Cluster Analysis to Distinguish Patients Most Likely to Benefit from Outpatient Cardiac Rehabilitation—A Prospective, Multicenter Study
Jacek Hincz (),
Maciej Sterliński,
Dariusz Kostrzewa,
Rafał Dąbrowski and
Edyta Smolis-Bąk
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Jacek Hincz: Medical Projects Department, COPERNICUS Healthcare Entity, 80-803 Gdansk, Poland
Maciej Sterliński: First Department of Cardiac Arrhythmias, National Institute of Cardiology, 04-628 Warsaw, Poland
Dariusz Kostrzewa: COPERNICUS Healthcare Entity, 80-803 Gdansk, Poland
Rafał Dąbrowski: Department of Coronary Artery Disease and Cardiac Rehabilitation, National Institute of Cardiology, 04-628 Warsaw, Poland
Edyta Smolis-Bąk: Department of Coronary Artery Disease and Cardiac Rehabilitation, National Institute of Cardiology, 04-628 Warsaw, Poland
IJERPH, 2022, vol. 19, issue 17, 1-9
Abstract:
Offering cardiac rehabilitation to people who can benefit most could improve the outcomes in the context of limited availability. We used cluster analysis to distinguish three patient groups based on clinical and laboratory variables and then compared the outcomes of 6-month outpatient cardiac rehabilitation between these groups. The outcomes included blood pressure, blood lipids, fasting blood glucose, and uric acid concertation in serum. Group 1 consisted primarily of men with obesity, increased blood pressure, favourable lipid profiles and increased fasting glucose. Group 2 consisted of men or women with normal weight, normal blood pressure, favourable lipid profiles, and normal fasting glucose. Group 3 consisted primarily of women with overweight, normal blood pressure, unfavourable lipid profiles, and normal fasting glucose. After 6 months of cardiac rehabilitation, blood lipids improved in group 3, whereas blood pressure improved in groups 1 and 3, but the outcomes did not change significantly in group 2. We did not see any effect of cardiac rehabilitation on fasting blood glucose and serum uric acid concentration in any group. Concentrations of glucose and uric acid did not change significantly in any group. In conclusion, an adequate selection of patients should maximise the benefits of cardiac rehabilitation.
Keywords: cardiac rehabilitation; cluster analysis; cholesterol; hypertension; uric acid; glucose (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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