| The Montana cardiac rehabilitation regional outcomes project. | |
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MedLine Citation:
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PMID: 19770805 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Outcomes evaluation is a critical component in early outpatient cardiac rehabilitation (CR). The goal of this project was to develop a regional CR outcomes program to help facilitate quality improvement. METHODS: The Montana Outcomes Project initiated data collection on a uniform set of outcomes indicators. Each participating program submitted de-identified data for analysis on a quarterly basis. Results were sent back to each program with its individual program data plotted against the regional mean. RESULTS: Year 1 data collection included outcomes information from 22 facilities and 850 patients. Mean age was 68 years, 96% were white, 68% were men, and the mean number of CR visits was 24. The mean resting blood pressure at program completion was 118/68 mm Hg, with 90% of patients meeting criteria for blood pressure control (<140/90 or <130/80 mm Hg for patients at high risk). Mean low-density lipoprotein was 87 mg/dL; 94% were on lipid-lowering medications; and 73% achieved low-density lipoprotein values of less than 100 mg/dL. Upon program completion, significant improvements (P < .001) were noted in prescore versus postscore for functional capacity measured by the Duke Activity Status Index (5.5 metabolic equivalents vs 7.3 metabolic equivalents), Medical Outcomes Study SF-36 Health Status Questionnaire physical (36.9 vs 45.8) and mental (47.2 vs 52.2) composite scores, Dartmouth Primary Care Cooperative questionnaire (22 vs 15.9), and fat intake measured by the Block Dietary Fat Screener (19.6 vs 14.7). CONCLUSION: Our findings suggest that the development of a regional CR outcomes project is feasible and could aid in the development of quality improvement projects. |
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Authors:
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Michael J McNamara; Carrie S Oser; Dorothy Gohdes; Crystelle C Fogle; Todd S Harwell |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Journal of cardiopulmonary rehabilitation and prevention Volume: 29 ISSN: 1932-751X ISO Abbreviation: J Cardiopulm Rehabil Prev Publication Date: 2009 Nov-Dec |
Date Detail:
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Created Date: 2009-11-26 Completed Date: 2011-01-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101291247 Medline TA: J Cardiopulm Rehabil Prev Country: United States |
Other Details:
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Languages: eng Pagination: 370-5 Citation Subset: IM |
Affiliation:
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Montana Department of Public Health and Human Services, Helena, MT 59620, USA. mmcnamara@mt.gov |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adiposity Aged Body Mass Index Coronary Artery Disease / rehabilitation* Feasibility Studies Female Health Status Indicators Humans Male Montana Outcome Assessment (Health Care) / standards*, statistics & numerical data Program Evaluation Questionnaires Treatment Outcome Wyoming |
| Grant Support | |
ID/Acronym/Agency:
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1 U50 DP000736-02/DP/NCCDPHP CDC HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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