Document Detail


Exercise training in recently hospitalized heart failure patients enrolled in a disease management programme: design of the EJECTION-HF randomized controlled trial.
MedLine Citation:
PMID:  22065870     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: The Exercise Joins Education: Combined Therapy to Improve Outcomes in Newly-discharged Heart Failure (EJECTION-HF) study will evaluate the impact of a supervised exercise training programme (ETP) on clinical outcomes in recently hospitalized heart failure patients attending a disease management programme (DMP). Methods This multisite, pragmatic randomized controlled trial enrols patients discharged from participating hospitals with clinical evidence of heart failure who are willing and able to participate in a DMP and considered clinically safe to exercise. Enrolment includes participants with impaired and preserved left ventricular systolic function. Baseline assessment and programme commencement occur within 6 weeks of hospital discharge. The control group DMP includes individualized education and follow-up from a multidisciplinary heart failure team; a weekly education programme for 12 weeks; self-management advice; and medical follow-up. Home exercise is recommended for all participants. In addition, intervention participants are offered 36 supervised, structured gym-based 1 h exercise sessions over 24 weeks. Sessions are tailored to exercise capacity and include aerobic, resistance, and balance exercises. Enrolment target is 350 participants. Primary outcome is 12-month mortality and readmissions. Secondary outcomes include blinded evaluation of depressive symptoms, sleep quality, cognition, and functional status (activities of daily living, 6 min walk distance, grip strength) at 3 and 6 months. A cost-utility analysis will be conducted.
CONCLUSION: This study will enrol a representative group of hospitalized heart failure patients and measure a range of patient and health service outcomes to inform the design of post-hospital DMPs for heart failure. Enrolment will be completed in 2013. ACTRN12608000263392.
Authors:
Alison M Mudge; Charles P Denaro; Adam C Scott; John J Atherton; Deborah E Meyers; Thomas H Marwick; Julie A Adsett; Robert W Mullins; Jessica M Suna; Paul A Scuffham; Peter K O'Rourke
Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2011-11-06
Journal Detail:
Title:  European journal of heart failure     Volume:  13     ISSN:  1879-0844     ISO Abbreviation:  Eur. J. Heart Fail.     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-11-21     Completed Date:  2012-03-27     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  100887595     Medline TA:  Eur J Heart Fail     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1370-5     Citation Subset:  IM    
Affiliation:
Internal Medicine and Aged Care, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, Queensland 4029, Australia. Alison_Mudge@health.qld.gov.au
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living*
Cost-Benefit Analysis
Disease Management*
Double-Blind Method
Exercise / physiology*
Exercise Therapy / economics,  methods*
Female
Follow-Up Studies
Heart Failure / physiopathology,  rehabilitation*
Humans
Inpatients*
Male
Middle Aged
Prospective Studies
Quality of Life*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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