+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Analysis of agreement between cardiac risk stratification protocols applied to participants of a center for cardiac rehabilitation

Analysis of agreement between cardiac risk stratification protocols applied to participants of a center for cardiac rehabilitation

Brazilian Journal of Physical Therapy (): -

NlmCategory="UNASSIGNED">Background Cardiac risk stratification is related to the risk of the occurrence of events induced by exercise. Despite the existence of several protocols to calculate risk stratification, studies indicating that there is similarity between these protocols are still unknown. Objective To evaluate the agreement between the existing protocols on cardiac risk rating in cardiac patients. Method The records of 50 patients from a cardiac rehabilitation program were analyzed, from which the following information was extracted: age, sex, weight, height, clinical diagnosis, medical history, risk factors, associated diseases, and the results from the most recent laboratory and complementary tests performed. This information was used for risk stratification of the patients in the protocols of the American College of Sports Medicine, the Brazilian Society of Cardiology, the American Heart Association, the protocol designed by Frederic J. Pashkow, the American Association of Cardiovascular and Pulmonary Rehabilitation, the Société Française de Cardiologie, and the Sociedad Española de Cardiología. Descriptive statistics were used to characterize the sample and the analysis of agreement between the protocols was calculated using the Kappa coefficient. Differences were considered with a significance level of 5%. Results Of the 21 analyses of agreement, 12 were considered significant between the protocols used for risk classification, with nine classified as moderate and three as low. No agreements were classified as excellent. Different proportions were observed in each risk category, with significant differences between the protocols for all risk categories. Conclusion The agreements between the protocols were considered low and moderate and the risk proportions differed between protocols.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 057190626

Download citation: RISBibTeXText

PMID: 27049503

DOI: 10.1590/bjpt-rbf.2014.0159

Related references

Analysis of agreement between cardiac risk stratification protocols applied to participants of a center for cardiac rehabilitation. Brazilian Journal of Physical Therapy 20(4): 298-305, 2017

Cardiac risk stratification in cardiac rehabilitation programs: a review of protocols. Revista Brasileira de Cirurgia Cardiovascular 29(2): 255-265, 2015

Risk stratification in cardiac rehabilitation. Circulation 104(17 Suppl.): II 799, 2001

Risk stratification for major adverse cardiac events and ventricular tachyarrhythmias by cardiac MRI in patients with cardiac sarcoidosis. Open Heart 3(2): E000437, 2016

Exercise or adenosine sestamibi combined perfusion-function protocols Prediction of cardiac death and risk stratification. Journal of Nuclear Medicine 38(5 Suppl. ): 40P, 1997

Health literacy predicts cardiac knowledge gains in cardiac rehabilitation participants. Health Education Journal 74(1): 96-102, 2015

The effect of home-based cardiac rehabilitation program on self efficacy of patients referred to cardiac rehabilitation center. Bmc Research Notes 6: 287, 2013

Preoperative cardiac assessment before non-cardiac surgery: cardiac risk stratification. Revue Medicale Suisse 6(251): 1110-4 1116, 2010

Optimizing risk stratification in cardiac rehabilitation with inclusion of a comorbidity index. Journal of Cardiopulmonary Rehabilitation 24(1): 8, 2004

New concepts in stratification of need for coronary risk intervention in outpatient cardiac rehabilitation program. Medicine & Science in Sports & Exercise 33(5 Suppl.): S175, 2001

The application of European system for cardiac operative risk evaluation II (EuroSCORE II) and Society of Thoracic Surgeons (STS) risk-score for risk stratification in Indian patients undergoing cardiac surgery. Annals of Cardiac Anaesthesia 16(3): 163-166, 2013

The Preoperative Evaluation of the Patient With Cardiac Risk Factors for Noncardiac Surgery: Which Patients Need Further Cardiac Risk Stratification Tests?. Seminars in Cardiothoracic and Vascular Anesthesia 5(2): 154-165, 2001

Risk stratification applied to CAST registry data: combining 9 predictors. Cardiac Arrhythmia Suppression Trial. Journal of Electrocardiology 35 Suppl: 117-122, 2002

Assessing the validity of cardiac surgery risk stratification systems for CABG patients in a single center. Medical Science Monitor 11(5): Cr215-Cr218, 2005

Risk stratification and outcome of cardiac surgery for patients with body weight <2 ,500g in an Asian center. Circulation Journal 78(2): 393-398, 2014