title: Hospital-based versus community-based shared care cardiac rehabilitation after acute coronary syndrome: protocol for a randomized clinical trial.
abstract: BACKGROUND
  Participation in cardiac rehabilitation (CR) is poor although CR reduces morbidity and mortality. One way in which attendance may potentially be improved is by involving municipal health-care centres (MHCC) and the patient's general practitioner (GP) to a larger degree in a model of shared care cardiac rehabilitation (SC-CR). Our study tests the feasibility of SC-CR and compares the attendance and effects of SC-CR with the individually tailored hospital-based CR (H-CR) programme.
  
  
  METHODS
  After admission for acute coronary syndrome (ACS) patients are randomized to phase II CR which is conducted either as SC-CR or H-CR. During SC-CR the patient is seen once in-hospital after which the GP takes over. MHCC supports the GP by offering educational intervention regarding smoking cessation, exercise, nutrition and mental health. A total of 208 persons hospitalised due to acute coronary syndrome are to be randomized before hospital discharge.
  
  
  CONCLUSIONS
  The study aims to examine whether the organisation of SC-CR is feasible and provides the expected benefits.
  
  
  BACKGROUND
  The trial is funded by Region Central Denmark.
  
  
  BACKGROUND
  Clinical Trials ID: NTC 01522001.
authors.affiliation: Department of Cardiology, Aarhus University Hospital, Aarhus C, Denmark. jannbert@rm.dk
authors.forename: Jannik Buus
authors.initials: JB
authors.lastname: Bertelsen
authors.forename: Jens
authors.initials: J
authors.lastname: Refsgaard
authors.forename: Helle
authors.initials: H
authors.lastname: Kanstrup
authors.forename: Søren Paaske
authors.initials: SP
authors.lastname: Johnsen
authors.forename: Ina
authors.initials: I
authors.lastname: Qvist
authors.forename: Bo
authors.initials: B
authors.lastname: Christensen
authors.forename: Kent Lodberg
authors.initials: KL
authors.lastname: Christensen
mesh_terms: D054058:Acute Coronary Syndrome / Q000534:rehabilitation*; D000553:Ambulatory Care / Q000379:methods* / Q000458:organization & administration; D003151:Community Health Centers; D003266:Continuity of Patient Care; D058006:General Practice; D006801:Humans; D017146:Models, Organizational; D010044:Outpatient Clinics, Hospital; D010349:Patient Compliance; D012107:Research Design