Evaluation of Qatar’s First Cardiac Rehabilitation Program: A Brief Report

Background: There are few studies on the impact of cardiac rehabilitation (CR) in the Eastern Mediterranean Region (EMR), where the burden of risk factors and context is somewhat different from Western countries where much of the evidence is derived. Objective: To evaluate patient engagement in, and...

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Autores principales:	Eman Faisal, Rahma Saad, Mohammed Al-Hashemi, Sherry L. Grace, Theodoros Papasavvas, Karam Turk-Adawi
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2021
Materias:	cardiac rehabilitation health-related quality of life cardiovascular disease adherence quality of care depression Diseases of the circulatory (Cardiovascular) system RC666-701 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/c0b0f5a168204983b348fb21422ade2f
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spelling	oai:doaj.org-article:c0b0f5a168204983b348fb21422ade2f2021-11-08T08:07:54ZEvaluation of Qatar’s First Cardiac Rehabilitation Program: A Brief Report2211-817910.5334/gh.862https://doaj.org/article/c0b0f5a168204983b348fb21422ade2f2021-10-01T00:00:00Zhttps://globalheartjournal.com/articles/862https://doaj.org/toc/2211-8179Background: There are few studies on the impact of cardiac rehabilitation (CR) in the Eastern Mediterranean Region (EMR), where the burden of risk factors and context is somewhat different from Western countries where much of the evidence is derived. Objective: To evaluate patient engagement in, and outcomes associated with, participation in Qatar’s first and only CR program, from inception. Methods: This was a retrospective, observational study of patients referred to Heart Hospital’s CR program from January 2013-September, 2018. The program offered 3 sessions/week over 6–12 weeks, depending on patient risk. An initial assessment was performed, and outcomes (i.e., functional capacity, risk factors, and psychosocial well-being (quality of life [SF-36] and depressive symptoms) were re-assessed post-program in those who did not drop-out. Session attendance was recorded. Results: 682 patients enrolled; they attended 77.6% of prescribed sessions; 554 (81.2%) completed the program and post-assessment. Improvements in functional capacity were statistically and clinically meaningful (METs 9.3 ± 3.3 pre and 11.1 ± 3.7 post; p < 0.001). There were significant improvements in body mass index (28.7 ± 5.2 kg/m2 pre and 28.2 ± 5.4 post; p < 0.001), waist circumference (102.8 ± 13.0 cm pre and 101.8 ± 13.2 post; p < 0.001), low-density lipoprotein (LDL 1.9 ± 0.9 mmol/L pre and 1.6 ± 0.8 post; p = < 0.001), total cholesterol (3.6 ± 1.1 mmol/L pre and 3.3 ± 0.8 post; p < 0.001), systolic blood pressure (SBP 128.5 ± 17.7 mmHg pre and 123.7 ± 14.8 post; p < 0.001), hemoglobin A1c (6.8 ± 1.6% pre and 6.5 ± 1.3 post; p < 0.001) and depressive symptoms (Cardiac Depression Scale score 78.3 ± 23.9 pre and 66.3 ± 21.3 post; p < 0.001). Improvements on 7 of the 8 quality of life domains were also observed (all p < .05; e.g., physical functioning 68.2 ± 24.0 pre and 74.9 ± 24.4 post). Conclusion: The new Qatari CR program is very engaging to patients, and resulted in clinically significant risk factors (LDL, SBP, and cholesterol) as well as functional capacity and health-related quality of life improvements, which likely translate to reduced morbidity and mortality.Eman FaisalRahma SaadMohammed Al-HashemiSherry L. GraceTheodoros PapasavvasKaram Turk-AdawiUbiquity Pressarticlecardiac rehabilitationhealth-related quality of lifecardiovascular diseaseadherencequality of caredepressionDiseases of the circulatory (Cardiovascular) systemRC666-701Public aspects of medicineRA1-1270ENGlobal Heart, Vol 16, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cardiac rehabilitation health-related quality of life cardiovascular disease adherence quality of care depression Diseases of the circulatory (Cardiovascular) system RC666-701 Public aspects of medicine RA1-1270
spellingShingle	cardiac rehabilitation health-related quality of life cardiovascular disease adherence quality of care depression Diseases of the circulatory (Cardiovascular) system RC666-701 Public aspects of medicine RA1-1270 Eman Faisal Rahma Saad Mohammed Al-Hashemi Sherry L. Grace Theodoros Papasavvas Karam Turk-Adawi Evaluation of Qatar’s First Cardiac Rehabilitation Program: A Brief Report
description	Background: There are few studies on the impact of cardiac rehabilitation (CR) in the Eastern Mediterranean Region (EMR), where the burden of risk factors and context is somewhat different from Western countries where much of the evidence is derived. Objective: To evaluate patient engagement in, and outcomes associated with, participation in Qatar’s first and only CR program, from inception. Methods: This was a retrospective, observational study of patients referred to Heart Hospital’s CR program from January 2013-September, 2018. The program offered 3 sessions/week over 6–12 weeks, depending on patient risk. An initial assessment was performed, and outcomes (i.e., functional capacity, risk factors, and psychosocial well-being (quality of life [SF-36] and depressive symptoms) were re-assessed post-program in those who did not drop-out. Session attendance was recorded. Results: 682 patients enrolled; they attended 77.6% of prescribed sessions; 554 (81.2%) completed the program and post-assessment. Improvements in functional capacity were statistically and clinically meaningful (METs 9.3 ± 3.3 pre and 11.1 ± 3.7 post; p < 0.001). There were significant improvements in body mass index (28.7 ± 5.2 kg/m2 pre and 28.2 ± 5.4 post; p < 0.001), waist circumference (102.8 ± 13.0 cm pre and 101.8 ± 13.2 post; p < 0.001), low-density lipoprotein (LDL 1.9 ± 0.9 mmol/L pre and 1.6 ± 0.8 post; p = < 0.001), total cholesterol (3.6 ± 1.1 mmol/L pre and 3.3 ± 0.8 post; p < 0.001), systolic blood pressure (SBP 128.5 ± 17.7 mmHg pre and 123.7 ± 14.8 post; p < 0.001), hemoglobin A1c (6.8 ± 1.6% pre and 6.5 ± 1.3 post; p < 0.001) and depressive symptoms (Cardiac Depression Scale score 78.3 ± 23.9 pre and 66.3 ± 21.3 post; p < 0.001). Improvements on 7 of the 8 quality of life domains were also observed (all p < .05; e.g., physical functioning 68.2 ± 24.0 pre and 74.9 ± 24.4 post). Conclusion: The new Qatari CR program is very engaging to patients, and resulted in clinically significant risk factors (LDL, SBP, and cholesterol) as well as functional capacity and health-related quality of life improvements, which likely translate to reduced morbidity and mortality.
format	article
author	Eman Faisal Rahma Saad Mohammed Al-Hashemi Sherry L. Grace Theodoros Papasavvas Karam Turk-Adawi
author_facet	Eman Faisal Rahma Saad Mohammed Al-Hashemi Sherry L. Grace Theodoros Papasavvas Karam Turk-Adawi
author_sort	Eman Faisal
title	Evaluation of Qatar’s First Cardiac Rehabilitation Program: A Brief Report
title_short	Evaluation of Qatar’s First Cardiac Rehabilitation Program: A Brief Report
title_full	Evaluation of Qatar’s First Cardiac Rehabilitation Program: A Brief Report
title_fullStr	Evaluation of Qatar’s First Cardiac Rehabilitation Program: A Brief Report
title_full_unstemmed	Evaluation of Qatar’s First Cardiac Rehabilitation Program: A Brief Report
title_sort	evaluation of qatar’s first cardiac rehabilitation program: a brief report
publisher	Ubiquity Press
publishDate	2021
url	https://doaj.org/article/c0b0f5a168204983b348fb21422ade2f
work_keys_str_mv	AT emanfaisal evaluationofqatarsfirstcardiacrehabilitationprogramabriefreport AT rahmasaad evaluationofqatarsfirstcardiacrehabilitationprogramabriefreport AT mohammedalhashemi evaluationofqatarsfirstcardiacrehabilitationprogramabriefreport AT sherrylgrace evaluationofqatarsfirstcardiacrehabilitationprogramabriefreport AT theodorospapasavvas evaluationofqatarsfirstcardiacrehabilitationprogramabriefreport AT karamturkadawi evaluationofqatarsfirstcardiacrehabilitationprogramabriefreport
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Evaluation of Qatar’s First Cardiac Rehabilitation Program: A Brief Report

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