Outpatient cardiac rehabilitation reduced the 1-year incidence of falls from 31.0% to 9.6% in older cardiovascular disease patients, with adjusted IRR 0.42 and RR 0.39.
Cohort (n=110)
No
Does outpatient cardiac rehabilitation reduce the incidence of falls in older patients with cardiovascular disease?
Participation in outpatient cardiac rehabilitation is associated with a significantly lower incidence and risk of falls in older patients with cardiovascular disease.
Effect estimate: Adjusted incidence rate ratio (IRR) 0.42; adjusted risk ratio (RR) 0.39 (95% CI IRR 95% CI 0.23–0.76; RR 95% CI 0.18–0.89)
Absolute Event Rate: 9.6% vs 31%
p-value: p=IRR P<0.01; RR P=0.02
Background: Falls are a serious medical problem. With the aging of patients with cardiovascular disease (CVD), falls have become an important clinical outcome. However, evidence regarding falls in this population is limited, and the impact of cardiac rehabilitation (CR) remains unclear. This study investigated the incidence of falls and examined the association between outpatient CR (OCR) and falls among older patients with CVD.
Shiota et al. (Thu,) conducted a cohort in Older patients (aged ≥65 years) with cardiovascular disease who participated in early phase II cardiac rehabilitation (n=110). Outpatient cardiac rehabilitation (OCR) program vs. Non-participation in outpatient cardiac rehabilitation was evaluated on Incidence and frequency of falls within 1 year after hospital discharge (Adjusted incidence rate ratio (IRR) 0.42; adjusted risk ratio (RR) 0.39, 95% CI IRR 95% CI 0.23–0.76; RR 95% CI 0.18–0.89, p=IRR P<0.01; RR P=0.02). Outpatient cardiac rehabilitation reduced the 1-year incidence of falls from 31.0% to 9.6% in older cardiovascular disease patients, with adjusted IRR 0.42 and RR 0.39.
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