myocardial infarction (MI) and their predictive strength relative to patient characteristics remain unclear. We aimed to identify organizational and patient-level predictors of risk factor target attainment at one-year post-MI.In this observational study data on CR organization at 78 Swedish CR centres was collected and merged with patient-level registry data (n=7549). Orthogonal partial least squares discriminant analysis identified predictors (Variables of Importance for the Projection (VIP) values >0.8) of attaining low-density lipoprotein-cholesterol (LDL-C) <1.8mmol/L, blood pressure (BP) <140/90mmHg and smoking abstinence.The strongest predictors (VIP [95% CI]) for attaining LDL-C and BP targets were offering psychosocial management (2.14 [1.78-2.50]; 2.45 [1.91-2.99]), having a psychologist in the CR team (1.62 [1.36-1.87]; 2.05 [1.67-2.44]), extended opening hours (2.13 [2.00-2.27]; 1.50 [0.91-2.10]), adequate facilities (1.54 [0.91-2.18]; 1.89 [1.38-2.40]), and having a medical director (1.70 [0.91-2.48]; 1.46 [1.04-1.88]). The strongest patient-level predictors of attaining LDL-C and/or BP targets were low baseline LDL-C (3.95 [3.39-4.51]) and having no history of hypertension (2.93 [2.60-3.26]), respectively, followed by exercise-based CR participation (1.38 [0.66-2.10]; 1.46 [1.14-1.78]). For smoking abstinence, the strongest organizational predictor was varenicline being prescribed by CR physicians (1.88 [0.95-2.80]) and patient-level predictors were participation in exercise-based CR (2.47 [2.07-2.88]) and group education (1.92 [1.43-2-42]), and no cardiovascular disease history (2.13 [1.78-2.48]).We identified multiple CR organizational and patient-level predictors of attaining risk factor targets post-MI. These results may influence the future design of comprehensive CR programmes.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Humans
- Cardiac Rehabilitation
- Cholesterol
- LDL
- Myocardial Infarction
- diagnosis
- epidemiology
- rehabilitation
- Risk Factors
- Blood Pressure
- Cardiac rehabilitation
- Cardiac rehabilitation
- Myocardial infarction
- Predictors
- Risk factors
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Michelsen, Halld ...
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Henriksson, Pete ...
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Wallert, John
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Bäck, Maria, 197 ...
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Sjölin, Ingela
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Schlyter, Mona
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Hagström, Emil
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Kiessling, Anna
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Held, Claes, 195 ...
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Hag, Emma
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Nilsson, Lennart ...
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Schiopu, Alexand ...
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Zaman, M Justin
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Leosdottir, Marg ...
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