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ID Design 2012/DOOEL Skopje, Republic of Macedonia

Open Access Macedonian Journal of Medical Sciences.

http://dx.doi.org/10.3889/oamjms.2016.125
eISSN: 1857-9655

Clinical Science

 

 

 

Treatment of the Aged Patients at a Large Cardiac Rehabilitation Center in the Southern Brazil and Some Aspects of Their Dropout from the Therapeutic Programs


 

Pietro Felice Tomazini Nesello1*, Olga Tairova2, Maria Tairova1, Lucas Graciolli1, Allan Baroni1, Eduardo Comparsi2, Thiago De Marchi3


1University of Caxias do Sul, Sports Medicine Institute, Caxias do Sul, Brazil; 2University of Caxias do Sul, Cardiac Rehabilitation Service, Caxias do Sul, Brazil; 3Faculdade Cenetista, Physiotherapy Undergraduate Coordinator, Bento Gonçalves, Brazil

 

Abstract

 

 

AIM: This paper aims to assess the dropout rate in different age groups through the example of the large cardiac rehabilitation centre affiliated with the Institute of Sports Medicine, University of Caxias do Sul.

MATERIAL AND METHODS: A historic cohort study comprising the following groups: Non-Old < 65 (n = 141); Young-Old 65-74 (n = 128); and Middle-Old 75-84 years old (n = 57). The exercise program lasted 48 sessions and dropout was defined as attendance of 50% of sessions or less. Logistic binominal regression was performed to assess the risk of dropout. For all analyses, a two-tailed P value of < 0.05 was used.

RESULTS: The total dropout rate was 38.6%. The Young-Old and Middle-Old groups showed lower dropouts compared to Non-Old patients (p = 0.01). Young-Old has 96% less risk for dropout compared to Non-Old group (adjusted odds ratios = 1.96 [1.16–3.29]). Furthermore, patients underwent the Coronary Artery Bypass Graft showed a lower rate of dropout (p = 0.001). The absence of CABG involved three times more risk of dropout (p = 0.001).

CONCLUSION: The Non-Old and the Middle-Old patients showed higher dropout rates compared to Young-Old. To ensure the best possible rehabilitation and to improve patients´ participation in CR, these programs should be adjusted to the needs of patients in terms of their age.

..................

Citation: Nesello PFT, Tairova O, Tairova M, Graciolli L, Baroni A, Comparsi E, De Marchi T. Treatment of the Aged Patients at a Large Cardiac Rehabilitation Center in the Southern Brazil and Some Aspects of Their Dropout from the Therapeutic Programs. Open Access Maced J Med Sci. http://dx.doi.org/10.3889/oamjms.2016.125
Keywords: Age; Elderly; Dropout; Cardiac Rehabilitation Program; Coronary Artery Disease.
*Correspondence: Pietro Felice Tomazini Nesello. University of Caxias do Sul, Sports Medicine Institute, Caxias do Sul, Brazil. E-mail: pietrofelicenesello@gmail.com
Received: 16-Oct-2016; Revised: 30-Oct-2016; Accepted: 31-Oct-2016; Online first: 25-Nov-2016
Copyright: © 2016 Pietro Felice Tomazini Nesello, Olga Tairova, Maria Tairova, Lucas Graciolli, Allan Baroni, Eduardo Comparsi, Thiago De Marchi. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).
Funding: Research project was funded by the University Program coordinated by the Coordinator of Research and Graduate Studies Stricto Sensu, Brazil.
Competing Interests: The authors have declared that no competing interests exist.

 

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- Nesello PFT
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- Tairova M
- Graciolli L
- Baroni A
- Comparsi E
- De Marchi T


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- Tairova O
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- Graciolli L
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Published by: ID Design Press, part of the ID Design 2012/DOOEL Skopje, Republic of Macedonia


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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.