COPE-ICD: A Study on Rehabilitation for ICD Recipients
Author Information
Author(s): Berg Selina K, Svendsen Jesper H, Zwisler Ann-Dorthe, Pedersen Birthe D, Preisler Pernille, Siersbæk-Hansen Lone, Hansen Mette B, Nielsen Rune H, Pedersen Preben U
Primary Institution: Rigshospitalet, The Heart Center, University of Copenhagen, Copenhagen, Denmark
Hypothesis
The COPE-ICD programme will reduce avoidance behaviour, sexual dysfunction and increase quality of life, increase physical capability, reduce the number of treatment-demanding arrhythmias, reduce mortality and acute re-hospitalisation, reduce sickness leading to absence from work and be cost-effective.
Conclusion
The COPE-ICD trial aims to determine the effectiveness of a comprehensive rehabilitation programme for patients with ICDs.
Supporting Evidence
- Living with an ICD can lead to anxiety and avoidance of physical activity.
- Exercise training has been shown to improve cardiopulmonary fitness and reduce anxiety.
- Psychological interventions can enhance knowledge and reduce anxiety in patients.
Takeaway
This study is about helping people with heart devices feel better and live healthier by combining exercise and support.
Methodology
A mixed methods embedded experimental design was used, including a randomized clinical trial with both quantitative and qualitative measures.
Potential Biases
The control group might be contaminated by information given during project inclusion, leading to control patients seeking rehabilitation elsewhere.
Limitations
Selection bias may exist due to patients not being included if they were already part of a pharmaceutical trial, and there is an expected drop-out rate of 20%.
Participant Demographics
Most participants are men (79%) with a mean age of 58 (range 20-85).
Statistical Information
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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