Shared Care Rehabilitation After Acute Coronary Syndrome (SHARED-REHAB)

University of Aarhus

Status and phase: Completed; Phase 4

Conditions: Myocardial Ischemia; Acute Coronary Syndrome; Acute Myocardial Infarction: Rehabilitation Phase

Treatments: Behavioral: Shared Care model

Study type: Interventional

Funder types: Other

Identifiers

NCT01522001

SHARED REHAB

Details and patient eligibility

About

Cardiac rehabilitation is an individual adapted multidisciplinary intervention for people suffering from Heart Disease. It involves;

• Dietary counseling,
• Exercise training,
• Psychosocial support,
• Physician
• smoking cessation
• Patient education

The purpose is quick and complete recovery and to reduce the chance of recurrence.

In Denmark people admitted with Acute Cardiac Disease is referred to a course of hospital based cardiac rehabilitation at discharge.

The Danish Municipal Reform of 2007 changed the responsibility of rehabilitation from the Regions, who runs the hospitals, to the municipalities.

Shared care is in this setting that elements of treatment are completed different places in Health Care.

The aim of this study is:

• to establish a shared care model for Cardiac rehabilitation following admission with Acute Coronary Syndrome and
• to compare this model to the existing hospital based cardiac rehabilitation after admission with Acute Coronary Syndrome.

Primary outcome is participation in cardiac rehabilitation.

Enrollment: 212 patients

Sex: All

Ages: 18 to 79 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Admission with Acute Coronary Syndrome
• Resident in district of Department of Cardiology, Aarhus University Hospital, Silkeborg or Viborg Hospital, part of the "Hospitalsenheden Midt" Viborg, Silkeborg, Skive, Hammel.
• Accept both models of cardiac rehabilitation
• written informed consent

Exclusion criteria

• Resident outside the district of Department of Cardiology, Aarhus University Hospital, Viborg Hospital or Silkeborg Hospital, part of "Hospitalsenheden Midt" (Viborg, Silkeborg, Skive, Hammel).
• Age 80 years or older
• Heart Failure (Ejection Fraction less than 40%)
• Severe Comorbidity
• Resuscitated and need of support from ergotherapist after discharge.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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212 participants in 2 patient groups

Hospital-based

No Intervention group

Description:

* First visit at cardiac ambulatory approximately 14 days after discharge includes physician examination by cardiologist and counseling from nurse specialized in cardiac rehabilitation. * Dietary counseling with dietician * Exercise (1 hour, 2 timer pr week for 12 weeks) * Smoking cessation if smoker with educated smoking cessation instructor * Patient education and psychosocial support in 2 to 3 individual consultations with nurse specialized in cardiac rehabilitation * Examination by cardiologist 8-12 weeks after discharge.

Shared care Model

Active Comparator group

Description:

* First visit at cardiac ambulatory approximately 14 days after discharge includes examination by cardiologist and counseling from nurse specialized in cardiac rehabilitation. * Dietary counseling with dietician * Exercise (1 hour, 2 timer pr week for 12 weeks) * Smoking cessation if smoker with educated smoking cessation instructor * Patient education and psychosocial support in 2 individual consultations and 8 group based consultations with experienced nurse * Examination by the patient´s general practitioner 8-12 weeks after discharge.

Treatment:

Behavioral: Shared Care model