Author | Vieira, Marcelo Carvalho | |
Author | Mendes, Fernanda de Souza Nogueira Sardinha | |
Author | Mazzoli-Rocha, Flavia | |
Author | Silva, Rudson Silva | |
Author | Viana, Aline Maria Nunes | |
Author | Frota, Aline Xavier | |
Author | Silva, Gilberto Marcelo Sperandio da | |
Author | Silva, Paula Simplicio da | |
Author | Hasslocher-Moreno, Alejandro Marcel | |
Author | Saraiva, Roberto Magalhaes | |
Author | Mediano, Mauro Felippe Felix | |
Access date | 2022-11-04T11:41:44Z | |
Available date | 2022-11-04T11:41:44Z | |
Document date | 2021 | |
Citation | VIEIRA, Marcelo Carvalho et al. Factors related to the discontinuation and mortality rates of a cardiac rehabilitation programme in patients with Chagas disease: a 6-year experience in a Brazilian tertiary centre. Tropical Medicine and International Health, v. 26, n. 3, p. 355–365, 2021 | en_US |
ISSN | 1365-3156 | en_US |
URI | https://www.arca.fiocruz.br/handle/icict/55451 | |
Language | eng | en_US |
Publisher | Wiley | en_US |
Rights | open access | en_US |
Title | Factors related to the discontinuation and mortality rates of a cardiac rehabilitation program in patients with Chagas disease a 6‐year experience in a Brazilian tertiary center | en_US |
Type | Article | en_US |
DOI | 10.1111/tmi.13537 | |
Abstract | objectives To describe the clinical and sociodemographic characteristics of participants as well as
discontinuation and mortality rates in a cardiac rehabilitation programme (CRP) tailored to Chagas
disease (CD).
methods Participants underwent functional capacity, anthropometry and cardiac function
evaluations before beginning a CRP. Univariate and multivariate Cox proportional hazards models
were performed to investigate the associations between clinical and sociodemographic characteristics
at baseline with discontinuation rates and deaths.
results Forty-two patients were enrolled in the CRP (61.9% men, mean age of 58.1 11.8 years).
During a median follow-up period of 10.8 months, 74% discontinued and 14% died while enrolled
in CRP. 34% of the patients who discontinued CRP died during follow-up. White race (HR = 0.09;
95% CI 0.01–1.00), right ventricular systolic dysfunction (HR = 10.54; 95% CI 1.24–89.50) and
oxygen pulse (HR = 0.69; 95% CI 0.48–0.99) were independently associated with death while
enrolled in CRP. Married status (HR = 0.44; 95% CI 0.21–0.95) was independently associated with
discontinuation rates from CRP. VO2 peak (HR = 0.85; 95% CI 0.74–0.98) and CRP
discontinuation due to CD-related reasons (HR = 8.33; 95% CI 1.91–36.27) were the variables
independently associated with death after discontinuation of CRP.
conclusion In this population, sociodemographic aspects and severity of CD were important
determinants of CRP discontinuation and mortality. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Aloysio de Castro State Institute of Cardiology. Center for Cardiology and Exercise. Rio de Janeiro, RJ, Brazil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / National Institute of Cardiology. Department of Research and Education. Rio de Janeiro, RJ, Brazil. | en_US |
Subject | Chagas disease | en_US |
Subject | Chagas cardiomyopathy | en_US |
Subject | Cardiac rehabilitation | en_US |
Subject | Exercise | en_US |
Subject | Heart failure | en_US |
Subject | Survival analysis | en_US |