{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:24:03Z","timestamp":1791890643122,"version":"4.3.4"},"reference-count":24,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T00:00:00Z","timestamp":1745280000000},"content-version":"unspecified","delay-in-days":111,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Open Heart"],"accepted":{"date-parts":[[2025,4,9]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>The Austrian model of outpatient cardiac rehabilitation (CR) begins right after discharge from the acute care hospital. During phase II (OUT-II), it provides a facility-based, professionally supervised, multidisciplinary programme of 6 weeks. The subsequent, supervised phase III (OUT-III) lasts 6 months. In 2017, a 3\u20136 months lasting unsupervised home-based training has been added, which is followed by a 4-week facility-based evaluation and training period, called \u2018refresher\u2019. We aimed to assess the effectiveness of this programme using a nationwide registry.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Anthropometric data, resting blood pressure, lipid profile, maximum exercise capacity (P<jats:sub>max<\/jats:sub>), anxiety (HADS-A) and depression (HADS-D) of all patients (n=1458) who participated in OUT-III between 1 January 2018 and 30 August 2022 were analysed. Data were assessed at the beginning of OUT-III (OUT-III<jats:sub>start<\/jats:sub>), end of the supervised period (OUT-III<jats:sub>end<\/jats:sub>) and during the refresher (OUT-III<jats:sub>refresher<\/jats:sub>).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>From OUT-III<jats:sub>start<\/jats:sub> to OUT-III<jats:sub>end<\/jats:sub>, P<jats:sub>max<\/jats:sub> (155\u00b11.4 W to 167\u00b11.6 W; p&lt;0.001) and high-density lipoprotein (HDL) increased (49\u00b10.4\u2009mg\/dL to 51\u00b10.4\u2009mg\/dL; p&lt;0.001), low-density lipoprotein (LDL) decreased (82\u00b11.0\u2009mg\/dL to 79\u00b11.1\u2009mg\/dL; p&lt;0.001), while total cholesterol (CHOL) remained statistically unchanged (150\u00b143.3\u2009mg\/dL to 149\u00b143\u2009mg\/dL; p&lt;0.999). From OUT-III<jats:sub>end<\/jats:sub> to OUT-III<jats:sub>refresher<\/jats:sub>, P<jats:sub>max<\/jats:sub> slightly decreased (164\u00b11.6 W; p&lt;0.001), HDL further increased (52\u00b10.5\u2009mg\/dL; p&lt;0.020), whereas LDL (79\u00b11.3\u2009mg\/dL; p&lt;0.999) and CHOL remained unchanged (149\u00b141\u2009mg\/dL; p<jats:italic>&lt;<\/jats:italic>0.999).<\/jats:p>\n                  <jats:p>Anxiety (4.8\u00b10.1 aU, 4.2\u00b10.1 aU; p&lt;0.001, 4.0\u00b10.1 aU; p&lt;0.001) and depression (3.7\u00b10.1 aU, 34\u00b10.1 aU; p&lt;.001, 3.1\u00b10.1 aU; p&lt;0.001) continuously decreased from OUT-III<jats:sub>start<\/jats:sub> to OUT-III<jats:sub>end<\/jats:sub> and the OUT-III<jats:sub>refresher<\/jats:sub>.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>OUT-III CR resulted in sustained improvement in P<jats:sub>max<\/jats:sub>, blood lipids, anxiety and depression.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/openhrt-2024-003139","type":"journal-article","created":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:52:37Z","timestamp":1745470357000},"page":"e003139","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Effectiveness of the innovative Austrian phase III cardiac rehabilitation model on cardiovascular risk factors: a nationwide registry"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9970-4379","authenticated-orcid":false,"given":"Bernhard","family":"Reich","sequence":"first","affiliation":[{"name":"Institute of Sports Medicine, Prevention and Rehabilitation and Research Institute of Molecular Sports Medicine and Rehabilitation, Paracelsus Medical University, Salzburg, Austria"},{"name":"REHA Zentrum Salzburg, Salzburg, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5388-4282","authenticated-orcid":false,"given":"Gunnar","family":"Treff","sequence":"additional","affiliation":[{"name":"Institute of Sports Medicine, Prevention and Rehabilitation, Paracelsus Medical University, Salzburg, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2894-1243","authenticated-orcid":false,"given":"Andrea","family":"Podolsky","sequence":"additional","affiliation":[{"name":"University Hospital Krems, Krems an der Donau, Austria"},{"name":"Karl Landsteiner Privatuniversitat fur Gesundheitswissenschaften GmbH, Krems an der Donau, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3067-0246","authenticated-orcid":false,"given":"Heimo","family":"Traninger","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr ambulante Rehabilitation Graz, Graz, 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