title: [Progress of Rehabilitation for Cardiac Patients Depending on the Degree of Self-Sufficiency at Admission].
abstract: BACKGROUND
  There are hardly any publications about the outcome of cardiac rehabilitation considering patients with an increased need for medical, nursing and therapeutic care. The aim of this study, which consecutively included n=387 statutory health insurance inpatients over a period of 2 years, was to find out differences in outcome in self-care patients (Barthel index>70) as compared to patients with a need for complex care (Barthel index≤70).
  
  
  METHODS
  Rehabilitation outcomes concerning physical capacity, emotional status and activities of daily living as measured by Barthel index, FIM index, HADS, clinical complications, exercise test, duration of rehabilitation and form of dismission were analyzed and compared between both groups.
  
  
  RESULTS
  The inpatients with a Barthel index ≤70 at admission were older, had a longer stay in hospital and in rehabilitation, developed more complications and more often suffered from concomitant diseases. They were readmitted to hospital more often. They showed a comparatively higher increase in indices of self-care and a significant increase in physical performance tests.
  
  
  CONCLUSIONS
  Higher medical care expenses of multimorbid cardiac inpatients are no contraindication against rehabilitation, because even in this group the specific rehabilitation aims of the healthcare payers can be reached.
authors.affiliation: MediClin Fachklinik Rhein Ruhr, Essen; Universität Witten Herdecke.
authors.forename: R
authors.initials: R
authors.lastname: Marx
authors.affiliation: MediClin Fachklinik Rhein Ruhr, Essen; Universität Witten Herdecke.
authors.forename: H
authors.initials: H
authors.lastname: Philips
authors.affiliation: MediClin Fachklinik Rhein Ruhr, Essen; Universität Witten Herdecke.
authors.forename: D
authors.initials: D
authors.lastname: Bassenge
authors.affiliation: MDK Rheinland-Pfalz, Alzey.
authors.forename: M
authors.initials: M
authors.lastname: Nosper
authors.affiliation: MDK Rheinland-Pfalz, Alzey.
authors.forename: B
authors.initials: B
authors.lastname: Röhrig
authors.affiliation: MDK Rheinland-Pfalz, Alzey.
authors.forename: S
authors.initials: S
authors.lastname: Linck-Eleftheriadis
authors.affiliation: Techniker Krankenkasse Hamburg.
authors.forename: G
authors.initials: G
authors.lastname: Strandt
authors.affiliation: Professur für Rehabilitationswissenschaften, Universität Potsdam.
authors.forename: A
authors.initials: A
authors.lastname: Salzwedel
authors.affiliation: MediClin Gmbh&Co KG, Offenburg.
authors.forename: F
authors.initials: F
authors.lastname: Pabst
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000368:Aged; D000072038:Cardiac Rehabilitation / Q000523:psychology* / Q000706:statistics & numerical data*; D006233:Persons with Disabilities / Q000523:psychology* / Q000534:rehabilitation* / Q000706:statistics & numerical data; D017079:Exercise Tolerance; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008137:Longitudinal Studies; D008297:Male; D017063:Outcome Assessment, Health Care / Q000379:methods; D010343:Patient Admission / Q000706:statistics & numerical data; D015995:Prevalence; D011379:Prognosis; D012189:Retrospective Studies; D012648:Self Care / Q000523:psychology / Q000706:statistics & numerical data*; D016896:Treatment Outcome