Table 5 Effect on clinical performance measured by 11 care processes and six patient outcomes (primary outcome): complete case analysis including correction for case mix
Care processes and patient outcomes | Type | Control group | Intervention group | P value | N (centres) | Missing values | ||||
|---|---|---|---|---|---|---|---|---|---|---|
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 | 67.1% (425/633) | 70.4% (2703/3842) | 0.56 (0.25 to 1.25) | 86.8% (1474/1698) | 85.6% (5495/6420) | 0.82 (0.31 to 2.17) | 0.690 | 12,593 (18) | 0 (0%) |
2. Complete data on social functioning | Process | 20.2% (128/633) | 17.3% (666/3842) | 0.14 (0.01 to 1.91) | 56.2% (955/1698) | 56.2% (3608/6420) | 0.12 (0.01 to 1.95) | 0.131 | 12,593 (18) | 0 (0%) |
3. Complete data on lifestyle factors | Process | 83.3% (527/633) | 86.0% (3304/3842) | 0.90 (0.45 to 1.83) | 86.3% (1465/1698) | 80.7% (5180/6420) | 0.79 (0.32 to 1.98) | 0.619 | 12,593 (18) | 0 (0%) |
4. Disease specific education completeda | Process | 36.3% (61/168) | 46.5% (451/970) | 0.59 (0.44 to 0.77) | 48.9% (149/305) | 69.4% (738/1064) | 0.39 (0.26 to 0.60) | 0 | 2507 (10) | 1589 (38.8%) |
5. Lifestyle modification programme completeda | Process | 51.4% (19/37) | 42.7% (108/253) | 0.63 (0.17 to 2.42) | 21.3% (61/286) | 33.3% (235/706) | 1.24 (0.19 to 8.01) | 0.819 | 1282 (9) | 1541 (54.6%) |
6. Improved quality of live after CR | Outcome | 47.0% (70/149) | 48.8% (471/966) | 1 (0.76 to 1.33) | 46.6% (275/590) | 49.0% (1182/2412) | 0.96 (0.69 to 1.33) | 0.793 | 4117 (17) | 8476 (67.3%) |
7. Successful smoking cessation | Outcome | 63.0% (63/100) | 58.3% (277/475) | 0.91 (0.65 to 1.29) | 54.1% (119/220) | 58.5% (424/725) | 0.84 (0.56 to 1.26) | 0.392 | 1520 (17) | 11,073 (87.9%) |
8. Patients receive a discharge letter with remaining lifestyle goals | Process | 9.1% (24/263) | 17.8% (209/1173) | 5.35 (0.58 to 49.38) | 15.5% (161/1037) | 26.7% (1004/3755) | 2.06 (0.13 to 31.63) | 0.609 | 6228 (18) | 6365 (50.5%) |
Physical rehabilitation (study group B) | ||||||||||
9. Complete data on physical functioning | Process | 56.0% (950/1698) | 64.1% (4118/6420) | 1.66 (0.90 to 3.05) | 57.8% (366/633) | 67.8% (2605/3842) | 0.97 (0.35 to 2.73) | 0.956 | 12,593 (18) | 0 (0%) |
10. Complete data concerning cardiovascular risk factors | Process | 53.5% (909/1698) | 48.6% (3123/6420) | 1.13 (0.76 to 1.70) | 54.8% (347/633) | 62.9% (2415/3842) | 0.86 (0.45 to 1.65) | 0.657 | 12,593 (18) | 0 (0%) |
11. Exercise training completeda | Process | 55.0% (364/662) | 50.2% (1124/2239) | 1.17 (0.49 to 2.77) | 75.0% (3/4) | NA (0/0) | 0 (0 to Inf) | 1 | 2905 (9) | 2929 (50.2%) |
12. Relaxation and stress management training completeda | Process | 35.0% (143/409) | 51.4% (721/1404) | 0.40 (0.09 to 1.72) | 40.0% (6/15) | 32.7% (145/443) | 3.56 (0.16 to 79.38) | 0.418 | 2271 (11) | 518 (18.6%) |
13. Cardiovascular risk factors evaluated at discharge | Process | 12.1% (156/1286) | 8.8% (360/4085) | 0.51 (0.10 to 2.66) | 48.7% (218/448) | 41.1% (970/2359) | 0.49 (0.04 to 5.46) | 0.567 | 8178 (18) | 4415 (35.1%) |
14. Improvement in exercise capacity | Outcome | 50.8% (199/392) | 59.5% (966/1624) | 1.14 (0.95 to 1.36) | 57.1% (96/168) | 51.0% (490/960) | 1.22 (0.89 to 1.68) | 0.224 | 3144 (12) | 9449 (75.0%) |
15. Successful work resumption | Outcome | 65.2% (204/313) | 59.8% (539/901) | 1.07 (0.80 to 1.44) | 80.4% (86/107) | 81.1% (456/562) | 0.86 (0.51 to 1.46) | 0.577 | 1883 (17) | 10,710 (85.1%) |
16. Moderately active lifestyle norm met at discharge | Outcome | 27.3% (229/839) | 32.0% (781/2439) | 1.45 (0.98 to 2.13) | 75.9% (271/357) | 75.7% (1249/1650) | 1.26 (0.69 to 2.33) | 0.457 | 5285 (17) | 7308 (58.0%) |
17. Vigorously active lifestyle norm met at discharge | Outcome | 9.2% (77/834) | 19.2% (467/2438) | 1.36 (1.04 to 1.79) | 21.7% (74/341) | 21.8% (354/1623) | 1.32 (0.92 to 1.90) | 0.129 | 5236 (17) | 7357 (58.4%) |