Effectiveness of Exercise Cardiac Rehabilitation

NCT ID: NCT01916525

Last Updated: 2013-08-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-02-28

Study Completion Date

2016-12-31

Brief Summary

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The objective of this multidisciplinary study is to employ health-economic evaluation in determining the health benefits achieved with exercise-based cardiac rehabilitation and the costs derived from it compared with conventional post-acute care of cardiac patients in the Finnish health care system.

Detailed Description

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The cost-effectiveness of exercise-based cardiac rehabilitation has not been systematically studied earlier in Finland, and it is not justifiable to directly apply the results of studies done in other countries to circumstances in Finland due to differences in the health care and social security systems between the countries. The research will utilize top Finnish expertise spanning clinical cardiology, health economics, and physical education. The hypothesis is that a quality-adjusted life year of a cardiac patient (cost/QALY) is 20 % less costly in a rehabilitation group than in a conventional post-acute care group.

The participants in the study will be recruited from Oulu University Hospital patients from the Oulu region (n = 300) who have suffered acute coronary syndrome (angiographically diagnosed coronary artery disease). Of these patients, 130 will be randomized to exercise-based cardiac rehabilitation (Verve) and 170 to a control group. Dropping out of the intervention will be mini-mized by means of careful definition of the inclusion criteria and close follow-up. The rehabilitation will seek to implement the most recent international recommendations for health-enhancing physical activity (% of those who achieved the exercise target). Instructions for a progressive training model will be compiled. The amount of exercise will be monitored objectively with a wrist-worn device based on wellness technology. Subjective loading of both the training and health-enhancing physical activity will be monitored using self-evaluation. The study will last one year for each patient, after which cost-effectiveness will be analyzed (University of Eastern Finland). The results of the research will facilitate decision making and choices in Finnish health care when arranging rehabilitation for cardiac patients and planning the optimal utilization of health care resources.

Conditions

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Cost-effectiveness of Exercise-based Rehabilitation Program

Keywords

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Acute coronary syndrome Cost-effectiveness Cardiac rehabilitation Exercise Physical activity Home monitoring

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Exercise based cardiac rehabilitation

Patients will receive written instructions and a referral to the exercise-based rehabilitation unit. The patient will be taught to use fitness room. Each session of training will be controlled by heart rate. Instruction will also be given for at-home training and filling in a training diary, and training will be scheduled at Verve once a week. On the first visit the patient will receive a device that measures physical activity during the study. Training will also be monitored from the training diary. Structured questionnaires will be used to check compliance and implementation of care will be determined from medication and other health-related habits once a month (during the first 6 months) and finally after 12 months.

Group Type EXPERIMENTAL

Exercise based cardiac rehabilitation

Intervention Type BEHAVIORAL

The cost-effectiveness between the exercise training vs. control groups

Control

A conventional post-acute care group treated according to finnish guidelines.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Exercise based cardiac rehabilitation

The cost-effectiveness between the exercise training vs. control groups

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* The patients undergo coronary angiography and are diagnosed with coronary artery disease.

Exclusion Criteria

* New York Heart Association (NYHA) class IV
* heart failure
* unstable chest pain (angina pectoris) at the time of randomization
* severe peripheral atherosclerosis (intermittent claudication)
* severe retinopathy or neuropathy related to diabetes.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Verve Research, Oulu, Finland

OTHER

Sponsor Role collaborator

University of Eastern Finland

OTHER

Sponsor Role collaborator

Oulu University Hospital

OTHER

Sponsor Role collaborator

University of Oulu

OTHER

Sponsor Role lead

Responsible Party

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Mikko Tulppo

Adjunct professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mikko P Tulppo, PhD

Role: STUDY_DIRECTOR

University of Oulu

Locations

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Verve

Oulu, , Finland

Site Status RECRUITING

Countries

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Finland

Central Contacts

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Timo H Mäkikallio, MD

Role: CONTACT

Phone: +358400574844

Email: [email protected]

Facility Contacts

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Mikko P Tulppo, PhD

Role: primary

Other Identifiers

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Verve-139226

Identifier Type: -

Identifier Source: org_study_id