title: Long-term effects of outpatient cardiac rehabilitation in Austria: a nationwide registry.
abstract: OBJECTIVE
  Our Working Group on Out-Patient Cardiac Rehabilitation (AGAKAR) has previously published guidelines, which were endorsed by the Austrian Society of Cardiology. It was the aim of this study to assess the short-term (phase II) and long-term (phase III) effects of these guidelines by use of a nationwide registry.
  
  
  METHODS
  All Austrian out-patient rehabilitation facilities entered data into a database of all consecutive patients who completed phase II (4-6 weeks) and/or III (6-12 months) rehabilitation between 1.1.2009-30.11.2011.
  
  
  RESULTS
  Data of 1432 phase II and 1390 phase III patients were assessed. Despite the wide spectrum of cardiac diseases patients' exercise capacity improved during phase II by 20 (-193 to 240) watts; 91.0% reached a systolic blood pressure <140 mmHg; 68.1% an LDL <100 mg/dl; 69.8% triglycerides <150 mg/dl, and 66.2% of male patients had a waist circumference <102 cm. During phase III improvement in cardiovascular risk factors, quality of life, anxiety, and depression were further improved in an increasing number of patients.
  
  
  CONCLUSIONS
  Our data demonstrate beneficial short- and long-term effects of the Austrian model of out-patient cardiac rehabilitation and provide support for comprehensive long-term rehabilitation programs. Furthermore, our model might be helpful for those who are at the verge of initiating or modifying their programs. It is also hoped that these data will motivate colleagues to refer their patients to out-patient cardiac rehabilitation facilities and that our results may stimulate insurance companies to grant further and comprehensive contracts to provide access for all suitable patients.
authors.affiliation: University Institute of Sports Medicine, Prevention and Rehabilitation, Institute of Sports Medicine of the State of Salzburg, Sports Medicine of the Olympic Center Salzburg-Rif, Paracelsus Medical University Salzburg, Lindhofstr. 20, 5020, Salzburg, Austria, j.niebauer@salk.at.
authors.forename: Josef
authors.initials: J
authors.lastname: Niebauer
authors.forename: Karl
authors.initials: K
authors.lastname: Mayr
authors.forename: Hanns
authors.initials: H
authors.lastname: Harpf
authors.forename: Peter
authors.initials: P
authors.lastname: Hofmann
authors.forename: Edith
authors.initials: E
authors.lastname: Müller
authors.forename: Manfred
authors.initials: M
authors.lastname: Wonisch
authors.forename: Rochus
authors.initials: R
authors.lastname: Pokan
authors.forename: Werner
authors.initials: W
authors.lastname: Benzer
mesh_terms: D000328:Adult; D000368:Aged; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D001317:Austria; D000072038:Cardiac Rehabilitation; D002318:Cardiovascular Diseases / Q000453:epidemiology; D003324:Coronary Artery Disease / Q000453:epidemiology / Q000534:rehabilitation; D005081:Exercise Therapy; D017079:Exercise Tolerance; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008019:Life Style; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000534:rehabilitation; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data; D010809:Physical Fitness; D017410:Practice Guidelines as Topic; D012042:Registries / Q000706:statistics & numerical data*; D012047:Rehabilitation Centers / Q000706:statistics & numerical data; D012307:Risk Factors; D012955:Societies, Medical