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