Clinical characteristics and course of patients with diabetes entering cardiac rehabilitation - PubMed (original) (raw)
Observational Study
. 2015 Feb;107(2):267-72.
doi: 10.1016/j.diabres.2014.11.006. Epub 2014 Dec 3.
Collaborators, Affiliations
- PMID: 25497465
- DOI: 10.1016/j.diabres.2014.11.006
Observational Study
Clinical characteristics and course of patients with diabetes entering cardiac rehabilitation
Francesco Giallauria et al. Diabetes Res Clin Pract. 2015 Feb.
Abstract
Background: Using data from the Italian SurveY on carDiac rEhabilitation (ISYDE-2008), this study provides insight into the level of implementation of Cardiac Rehabilitation (CR) in patients with diabetes.
Methods: Data from 165 CR units were collected online from January 28th to February 10th, 2008.
Results: The study cohort consisted of 2281 patients (66.9 ± 12 yrs); 475 (69.7 ± 10 yrs, 74% male) patients with diabetes and 1806 (66.2 ± 12 yrs, 72% male) non-diabetic patients. Compared to non-diabetic patients, patients with diabetes were older and showed more comorbidity [myocardial infarction (32% vs. 19%, p < 0.0001), peripheral artery disease (10% vs. 5%, p < 0.0001), chronic obstructive pulmonary disease (20% vs. 11%, p < 0.0001), chronic kidney disease (20% vs. 6%, p < 0.0001), and cognitive impairment (5% vs. 2%, p = 0.0009), respectively], and complications during CR [re-infarction (3% vs. 1%, p = 0.04), acute renal failure (9% vs. 4%, p < 0.0001), sternal revision (3% vs. 1%, p = 0.01), inotropic support/mechanical assistance (7% vs. 4%, p = 0.01), respectively]; a more complex clinical course and interventions with less functional evaluation and a different pattern of drug therapy at hospital discharge. Notably, in 51 (3%) and in 104 (6%) of the non-diabetic cohort, insulin and hypoglycemic agents were prescribed, respectively, at hospital discharge from CR suggesting a careful evaluation of the glycemic metabolism during CR program, independent of the diagnosis at the admission. Mortality was similar among diabetic compared to non-diabetic patients (1% vs. 0.5%, p = 0.23).
Conclusions: This survey provided a detailed overview of the clinical characteristics, complexity and more severe clinical course of diabetic patients admitted to CR.
Keywords: Cardiac rehabilitation; Cardiopulmonary exercise testing; Chronic heart failure; Diabetes; Exercise training; Myocardial infarction.
Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.
Similar articles
- Cardiac rehabilitation in very old patients: data from the Italian Survey on Cardiac Rehabilitation-2008 (ISYDE-2008)--official report of the Italian Association for Cardiovascular Prevention, Rehabilitation, and Epidemiology.
Giallauria F, Vigorito C, Tramarin R, Fattirolli F, Ambrosetti M, De Feo S, Griffo R, Riccio C, Piepoli M; ISYDE-2008 Investigators of the Italian Association for Cardiovascular Prevention, Rehabilitation, and Prevention. Giallauria F, et al. J Gerontol A Biol Sci Med Sci. 2010 Dec;65(12):1353-61. doi: 10.1093/gerona/glq138. Epub 2010 Jul 28. J Gerontol A Biol Sci Med Sci. 2010. PMID: 20667934 - Cardiac rehabilitation in chronic heart failure: data from the Italian SurveY on carDiac rEhabilitation (ISYDE-2008).
Giallauria F, Fattirolli F, Tramarin R, Ambrosetti M, Griffo R, Riccio C, Vigorito C; ISYDE-2008 Investigators of the Italian Association for Cardiovascular Prevention and Rehabilitation (GICR-IACPR). Giallauria F, et al. J Cardiovasc Med (Hagerstown). 2014 Feb;15(2):155-63. doi: 10.2459/JCM.0b013e3283620533. J Cardiovasc Med (Hagerstown). 2014. PMID: 23656918 - Clinical characteristics and outcome of diabetic patients with acute myocardial infarction. Data from the BLITZ-1 study.
Casella G, Savonitto S, Chiarella F, Gonzini L, Di Chiara A, Bolognese L, De Servi S, Greco C, Zonzin P, Coccolini S, Maggioni AP, Boccanelli A; BLITZ-1 Study Investigators. Casella G, et al. Ital Heart J. 2005 May;6(5):374-83. Ital Heart J. 2005. PMID: 15934409 - Heart disease in diabetic patients.
Toto RD. Toto RD. Semin Nephrol. 2005 Nov;25(6):372-8. doi: 10.1016/j.semnephrol.2005.05.005. Semin Nephrol. 2005. PMID: 16298258 Review. - Management of patients with type 2 diabetes in cardiovascular rehabilitation.
Hansen D, Kraenkel N, Kemps H, Wilhelm M, Abreu A, Pfeiffer AF, Jordão A, Cornelissen V, Völler H. Hansen D, et al. Eur J Prev Cardiol. 2019 Dec;26(2_suppl):133-144. doi: 10.1177/2047487319882820. Epub 2019 Nov 13. Eur J Prev Cardiol. 2019. PMID: 31722560 Review.
Cited by
- A patient-centered multidisciplinary cardiac rehabilitation program improves glycemic control and functional outcome in coronary artery disease after percutaneous and surgical revascularization.
Denegri A, Rossi VA, Vaghi F, Di Muro P, Regazzi M, Moccetti T, Pasotti E, Pedrazzini GB, Capoferri M, Moccetti M. Denegri A, et al. Cardiol J. 2022;29(1):72-79. doi: 10.5603/CJ.a2020.0006. Epub 2020 Feb 10. Cardiol J. 2022. PMID: 32037504 Free PMC article. - Prevalence of cardiovascular disease in type 2 diabetes: a systematic literature review of scientific evidence from across the world in 2007-2017.
Einarson TR, Acs A, Ludwig C, Panton UH. Einarson TR, et al. Cardiovasc Diabetol. 2018 Jun 8;17(1):83. doi: 10.1186/s12933-018-0728-6. Cardiovasc Diabetol. 2018. PMID: 29884191 Free PMC article. - Benefits of Cardiac Rehabilitation on Cardiovascular Outcomes in Patients With Diabetes Mellitus After Percutaneous Coronary Intervention.
Jiménez-Navarro MF, Lopez-Jimenez F, Pérez-Belmonte LM, Lennon RJ, Diaz-Melean C, Rodriguez-Escudero JP, Goel K, Crusan D, Prasad A, Squires RW, Thomas RJ. Jiménez-Navarro MF, et al. J Am Heart Assoc. 2017 Oct 11;6(10):e006404. doi: 10.1161/JAHA.117.006404. J Am Heart Assoc. 2017. PMID: 29021270 Free PMC article.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical