Table 3 Effects on clinical performance measured by 11 care processes and six patient outcomes (primary outcome) (n = 14,874)
Care processes and patient outcomes | Type | Control group | Intervention group | P value | ||||
|---|---|---|---|---|---|---|---|---|
Crude baseline performance | Crude follow-up performance | Adjusted performance trend [OR (95% CI)] | Crude baseline performance | Crude follow-up performance | Adjusted performance trend [OR (95% CI)] | |||
Psychosocial rehabilitation (study group A) | ||||||||
1. Complete data on psychological functioning | Process | 69.0% (623/903) | 68.3% (3134/4591) | 0.64 (0.32 to 1.28) | 86.1% (1733/2012) | 84.7% (6217/7341) | 0.69 (0.42 to 1.11) | 0.872 |
2. Complete data on social functioning | Process | 16.1% (145/903) | 15.5% (712/4591) | 0.17 (0.01 to 2.06) | 53.2% (1071/2012) | 56.4% (4142/7341) | 1.36 (0.05 to 3.71) | 0.130 |
3. Complete data on lifestyle factors | Process | 82.8% (748/903) | 84.6% (3885/4591) | 0.92 (0.46 to 1.85) | 86.1% (1733/2012) | 80.2% (5884/7341) | 1.03 (0.57 to 1.86) | 0.815 |
4. Disease specific education completeda | Process | 51.3% (424/827) | 44.1% (1796/4071) | 0.76 (0.48 to 1.20) | 62.7% (842/1342) | 61.7% (3046/4934) | 0.44 (0.29 to 0.67) | 0.091 |
5. Lifestyle modification programme completeda | Process | 41.3% (373/903) | 40.8% (1874/4591) | 1.08 (0.63 to 1.85) | 55.7% (877/1575) | 58.3% (3255/5580) | 1.34 (0.78 to 2.31) | 0.385 |
6. Improved quality of live after CR | Outcome | 44.6% (403/903) | 46.5% (2133/4591) | 0.99 (0.86 to 1.13) | 41.0% (826/2012) | 43.5% (3193/7341) | 1 (0.89 to 1.12) | 0.571 |
7. Successful smoking cessation | Outcome | 56.0% (506/903) | 54.2% (2489/4591) | 0.96 (0.84 to 1.09) | 49.5% (996/2012) | 51.1% (3752/7341) | 0.99 (0.89 to 1.11) | 0.553 |
8. Patients receive a discharge letter with remaining lifestyle goals | Process | 13.1% (118/903) | 19.9% (914/4591) | 5.39 (2.14 to 13.56) | 27.3% (549/2012) | 28.9% (2120/7341) | 4.61 (2.29 to 9.30) | 0.764 |
Physical rehabilitation (study group B) | ||||||||
9. Complete data on physical functioning | Process | 54.5% (1097/2012) | 61.8% (4534/7341) | 1.35 (0.72 to 2.54) | 52.6% (475/903) | 65.6% (3010/4591) | 1.78 (0.75 to 4.20) | 0.611 |
10. Complete data concerning cardiovascular risk factors | Process | 55.3% (1112/2012) | 49.8% (3656/7341) | 1.12 (0.76 to 1.65) | 54.4% (491/903) | 60.4% (2775/4591) | 1.34 (0.83 to 2.17) | 0.562 |
11. Exercise training completeda | Process | 53.4% (1074/2012) | 45.9% (3366/7341) | 0.44 (0.27 to 0.74) | 65.8% (421/640) | 60.9% (1780/2922) | 0.8 (0.29 to 2.21) | 0.374 |
12. Relaxation and stress management training completeda | Process | 43.6% (666/1528) | 48.3% (2367/4898) | 2.47 (1.25 to 4.88) | 44.7% (370/827) | 45.8% (1863/4071) | 1.04 (0.40 to 2.71) | 0.183 |
13. Cardiovascular risk factors evaluated at discharge | Process | 10.3% (208/2012) | 7.4% (541/7341) | 0.87 (0.41 to 1.83) | 32.7% (295/903) | 29.9% (1373/4591) | 1.01 (0.43 to 2.37) | 0.667 |
14. Improvement in exercise capacity | Outcome | 46.5% (936/2012) | 51.3% (3769/7341) | 1.28 (1.11 to 1.47) | 50.2% (453/903) | 49.7% (2280/4591) | 1.12 (0.91 to 1.38) | 0.248 |
15. Successful work resumption | Outcome | 53.3% (1072/2012) | 52.4% (3848/7341) | 0.93 (0.83 to 1.05) | 65.7% (593/903) | 68.5% (3146/4591) | 0.97 (0.84 to 1.12) | 0.448 |
16. Moderately active lifestyle norm met at discharge | Outcome | 37.1% (747/2012) | 35.7% (2621/7341) | 0.96 (0.83 to 1.11) | 71.8% (648/903) | 72.8% (3340/4591) | 1 (0.85 to 1.17) | 0.633 |
17. Vigorously active lifestyle norm met at discharge | Outcome | 22.1% (444/2012) | 30.8% (2263/7341) | 1.29 (1.15 to 1.45) | 26.8% (242/903) | 28.1% (1292/4591) | 1.13 (0.99 to 1.30) | 0.200 |