{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T22:48:56Z","timestamp":1785797336671,"version":"3.56.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,12,8]],"date-time":"2020-12-08T00:00:00Z","timestamp":1607385600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study evaluated the capacity of cardiac risk stratification protocols on simple complications that occur during activities of a cardiovascular rehabilitation program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Observational longitudinal cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Outpatient clinic of cardiovascular rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subject:<\/jats:title>\n                    <jats:p>Patients diagnosed with cardiovascular disease and\/or risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>Not applicable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures:<\/jats:title>\n                    <jats:p>The relationship between the cardiac risk classes of seven risk stratification protocols and the occurrence of simple complications (such angina, abnormal changes in blood pressure, arrhythmias, fatigue, muscle pain, pallor) was assessed using the chi-square test, and when statistical significance was observed, sensitivity, specificity and accuracy were determined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>About 76 patients were analyzed. The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) protocol showed a statistically significant relationship between simple complications and cardiac risk classes ( P-value\u2009=\u20090.046), however the results of sensitivity (0.53), specificity (0.52), and accuracy (0.53) were not significant. The other protocols analyzed were not significant: American College of Sports Medicine ( P-value\u2009=\u20090.801), Brazilian Society of Cardiology ( P-value\u2009=\u20090.734), American Heart Association ( P-value\u2009=\u20090.957), Pashkow ( P-value\u2009=\u20090.790), Society French Cardiology ( P-value\u2009=\u20090.314), and Spanish Society of Cardiology ( P-value\u2009=\u20090.078).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The AACVPR protocol showed a significant relationship between the risk classes and the occurrence of simple complications, however, the low values obtained for sensitivity, specificity and accuracy show that it is not useful for this purpose.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trials registration:<\/jats:title>\n                    <jats:p>NCT03446742.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215520978499","type":"journal-article","created":{"date-parts":[[2020,12,10]],"date-time":"2020-12-10T13:25:48Z","timestamp":1607606748000},"page":"775-784","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["An investigation into whether cardiac risk stratification protocols actually predict complications in cardiac rehabilitation programs?"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8734-4233","authenticated-orcid":false,"given":"Felipe","family":"Ribeiro","sequence":"first","affiliation":[{"name":"Physiotherapy Department, School of Sciences and Technologies, S\u00e3o Paulo State University \u2013 UNESP, Presidente Prudente, S\u00e3o Paulo, 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Lopez","family":"Laurino","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, School of Sciences and Technologies, S\u00e3o Paulo State University \u2013 UNESP, Presidente Prudente, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle Maina","family":"Lima","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, School of Sciences and Technologies, S\u00e3o Paulo State University \u2013 UNESP, Presidente Prudente, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vitor Eduardo dos Santos","family":"Silva","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, School of Sciences and Technologies, S\u00e3o Paulo State University \u2013 UNESP, Presidente Prudente, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o Pedro Lucas Neves","family":"Silva","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, School of Sciences and Technologies, S\u00e3o Paulo State University \u2013 UNESP, Presidente Prudente, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heloisa Balotari","family":"Valente","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, School of Sciences and Technologies, S\u00e3o Paulo State University \u2013 UNESP, Presidente Prudente, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne Kastelianne Fran\u00e7a","family":"da Silva","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, School of Sciences and Technologies, S\u00e3o Paulo State University \u2013 UNESP, Presidente Prudente, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego Giulliano Destro","family":"Christofaro","sequence":"additional","affiliation":[{"name":"Department of Physical Education, School of Sciences and Technologies, S\u00e3o Paulo State University \u2013 UNESP, Presidente Prudente, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Carlos Marques","family":"Vanderlei","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, School of Sciences and Technologies, S\u00e3o Paulo State University \u2013 UNESP, Presidente Prudente, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,12,8]]},"reference":[{"key":"bibr1-0269215520978499","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-007-0517-9"},{"key":"bibr2-0269215520978499","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.21.2329"},{"key":"bibr3-0269215520978499","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.123117"},{"key":"bibr4-0269215520978499","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.983536"},{"key":"bibr5-0269215520978499","doi-asserted-by":"publisher","DOI":"10.1016\/j.repc.2012.08.005"},{"issue":"2","key":"bibr6-0269215520978499","first-page":"69","volume":"13","author":"Vanderlei LCM","year":"2006","journal-title":"Arq Ci\u00eancias da Sa\u00fade"},{"key":"bibr7-0269215520978499","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1986.03380090100025"},{"key":"bibr8-0269215520978499","unstructured":"American Association of 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