An investigation into whether cardiac risk stratification protocols actually predict complications in cardiac rehabilitation programs?

Autor(es):Mostrar menos -

Ribeiro, Felipe ^[1] ; Takahashi, Carolina ^[1] ; Vanzella, Lais Manata ^[1] ; Laurino, Maria Julia Lopez ^[1] ; Lima, Isabelle Maina ^[1] ; Silva, Vitor Eduardo dos Santos ^[1] ; Silva, Joao Pedro Lucas Neves ^[1] ; Valente, Heloisa Balotari ^[1] ; da Silva, Anne Kastelianne Franca ^[1] ; Christofaro, Diego Giulliano Destro ^[2] ; Vanderlei, Luiz Carlos Marques ^[1]

Afiliação do(s) autor(es)

^[1] Sao Paulo State Univ UNESP, Sch Sci & Technol, Physiotherapy Dept, Presidente Prudente, SP - Brazil

^[2] Sao Paulo State Univ UNESP, Sch Sci & Technol, Dept Phys Educ, Presidente Prudente, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: CLINICAL REHABILITATION; v. 35, n. 5 DEC 2020.
• Citações Web of Science: 0

Resumo

Objectives: This study evaluated the capacity of cardiac risk stratification protocols on simple complications that occur during activities of a cardiovascular rehabilitation program. Design: Observational longitudinal cohort study. Setting: Outpatient clinic of cardiovascular rehabilitation. Subject: Patients diagnosed with cardiovascular disease and/or risk factors. Interventions: Not applicable. Main measures: The relationship between the cardiac risk classes of seven risk stratification protocols and the occurrence of simple complications (such angina, abnormal changes in blood pressure, arrhythmias, fatigue, muscle pain, pallor) was assessed using the chi-square test, and when statistical significance was observed, sensitivity, specificity and accuracy were determined. Results: About 76 patients were analyzed. The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) protocol showed a statistically significant relationship between simple complications and cardiac risk classes (P-value = 0.046), however the results of sensitivity (0.53), specificity (0.52), and accuracy (0.53) were not significant. The other protocols analyzed were not significant: American College of Sports Medicine (P-value = 0.801), Brazilian Society of Cardiology (P-value = 0.734), American Heart Association (P-value = 0.957), Pashkow (P-value = 0.790), Society French Cardiology (P-value = 0.314), and Spanish Society of Cardiology (P-value = 0.078). Conclusion: The AACVPR protocol showed a significant relationship between the risk classes and the occurrence of simple complications, however, the low values obtained for sensitivity, specificity and accuracy show that it is not useful for this purpose. (AU)

• Processo FAPESP: 17/20657-5 - Eficácia de protocolos de estratificação e parâmetros clínicos, físicos e bioquímico em prever intercorrências em programas de reabilitação cardiovascular
• Beneficiário: Luiz Carlos Marques Vanderlei
• Modalidade de apoio: Auxílio à Pesquisa - Regular
• Processo FAPESP: 18/07587-0 - Os protocolos de estratificação de risco cardíaco são eficazes para prever intercorrências, durante a realização de um programa de reabilitação cardiovascular?
• Beneficiário: Felipe Ribeiro
• Modalidade de apoio: Bolsas no Brasil - Mestrado