{"id":737,"date":"2023-07-21T16:42:00","date_gmt":"2023-07-21T16:42:00","guid":{"rendered":"https:\/\/michigancr.org\/?p=737"},"modified":"2024-01-26T16:44:16","modified_gmt":"2024-01-26T16:44:16","slug":"in-the-news-cardiac-rehab-after-cabg-tied-to-reduced-risk-for-mortality-at-2-years","status":"publish","type":"post","link":"https:\/\/michigancr.org\/es\/in-the-news-cardiac-rehab-after-cabg-tied-to-reduced-risk-for-mortality-at-2-years\/","title":{"rendered":"En las noticias: La rehabilitaci\u00f3n cardiaca tras un CABG reduce el riesgo de mortalidad a los 2 a\u00f1os"},"content":{"rendered":"<p><a href=\"https:\/\/www.healio.com\/news\/cardiology\/20230721\/cardiac-rehab-after-cabg-tied-to-reduced-risk-for-mortality-at-2-years\"><em><strong>Lea el art\u00edculo original en Healio<\/strong><\/em><\/a><\/p>\n<h4>Principales conclusiones:<\/h4>\n<ul>\n<li>En los pacientes que se sometieron a un injerto de derivaci\u00f3n aortocoronaria, los que asistieron a rehabilitaci\u00f3n cardiaca ten\u00edan m\u00e1s probabilidades de sobrevivir a los 2 a\u00f1os que los que no lo hicieron.<\/li>\n<li>S\u00f3lo 60% de los pacientes asistieron a rehabilitaci\u00f3n cardiaca.<\/li>\n<\/ul>\n<p>Entre los pacientes sometidos a CABG, los que asistieron a rehabilitaci\u00f3n cardiaca ten\u00edan m\u00e1s probabilidades de sobrevivir a los 2 a\u00f1os en comparaci\u00f3n con los que no lo hicieron, informaron los investigadores.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-738\" src=\"https:\/\/michigancr.org\/wp-content\/uploads\/2024\/01\/healio-cr-thompson-quote-300x158.png\" alt=\"\u201cCardiac rehab improves outcomes through a number of pathways, such as improving cardiovascular function through exercise training, encouraging and reinforcing health behaviors, and providing emotional and social support, which all likely contribute to improved outcomes,\u201d Thompson told Healio. \u201cSome of the observed benefits, however, may be attributed to selection of healthier patients, although we sought to mitigate this issue in our study.\u201d\" width=\"300\" height=\"158\" srcset=\"https:\/\/michigancr.org\/wp-content\/uploads\/2024\/01\/healio-cr-thompson-quote-300x158.png 300w, https:\/\/michigancr.org\/wp-content\/uploads\/2024\/01\/healio-cr-thompson-quote.png 476w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>\"Datos que describen\u00a0<a id=\"rId9\" href=\"https:\/\/www.healio.com\/news\/cardiology\/20220819\/cardiac-rehab-score-predicts-event-risk-at-1-year\" target=\"_blank\" rel=\"noopener noreferrer\">los beneficios de la rehabilitaci\u00f3n cardiaca<\/a>\u00a0para\u00a0<a id=\"rId10\" href=\"https:\/\/www.healio.com\/news\/womens-health-ob-gyn\/20230301\/women-still-have-higher-risk-vs-men-for-adverse-outcomes-after-coronary-artery-grafting\" target=\"_blank\" rel=\"noopener noreferrer\">pacientes cardioquir\u00fargicos<\/a>\u00a0ha sido limitada y est\u00e1 desfasada, por lo que hemos intentado aportar pruebas m\u00e1s contempor\u00e1neas para esta poblaci\u00f3n con datos cl\u00ednicos m\u00e1s granulares\".\u00a0<strong>Michael P. Thompson, PhD,\u00a0<\/strong>profesor adjunto de cirug\u00eda cardiaca en la Facultad de Medicina de la Universidad de Michigan, declar\u00f3 a Healio.<\/p>\n<p>Thompson y sus colegas analizaron a 6412 beneficiarios de Medicare residentes en Michigan (edad media, 71 a\u00f1os; 29% mujeres; 91% blancos) que fueron dados de alta vivos despu\u00e9s de CABG desde enero de 2015 hasta septiembre de 2019. Evaluaron las reclamaciones de centros ambulatorios para determinar qu\u00e9 pacientes utilizaron rehabilitaci\u00f3n card\u00edaca en el plazo de 1 a\u00f1o tras el alta.<\/p>\n<p>El resultado primario fue la mortalidad a los 2 a\u00f1os, evaluada en un an\u00e1lisis no ajustado y mediante ponderaci\u00f3n del tratamiento de probabilidad inversa.<\/p>\n<h4>Menos de dos tercios en rehabilitaci\u00f3n cardiaca<\/h4>\n<p>De la cohorte, 60% se inscribieron en rehabilitaci\u00f3n cardiaca. Entre los inscritos, la duraci\u00f3n media fue de 12 sesiones, y 12% de los pacientes completaron las 36 sesiones recomendadas.<\/p>\n<p>Entre los predictores independientes del uso de rehabilitaci\u00f3n cardiaca se encontraban el aumento de la edad, el alta a domicilio en lugar de a un centro de cuidados prolongados y la menor duraci\u00f3n de la estancia hospitalaria (<em>P<\/em>\u00a0&lt; 0,05 para todos), seg\u00fan los investigadores.<\/p>\n<p>En el an\u00e1lisis no ajustado, la mortalidad a los 2 a\u00f1os fue menor en los que estaban inscritos en rehabilitaci\u00f3n cardiaca que en los que no lo estaban (3,7% frente a 13,1%; reducci\u00f3n, -9,4 puntos porcentuales; IC 95%, -10,8 a -7,9;\u00a0<em>P<\/em>\u00a0&lt; 0,001), seg\u00fan Thompson y sus colegas.<\/p>\n<p>Los que asistieron a las 36 sesiones tuvieron una tasa de mortalidad menor que los que asistieron de una a 11 sesiones (2,7% frente a 5,2%), escribieron los investigadores.<\/p>\n<p>En el an\u00e1lisis de ponderaci\u00f3n del tratamiento de probabilidad inversa, la reducci\u00f3n de la mortalidad fue de -4,8% (IC 95%, -6 a -3,5);\u00a0<em>P<\/em>\u00a0&lt; 0,001) a favor del grupo de rehabilitaci\u00f3n cardiaca, y un an\u00e1lisis multivariable produjo resultados similares (reducci\u00f3n, -5,5%; IC 95%, -6,9 a -4,2;\u00a0<em>P<\/em>\u00a0&lt; .001).<\/p>\n<p>\"La rehabilitaci\u00f3n cardiaca mejora los resultados a trav\u00e9s de varias v\u00edas, como la mejora de la funci\u00f3n cardiovascular mediante el entrenamiento con ejercicio, el fomento y refuerzo de conductas saludables y la prestaci\u00f3n de apoyo emocional y social, que probablemente contribuyan a mejorar los resultados\", dijo Thompson a Healio. \"Algunos de los beneficios observados, sin embargo, pueden atribuirse a la selecci\u00f3n de pacientes m\u00e1s sanos, aunque tratamos de mitigar esta cuesti\u00f3n en nuestro estudio\".<\/p>\n<h4>Obst\u00e1culos a la participaci\u00f3n<\/h4>\n<p>Hay barreras a la participaci\u00f3n en la rehabilitaci\u00f3n cardiaca que deben abordarse, dijo.<\/p>\n<p>\"Un obst\u00e1culo fundamental para la participaci\u00f3n en rehabilitaci\u00f3n cardiaca es la falta de comprensi\u00f3n de la funci\u00f3n y los beneficios de la rehabilitaci\u00f3n cardiaca por parte de pacientes y proveedores, que podr\u00eda abordarse mediante la educaci\u00f3n de pacientes y proveedores o la incorporaci\u00f3n de personal de apoyo formado\", explic\u00f3 Thompson a Healio. \"Se ha demostrado que los programas de enlace de rehabilitaci\u00f3n cardiaca mejoran la participaci\u00f3n a trav\u00e9s de una mayor educaci\u00f3n y concienciaci\u00f3n sobre la rehabilitaci\u00f3n cardiaca tanto por parte de los pacientes como de los proveedores. En Michigan, hemos desarrollado una red de partes interesadas para facilitar los esfuerzos de mejora de la calidad en torno a la participaci\u00f3n en rehabilitaci\u00f3n cardiaca, denominada Red de Rehabilitaci\u00f3n Cardiaca de Michigan. Esta red aplica el modelo colaborativo de mejora de la calidad, que ha tenido un gran \u00e9xito en Michigan, para abordar la infrautilizaci\u00f3n de la rehabilitaci\u00f3n cardiaca mediante la evaluaci\u00f3n comparativa de resultados, el aprendizaje entre iguales y los incentivos voluntarios de pago por resultados. Creemos que estos esfuerzos pueden tener \u00e9xito all\u00ed donde los esfuerzos anteriores por mejorar la participaci\u00f3n en rehabilitaci\u00f3n cardiaca se han quedado cortos.\"<\/p>\n<p><strong>Fuente:\u00a0<\/strong><\/p>\n<p class=\"citation\"><a id=\"rId8\" href=\"https:\/\/www.annalsthoracicsurgery.org\/article\/S0003-4975%2823%2900622-7\/pdf\" target=\"_blank\" rel=\"noopener\">Bauer TM, et al.\u00a0<i>Ann Thorac Surg<\/i>. 2023;doi:10.1016\/j.athoracsur.2023.05.044.<\/a><\/p>\n<figure class=\"figure article__og-image\"><picture><source srcset=\"\/~\/media\/slack-news\/cardiology\/misc\/infographics\/2023\/07_july\/ct0723bauer_ig2_web.webp?w=476\" media=\"(max-width: 768px)\" \/><source srcset=\"\/~\/media\/slack-news\/cardiology\/misc\/infographics\/2023\/07_july\/ct0723bauer_ig2_web.webp?w=800\" media=\"(max-width: 992px)\" \/><source srcset=\"\/~\/media\/slack-news\/cardiology\/misc\/infographics\/2023\/07_july\/ct0723bauer_ig2_web.webp?w=595\" media=\"(max-width: 1200px)\" \/><source srcset=\"\/~\/media\/slack-news\/cardiology\/misc\/infographics\/2023\/07_july\/ct0723bauer_ig2_web.webp?w=476\" media=\"(min-width: 1200px)\" \/><source srcset=\"\/~\/media\/slack-news\/cardiology\/misc\/infographics\/2023\/07_july\/ct0723bauer_ig2_web.webp?w=476\" \/><\/picture><\/figure>","protected":false},"excerpt":{"rendered":"<p>Read the original article on Healio Key takeaways: In patients who had coronary artery bypass grafting, those who attended cardiac rehabilitation were more likely to survive at 2 years than [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":738,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[43],"tags":[],"class_list":["post-737","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news-and-updates"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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