Indian Journal of Physical Medicine & Rehabilitation (Oct 2007)

A Comparative Study on the Effects of Comprehensive Rehabilitation in Uncomplicated Coronary Artery Bypass Grafting Patients from Rural and Urban India

  • Chakraborty K,
  • Das KM,
  • Iswarari S,
  • Mandal PK,
  • Sarkar UN,
  • Ballav A,
  • Barman A,
  • Middya AK,
  • Pandey SK,
  • Chatterjee A

Journal volume & issue
Vol. 18, no. 2
pp. 34 – 40

Abstract

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Objectives: This study intended to compare the effect of comprehensive rehabilitation in uncomplicatedcoronary artery bypass grafting (CABG) patients from rural and urban India using a low-cost, home-basedrehabilitation programme. The outcome measures were MET Scores measured by Treadmill Test, 6-MinuteWalking Distances (6-MWD) and Quality of Life Indices measured by the WHOQoL-BREF Questionnaire.Methods : Patients fulfilling the inclusion and exclusion criteria were enrolled from amongst those scheduledto undergo CABG. A baseline evaluation, laboratory examination and pre-operative counselling were done.Following CABG, a graded rehabilitation programme consisting of drugs, prescribed exercise, diet,therapeutic lifestyle changes, and sexual rehabilitation was implemented and continued for 4 months afterdischarge, with periodic monitoring and follow-up.Results : 52 patients participated in the study, 43 of whom went on to complete it. There were significantimprovements in the MET Scores, 6-MWDs and all domains of quality of life in both the groups (p < 0.001),compared to baseline values, but no statistical difference between the groups.Conclusion: This study demonstrated that comprehensive rehabilitation following CABG using even a lowcost,home-based programme caused significant improvement in the work capacity and quality of life ofboth rural and urban Indian population.

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