Expanded cardiac rehabilitation reduces XXXX over five years.

@entity1 @entity583 @entity299 @entity453 @entity204 @entity65
QUESTION: In @entity1 with @entity453 , does an expanded cardiac rehabilitation program reduce @entity204 , @entity583 , and hospital admissions due to @entity65 ? DESIGN: Randomised, controlled trial with intention-to-treat analysis. SETTING: A University hospital in Sweden. @entity1 : @entity1 aged less than 75 years who had had a recent @entity583 or coronary artery bypass grafts were eligible to participate. Severe co-morbidities were exclusion criteria. Randomisation of 224 @entity1 allocated 111 to undergo expanded cardiac rehabilitation and 113 to a control group. INTERVENTIONS: Both groups received standard cardiac rehabilitation, including physical training, education, group and individual counselling, and support to cease smoking. All @entity1 received appropriate preventive medications. In addition, the intervention group received 20 group sessions of stress management, 3 sessions of cooking and diet counselling by a dietician, and a 5-day stay at a ' @entity1 hotel' with several activities including physical training and information. OUTCOME MEASURES: Although other outcomes were reported at the conclusion of 1-year follow-up, the outcomes at the 5-year follow-up were rates of @entity299 : @entity65 , acute @entity583 , and readmission to a hospital due to other cardiovascular causes. RESULTS: All @entity1 were followed up via national registers of health and mortality. During the 5-year follow-up, 53 (48%) @entity1 in the expanded cardiac rehabilitation group and 68 (60%) @entity1 in the control group had a @entity299 (hazard ratio 0.69, 95% CI 0.48 to 0.99). This difference was mainly due to only 12 (11%) @entity1 having non-fatal @entity583 in the treatment group versus 23 (20%) in the control group (hazard ratio 0.47, 95% CI 0.21 to 0.97). The number of hospitalisations and the number of days of hospitalisation were both significantly fewer in the treatment group than in the control group. CONCLUSION: Expanded cardiac rehabilitation after acute @entity583 or coronary artery bypass surgery reduces the long-term rate of cardiovascular events by reducing @entity583 and days in hospital for cardiovascular reasons.
