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Record W4377988671 · doi:10.1093/eurjpc/zwad125.153

One year results on a Spanish cardiac rehabilitation center

2023· article· en· W4377988671 on OpenAlexaboutno aff
Ramón Giménez, Óscar M. Peiró, Anna Carrasquer, M. Camprubí, R Torla, R San Segundo, Alfredo Bardajı́

Bibliographic record

VenueEuropean Journal of Preventive Cardiology · 2023
Typearticle
Languageen
FieldMedicine
TopicCardiac Health and Mental Health
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineDyslipidemiaMyocardial infarctionObservational studyRehabilitationPhysical therapyAnginaCanadian Cardiovascular SocietyInternal medicineDepression (economics)AnxietyObesity

Abstract

fetched live from OpenAlex

Abstract Funding Acknowledgements Type of funding sources: None. Background Cardiac rehabilitation programs (CRP) after myocardial infarction have an I-A recommendation level, according to European clinical guidelines, but in real life their implementation is very low. To improve secondary prevention, post-infarction CRP needs to be implemented and made it accessible to the public Spanish Health-care services. Purpose The aim of this study is to analyze the results after one year of CPR program in a tertiary Spanish hospital. Methods An observational study was performed on cardiac rehabilitation patients from October 2021 to November 2022. Patients were included in an individualized exercise program consisting in 3-days-supervised workout, self-home workout, life-style and nutrition lessons and medical treatment optimization. Demographics and analytic data were collected on the first visit and the last visit before discharge. Results One hundred patients were included (73.7% male, median age 60.9 years (SD 8.69)). Principal cardiovascular risk factors were arterial hypertension (55.5%), diabetes (29.3%), dyslipidemia (62.9%) and smoking (37.4%). ST-elevation myocardial infarction was the main prior diagnosis (47.5%) followed by non-ST myocardial infarction (39.4) and unstable angina (10.1%). Patients improved weight control - 1.67 kg (SD 2.89), abdominal circumference -2.7 cm (SD 2.6), exercise capacity 1.84 METS (SD 2.3), diet (PREDIMET scale) 1.6 points (SD 2.3) and anxiety and depression scale -1.05 points (SD 2.07). 85,7% of patient give up smoking. LDL-cholesterol reduction was -60.3 mg/dl (SD 38.58), reaching the LDL-cholesterol target by 66.3% (levels<55mg/dl) and on diabetic patients, glycated hemoglobin (HbA1c) achieves an 11.5% mean reduction from basal levels, reaching target levels (Hb A1c < 7%) on 68.2%. Conclusion CRP programs are an essential in secondary prevention and their implementation should be extensive to the majority of hospitals and primary care centers to promote life-style hacks and control cardiovascular risk factors.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.004
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.744
Threshold uncertainty score0.698

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0040.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.030
GPT teacher head0.324
Teacher spread0.294 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2023
Admission routes1
Has abstractyes

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