@article{ReibisSalzwedelFalketal.2017,
  author    = {Reibis, Rona Katharina and Salzwedel, Annett and Falk, Johannes and V{\"o}ller, Heinz},
  title     = {Berufliche Wiedereingliederung nach akutem Herzinfarkt},
  series = {Deutsche medizinische Wochenschrift : DMW ; Organ der Deutschen Gesellschaft f{\"u}r Innere Medizin (DGIM) ; Organ der Gesellschaft Deutscher Naturforscher und {\"A}rzte (GDN{\"A})},
  volume    = {142},
  journal   = {Deutsche medizinische Wochenschrift : DMW ; Organ der Deutschen Gesellschaft f{\"u}r Innere Medizin (DGIM) ; Organ der Gesellschaft Deutscher Naturforscher und {\"A}rzte (GDN{\"A})},
  publisher = {Thieme},
  address   = {Stuttgart},
  issn      = {0012-0472},
  doi       = {10.1055/s-0042-124425},
  pages     = {617 -- 624},
  year      = {2017},
  abstract  = {Die berufliche Wiedereingliederung von Patienten nach akutem Herzinfarkt stellt sowohl aus gesellschaftlicher wie auch aus individueller Sicht einen entscheidenden Schritt zur vollst{\"a}ndigen Rekonvaleszenz dar. Lediglich 10\% der Patienten werden durch kardiale Probleme an der Reintegration behindert. Neben medizinischen und berufsbezogenen Faktoren determinieren insbesondere psychosoziale Parameter eine erfolgreiche Wiederaufnahme der T{\"a}tigkeit. Verschiedene Programme der Rentenversicherungstr{\"a}ger werden dabei unterst{\"u}tzend angeboten.},
  language  = {de}
}
@article{EichlerSalzwedelHarnathetal.2018,
  author    = {Eichler, Sarah and Salzwedel, Annett and Harnath, Axel and Butter, Christian and Wegscheider, Karl and Chiorean, Mihai and V{\"o}ller, Heinz and Reibis, Rona Katharina},
  title     = {Nutrition and mobility predict all-cause mortality in patients 12 months after transcatheter aortic valve implantation},
  series = {Clinical research in cardiology : official journal of the German Cardiac Society.},
  volume    = {107},
  journal   = {Clinical research in cardiology : official journal of the German Cardiac Society.},
  number    = {4},
  publisher = {Springer},
  address   = {Heidelberg},
  issn      = {1861-0684},
  doi       = {10.1007/s00392-017-1183-1},
  pages     = {304 -- 311},
  year      = {2018},
  abstract  = {The aim of the study was to determine pre-interventional predictors for all-cause mortality in patients after transcatheter aortic valve implantation (TAVI) with a 12-month follow-up. From 10/2013 to 07/2015, 344 patients (80.9 +/- 5.0 years, 44.5\% male) with an elective TAVI were consecutively enrolled prospectively in a multicentre cohort study. Prior to the intervention, sociodemographic parameters, echocardiographic data and comorbidities were documented. All patients performed a 6-min walk test, Short Form 12 and a Frailty Index (score consisting of activities of daily living, cognition, nutrition and mobility). Peri-interventional complications were documented. Vital status was assessed over telephone 12 months after TAVI. Predictors for all-cause mortality were identified using a multivariate regression model. At discharge, 333 patients were alive (in-hospital mortality 3.2\%; n = 11). During a follow-up of 381.0 +/- 41.9 days, 46 patients (13.8\%) died. The non-survivors were older (82.3 +/- 5.0 vs. 80.6 +/- 5.1 years; p = 0.035), had a higher number of comorbidities (2.6 +/- 1.3 vs. 2.1 +/- 1.3; p = 0.026) and a lower left ventricular ejection fraction (51.0 +/- 13.6 vs. 54.6 +/- 10.6\%; p = 0.048). Additionally, more suffered from diabetes mellitus (60.9 vs. 44.6\%; p = 0.040). While the global Frailty Index had no predictive power, its individual components, particularly nutrition (OR 0.83 per 1 pt., CI 0.72-0.95; p = 0.006) and mobility (OR 5.12, CI 1.64-16.01; p = 0.005) had a prognostic impact. Likewise, diabetes mellitus (OR 2.18, CI 1.10-4.32; p = 0.026) and EuroSCORE (OR 1.21 per 5\%, CI 1.07-1.36; p = 0.002) were associated with a higher risk of all-cause mortality. Besides EuroSCORE and diabetes mellitus, nutrition status and mobility of patients scheduled for TAVI offer prognostic information for 1-year all-cause mortality and should be advocated in the creation of contemporary TAVI risk scores.},
  language  = {en}
}
@article{SalzwedelVoellerReibisetal.2018,
  author    = {Salzwedel, Annett and Voeller, Heinz and Reibis, Robert and Bonaventura, Klaus and Behrens, Steffen and Reibis, Rona Katharina},
  title     = {Regionale Versorgungsaspekte des akuten Myokardinfarktes im Nordosten Deutschlands},
  series = {Deutsche medizinische Wochenschrift : DMW ; Organ der Deutschen Gesellschaft f{\"u}r Innere Medizin (DGIM) ; Organ der Gesellschaft Deutscher Naturforscher und {\"A}rzte (GDN{\"A})},
  volume    = {143},
  journal   = {Deutsche medizinische Wochenschrift : DMW ; Organ der Deutschen Gesellschaft f{\"u}r Innere Medizin (DGIM) ; Organ der Gesellschaft Deutscher Naturforscher und {\"A}rzte (GDN{\"A})},
  number    = {8},
  publisher = {Thieme},
  address   = {Stuttgart},
  issn      = {0012-0472},
  doi       = {10.1055/s-0043-123907},
  pages     = {E51 -- E58},
  year      = {2018},
  abstract  = {Background In recent decades, guideline-based therapy of myocardial infarction has led to a considerable reduction in myocardial infarction mortality. However, there are relevant differences in acute care and the extent of infarction mortality. The objective of this survey was to analyze the current care situation of patients with acute myocardial infarction in the region of northeast Germany (Berlin, Brandenburg and Mecklenburg-Vorpommern). Methods Based on pseudonymized data from a statutory health insurance of 1 387 084 persons, a total of 6733 patients with inpatient admission at MI were filtered using the ICD10 code I21 and I22 for 2012. Total inhospital mortality and 1-year mortality and prognostic parameters were evaluated and analyzed in country comparisons. Results Both the hospital mortality rate and the 1-year mortality rate of the individual countries (Berlin 13.6 resp. 27.5 \%, respectively, BRB 13.9 and 27.9 \%, MV 14.4 and 29.0 \%, respectively) were comparable to the overall rate (13.9 \% or 28.0 \%) and in the country comparison. In the multiple analysis, the 1-year mortality was determined by the invasive strategy (OR 0.42, 95 \% CI 0.35 -0.51, p < 0.001) as well as by the implementation of the guidelines-based secondary prevention (OR 0.14, 95 \% CI 0.12 - 0.17, p < 0.001). There were no statistical differences between the three federal states. Conclusion The investigated population of patients with acute MI in Berlin, Brandenburg and Mecklenburg-Vorpommern demonstrated a comparable inpatient and post-hospital care and 1-year prognosis regardless of the federal state assignment. Referral to coronary angiography and adequate implementation of evidence-based medication demonstrated a significant prognostic impact.},
  language  = {de}
}
@misc{HansenNiebauerCornelissenetal.2018,
  author    = {Hansen, Dominique and Niebauer, Josef and Cornelissen, Veronique and Barna, Olga and Neunhaeuserer, Daniel and Stettler, Christoph and Tonoli, Cajsa and Greco, Eugenio and Fagard, Robert and Coninx, Karin and Vanhees, Luc and Piepoli, Massimo F. and Pedretti, Roberto and Ruiz, Gustavo Rovelo and Corra, Ugo and Schmid, Jean-Paul and Davos, Constantinos H. and Edelmann, Frank and Abreu, Ana and Rauch, Bernhard and Ambrosetti, Marco and Braga, Simona Sarzi and Beckers, Paul and Bussotti, Maurizio and Faggiano, Pompilio and Garcia-Porrero, Esteban and Kouidi, Evangelia and Lamotte, Michel and Reibis, Rona Katharina and Spruit, Martijn A. and Takken, Tim and Vigorito, Carlo and V{\"o}ller, Heinz and Doherty, Patrick and Dendale, Paul},
  title     = {Exercise prescription in patients with different combinations of cardiovascular disease risk factors},
  series = {Sports medicine},
  volume    = {48},
  journal   = {Sports medicine},
  number    = {8},
  publisher = {Springer},
  address   = {Northcote},
  issn      = {0112-1642},
  doi       = {10.1007/s40279-018-0930-4},
  pages     = {1781 -- 1797},
  year      = {2018},
  abstract  = {Whereas exercise training is key in the management of patients with cardiovascular disease (CVD) risk (obesity, diabetes, dyslipidaemia, hypertension), clinicians experience difficulties in how to optimally prescribe exercise in patients with different CVD risk factors. Therefore, a consensus statement for state-of-the-art exercise prescription in patients with combinations of CVD risk factors as integrated into a digital training and decision support system (the EXercise Prescription in Everyday practice \& Rehabilitative Training (EXPERT) tool) needed to be established. EXPERT working group members systematically reviewed the literature for meta-analyses, systematic reviews and/or clinical studies addressing exercise prescriptions in specific CVD risk factors and formulated exercise recommendations (exercise training intensity, frequency, volume and type, session and programme duration) and exercise safety precautions, for obesity, arterial hypertension, type 1 and 2 diabetes, and dyslipidaemia. The impact of physical fitness, CVD risk altering medications and adverse events during exercise testing was further taken into account to fine-tune this exercise prescription. An algorithm, supported by the interactive EXPERT tool, was developed by Hasselt University based on these data. Specific exercise recommendations were formulated with the aim to decrease adipose tissue mass, improve glycaemic control and blood lipid profile, and lower blood pressure. The impact of medications to improve CVD risk, adverse events during exercise testing and physical fitness was also taken into account. Simulations were made of how the EXPERT tool provides exercise prescriptions according to the variables provided. In this paper, state-of-the-art exercise prescription to patients with combinations of CVD risk factors is formulated, and it is shown how the EXPERT tool may assist clinicians. This contributes to an appropriately tailored exercise regimen for every CVD risk patient.},
  language  = {en}
}
@article{SalzwedelRabeZahnetal.2018,
  author    = {Salzwedel, Annett and Rabe, Sophie and Zahn, Thomas and Neuwirth, Julia and Eichler, Sarah and Haubold, Kathrin and Wachholz, Anne and Reibis, Rona Katharina and V{\"o}ller, Heinz},
  title     = {Nutzerinteresse an mobilen digitalen Assistenzsystemen zur F{\"o}rderung k{\"o}rperlicher Aktivit{\"a}t bei Studierenden und Mitarbeitern einer Universit{\"a}t},
  series = {Gesundheitswesen},
  volume    = {80},
  journal   = {Gesundheitswesen},
  number    = {11},
  publisher = {Thieme},
  address   = {Stuttgart},
  issn      = {0941-3790},
  doi       = {10.1055/s-0043-103951},
  pages     = {1023 -- 1025},
  year      = {2018},
  abstract  = {Hintergrund Einem Großteil der Bev{\"o}lkerung gelingt es trotz ausreichenden Wissens um die protektiven Effekte nicht, ausreichende k{\"o}rperliche Aktivit{\"a}t in den Alltag zu integrieren. Digitale Assistenzsysteme k{\"o}nnten hierbei unterst{\"u}tzend eingesetzt werden. Dies setzt jedoch das Interesse potentieller Nutzer voraus. Methode In einer Online-Befragung wurden im Juni/Juli 2015 Mitarbeiter und Studierende der Universit{\"a}t Potsdam zum individuellen Ausmaß der sportlichen Aktivit{\"a}t, dem Interesse an elektronischer Trainingsunterst{\"u}tzung und weiteren Parametern befragt. Ergebnis 1217 Studierende und 485 Mitarbeiter (67,3 bzw. 67,5\% Frauen, 26±4,9 bzw. 42,7±11,7 Jahre) nahmen an der Studie teil. Die empfohlene sportliche Aktivit{\"a}t (≥3 Tage bzw. 150 min/Woche) wurde von 70,1\% der Mitarbeiter und 52,7\% der Studierenden nicht erreicht. Innerhalb dieser Gruppen zeigten 53,2\% (Studierende) bzw. 44,2\% (Mitarbeiter), unabh{\"a}ngig von Alter, Geschlecht, BMI bzw. Bildungsniveau, Interesse an einer elektronischen Trainingsunterst{\"u}tzung. Schlussfolgerung Auch in j{\"u}ngeren Bev{\"o}lkerungsgruppen mit hohem Bildungsniveau ist die Mehrzahl der Personen unzureichend k{\"o}rperlich aktiv. Ein Interesse an Trainingsunterst{\"u}tzung besteht in etwa der H{\"a}lfte dieser sportlich inaktiven Gruppe. Dies legt den Schluss nahe, dass der personalisierte Einsatz mobiler Assistenzsysteme f{\"u}r die positive Beeinflussung des Lebensstils zunehmend an Bedeutung gewinnen k{\"o}nnte.},
  language  = {de}
}
@article{SalzwedelHeidlerMengetal.2020,
  author    = {Salzwedel, Annett and Heidler, Maria-Dorothea and Meng, Karin and Schikora, Martin and Wegscheider, Karl and Reibis, Rona Katharina and V{\"o}ller, Heinz},
  title     = {Impact of cognitive performance on disease-related knowledge six months after multi-component rehabilitation in patients after an acute cardiac event},
  series = {European journal of preventive cardiology : the official ESC journal for primary \& secondary cardiovascular prevention, rehabilitation and sports cardiology},
  volume    = {26},
  journal   = {European journal of preventive cardiology : the official ESC journal for primary \& secondary cardiovascular prevention, rehabilitation and sports cardiology},
  number    = {1},
  publisher = {Sage Publ.},
  address   = {London},
  issn      = {2047-4873},
  doi       = {10.1177/2047487318791609},
  pages     = {46 -- 55},
  year      = {2020},
  abstract  = {Background Although associations between cardiovascular diseases and cognitive impairment are well known, the impact of cognitive performance on the success of patient education as a core component of cardiac rehabilitation remains insufficiently investigated so far. Design Prospective observational study in two inpatient cardiac rehabilitation centres between September 2014 and August 2015 with a follow-up six months after cardiac rehabilitation. Method At admission to and discharge from cardiac rehabilitation, the cognitive performance of 401 patients (54.5 ± 6.3 years, 80\% men) following an acute coronary syndrome and/or coronary artery bypass graft was tested using the Montreal Cognitive Assessment. Patients' disease-related knowledge was determined using a quiz (22 items for medical knowledge and 12 items for healthy lifestyle and behaviour) at both times and at follow-up. The change in knowledge after cardiac rehabilitation was analysed in multivariable regression models. Potentially influencing parameters (e.g. level of education, medication, cardiovascular risk factors, coronary artery bypass graft, comorbidities, exercise capacity) were considered. Results During cardiac rehabilitation, disease-related knowledge was significantly enhanced in both scales. At follow-up, the average level of medical knowledge was significantly reduced, while lifestyle knowledge remained at a stable level. The maintenance of knowledge after cardiac rehabilitation was predominantly predicted by prior knowledge, cognitive performance at discharge from cardiac rehabilitation and, in the case of medical knowledge, by coronary artery bypass graft. Conclusion Patient education in cardiac rehabilitation led to enhanced disease-related knowledge, but the maintenance of this essentially depended on patients' cognitive performance, especially after coronary artery bypass graft. Therefore, patient education concepts in cardiac rehabilitation should be reconsidered and adjusted as needed.},
  language  = {en}
}
@article{SalzwedelHauboldBarnacketal.2018,
  author    = {Salzwedel, Annett and Haubold, Kathrin and Barnack, Beate and Reibis, Rona Katharina and V{\"o}ller, Heinz},
  title     = {Indikatoren der Ergebnisqualit{\"a}t kardiologischer Rehabilitation Ergebnisse einer Delphi-Befragung von Mitgliedern der Deutschen Gesellschaft f{\"u}r Pr{\"a}vention und Rehabilitation von Herz- und Kreislauferkrankungen e. V. (DGPR)},
  series = {Die Rehabilitation : Zeitschrift f{\"u}r Praxis und Forschung in der Rehabilitation},
  volume    = {58},
  journal   = {Die Rehabilitation : Zeitschrift f{\"u}r Praxis und Forschung in der Rehabilitation},
  number    = {1},
  publisher = {Thieme},
  address   = {Stuttgart},
  issn      = {0034-3536},
  doi       = {10.1055/s-0044-101048},
  pages     = {31 -- 38},
  year      = {2018},
  abstract  = {Ziel der Studie Die vorliegende Untersuchung beinhaltete die explorative Erfassung potenzieller Indikatoren der Ergebnisqualit{\"a}t der kardiologischen Rehabilitation (CR) f{\"u}r Patienten unter 65 Jahren. Methoden In einer 4-stufigen webbasierten Delphi-Befragung (04-07/2016) von in der CR t{\"a}tigen {\"A}rzten[2] , Psychologen und Sport-/Physiotherapeuten wurden Parameter der k{\"o}rperlichen Leistungsf{\"a}higkeit, der Sozialmedizin, der subjektiven Gesundheit und kardiovaskul{\"a}re Risikofaktoren hinsichtlich ihrer Eignung als Qualit{\"a}tsindikator bewertet. Ergebnisse Von 44 vorgegebenen wie auch von den Teilnehmern vorgeschlagenen Parametern wurden 21 Parameter (48\%), die H{\"a}lfte davon psychosoziale Faktoren, als potenzielle Qualit{\"a}tsindikatoren ausgew{\"a}hlt, wobei lediglich f{\"u}r das Rauchverhalten, den Blutdruck, das LDL-Cholesterin und die max. Belastbarkeit im Belastungs-EKG ein Konsens (Zustimmung>75\% der Befragten) erzielt wurde. Schlussfolgerung Die Wahl der Qualit{\"a}tsindikatoren durch die Experten erfolgte mehrheitlich mit nur geringer Einigkeit. Eine klinische und wissenschaftliche Evaluierung der gew{\"a}hlten Parameter ist daher zwingend erforderlich.},
  language  = {de}
}
@article{ReibisSalzwedelAbreuetal.2019,
  author    = {Reibis, Rona Katharina and Salzwedel, Annett and Abreu, Ana and Corra, Ugo and Davos, Constantinos and D{\"o}hner, Wolfram and Doherty, Patrick and Frederix, Ines and Hansen, Dominique and Iliou, Marie Christine and Vigorito, Carlo and V{\"o}ller, Heinz},
  title     = {The importance of return to work},
  series = {European journal of preventive cardiology : the official ESC journal for primary \& secondary cardiovascular prevention, rehabilitation and sports cardiology},
  volume    = {26},
  journal   = {European journal of preventive cardiology : the official ESC journal for primary \& secondary cardiovascular prevention, rehabilitation and sports cardiology},
  number    = {13},
  publisher = {Sage Publ.},
  address   = {London},
  organization    = {EAPC},
  issn      = {2047-4873},
  doi       = {10.1177/2047487319839263},
  pages     = {1358 -- 1369},
  year      = {2019},
  abstract  = {The vocational reintegration of patients after an acute coronary syndrome is a crucial step towards complete convalescence from the social as well as the individual point of view. Return to work rates are determined by medical parameters such as left ventricular function, residual ischaemia and heart rhythm stability, as well as by occupational requirement profile such as blue or white collar work, night shifts and the ability to commute (which is, in part, determined by physical fitness). Psychosocial factors including depression, self-perceived health situation and pre-existing cognitive impairment determine the reintegration rate to a significant extent. Patients at risk of poor vocational outcomes should be identified in the early period of rehabilitation to avoid a reintegration failure and to prevent socio-professional exclusion with adverse psychological and financial consequences. A comprehensive healthcare pathway of acute coronary syndrome patients is initiated by cardiac rehabilitation, which includes specific algorithms and assessment tools for risk stratification and occupational restitution. As the first in its kind, this review addresses determinants and legal aspects of reintegration of patients experiencing an acute coronary syndrome, and offers practical advice on reintegration strategies particularly for vulnerable patients. It presents different approaches and scientific findings in the European countries and serves as a recommendation for action.},
  language  = {en}
}
@misc{SalzwedelVoellerReibis2019,
  author    = {Salzwedel, Annett and V{\"o}ller, Heinz and Reibis, Rona Katharina},
  title     = {Vocational reintegration in coronary heart disease patients - the holistic approach of the WHO biopsychosocial concept},
  series = {European journal of preventive cardiology : the official ESC journal for primary \& secondary cardiovascular prevention, rehabilitation and sports cardiology},
  volume    = {26},
  journal   = {European journal of preventive cardiology : the official ESC journal for primary \& secondary cardiovascular prevention, rehabilitation and sports cardiology},
  number    = {13},
  publisher = {Sage Publ.},
  address   = {London},
  issn      = {2047-4873},
  doi       = {10.1177/2047487319850699},
  pages     = {1383 -- 1385},
  year      = {2019},
  language  = {en}
}
@article{SalzwedelWegscheiderSchulzBehrendtetal.2019,
  author    = {Salzwedel, Annett and Wegscheider, Karl and Schulz-Behrendt, Claudia and D{\"o}rr, Gesine and Reibis, Rona Katharina and V{\"o}ller, Heinz},
  title     = {No impact of an extensive social intervention program on return to work and quality of life after acute cardiac event: a cluster-randomized trial in patients with negative occupational prognosis},
  series = {International archives of occupational and environmental health},
  volume    = {92},
  journal   = {International archives of occupational and environmental health},
  number    = {8},
  publisher = {Springer},
  address   = {New York},
  issn      = {0340-0131},
  doi       = {10.1007/s00420-019-01450-3},
  pages     = {1109 -- 1120},
  year      = {2019},
  abstract  = {Objectives To examine the effectiveness of extensive social therapy intervention during inpatient multi-component cardiac rehabilitation (CR) on return to work and quality of life in patients with low probability of work resumption after an acute cardiac event. Methods Patients after acute cardiac event with negative subjective expectations about return to work or unemployment (n = 354) were included and randomized in clusters of 3-6 study participants. Clusters were randomized for social counseling and therapy led by a social worker, six sessions of 60 min each in 3 weeks, or control group (usual care: individual counseling meeting by request). The return to work (RTW) status and change in quality of life (QoL, short form 12: Physical and Mental Component Summary PCS and MCS) 12 months after discharge from inpatient CR were outcome measures. Results The regression model for RTW showed no impact of the intervention (OR 1.1, 95\% CI 0.6-2.1, P = 0.79; n = 263). Predictors were unemployment prior to CR as well as higher anxiety values at discharge from CR. Likewise, QoL was not improved by social therapy (linear mixed model: Delta PCS 0.3, 95\% CI - 1.9 to 2.5; P = 0.77; n = 177; Delta MCS 0.7, 95\% CI - 1.9 to 3.3; P = 0.58; n = 215). Conclusions In comparison to usual care, an intensive program of social support for patients during inpatient cardiac rehabilitation after an acute cardiac event had no additional impact on either the rate of resuming work or quality of life.},
  language  = {en}
}