Effects of a Hybrid Model of Cardiac Rehabilitation on Patient Outcomes

Good Shepherd Integrated Healthcare Systems

Status: Completed

Conditions: Cardiac Surgery; Coronary Artery Bypass Graft CABG; Valve Replacement; Stent

Treatments: Other: Exercise Component Of Cardiac Rehabilitation (Hybrid Model) Intensity Recovery Progression Protocol (IRPP)

Study type: Observational

Funder types: Other

Identifiers

NCT06030115

GoodShepherdIHS

Details and patient eligibility

About

Determine if the standard of care at a cardiac rehabilitation center using what the investigators term to be "hybrid model" on the exercise component of cardiac rehabilitation is associated with improved adherence and outcomes. Discuss the hybrid model in comparison to traditional cardiac rehabilitation and layout a template on how to incorporate this hybrid model. Discuss factors that may lead to poor adherence and attendance to cardiac rehabilitation.

Full description

Purpose: The aim of this prospective cohort study was to determine the effectiveness of an individualized physical therapist (PT) driven hybrid model of the exercise component of cardiac rehabilitation (CR) that uses a novel intensity-recovery progression protocol (IRPP) and cardiac testing template (CTT) to assess achieved heart rate intensity (AHRI%), heart rate recovery (HRR%), and intensity-recovery total (IR%) as indicators to guide treatment.

Methods: Assessment of a subjective questionnaire, vital signs, treadmill 6-minute walk (6MW), 1-minute sit-to-stand (1STS), 1-minute step (1ST), and 1-minute agility square tests (1AST) were assessed on 100 participants during the 36-visit program. The hybrid model was led by a PT, was longer in duration, added high intensity interval training (HIIT) to continuous aerobic exercise training (CAET) and resistance training, and used a 1:1 treatment ratio. Treatment intensity and progression were measured based on clinical decision making through the IRPP and CTT.

Enrollment: 100 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Underwent cardiac surgery (CABG, PCI with stent placement, and valve replacement)
• Surgery was within the previous 365 days
• Could independently ambulate into the facility.

Exclusion criteria

• Implantable cardioverter defibrillator (ICD)
• Pacemaker (PPM)
• Heart Transplant
• Left ventricular assist device (LVAD)
• All other cardiac procedures not listed within inclusion criteria
• Diagnosed a-fib
• Participants who attended cardiac rehabilitation before

Trial design

100 participants in 1 patient group

Cardiac Rehab Patients

Description:

All participants referred to the clinic meeting the inclusion and exclusion criteria who wanted to participate in the study.

Treatment:

Other: Exercise Component Of Cardiac Rehabilitation (Hybrid Model) Intensity Recovery Progression Protocol (IRPP)