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Open Access Highly Accessed Study protocol

Randomized clinical trial to evaluate the effect of a supervised exercise training program on readmissions in patients with myocardial ischemia: a study protocol

Núria Santaularia12*, Josefina Caminal2, Anna Arnau34, Montserrat Perramon5, Jesus Montesinos3, Jaume Trapé6, Montserrat Abenoza-Guardiola1, Pere Guiteras-Val5 and Tiny Jaarsma7

Author affiliations

1 Department of Rehabilitation, Althaia Xarxa Assistencial Universitària de Manresa, Manresa, Barcelona, Spain

2 Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain

3 Clinical Research Unit, Althaia Xarxa Assistencial Universitària de Manresa, Manresa, Barcelona, Spain

4 Universitat Internacional de Catalunya (UIC). Sant Cugat del Vallès, Barcelona, Spain

5 Department of Cardiology, Althaia Xarxa Assistencial Universitària de Manresa, Manresa, Barcelona, Spain

6 Service of Laboratory Medicine, Althaia Xarxa Assistencial Universitària de Manresa, Manresa, Barcelona, Spain

7 Department of Social and Welfare Studies, Faculty of Health Sciences, Linköping University, Norrköping, Sweden

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Citation and License

BMC Cardiovascular Disorders 2013, 13:32  doi:10.1186/1471-2261-13-32

Published: 25 April 2013

Abstract

Background

In recent decades, several studies have assessed the value of cardiac rehabilitation as secondary prevention and have reported substantial reductions in readmissions. However, conclusive evidence is scarce. The present study aims to evaluate the efficacy of a supervised exercise training program for improving percentages of hospital readmission for cardiac causes in patients with myocardial ischemia in the first year after a cardiac event. The effect on all-cause readmission, all-cause mortality, functional capacity, quality of life and adherence to regular exercise is also discussed.

Methods/Design

This study will be conducted as a randomized controlled trial. Eligible patients will be randomly assigned to a control group receiving standard care or to an intervention group which, in addition to standard care, will take part in a supervised exercise training program consisting of three hours a week (spread over three alternate days) of supervised exercise training for 10 weeks. Both groups will perform an exercise stress test and a blood test during the first and third month after hospital discharge. The follow-up period will be 12 months after hospital discharge. The primary outcome measures will be the percentage of patients readmitted, total number of readmissions and length of hospitalization for cardiac disease during the first year after hospital discharge, and time to first hospital admission for cardiac disease.

Discussion

A representative group of hospitalized patients after myocardial ischemia will be studied in order to provide comprehensive data on the potential impact of a supervised exercise training program on hospital readmission rates.

Trial registration

Current Controlled Trials ISRCTN57634424.

Keywords:
Myocardial ischemia; Exercise therapy; Patient readmission