Study to Evaluate the Effectiveness of Cardiac Rehabilitation (Rehab) for Acute Decompensated Heart Failure Patients on 6 Minute Walk Test and Quality of Life

Study to Evaluate the Effectiveness of Cardiac Rehabilitation (Rehab) for Acute Decompensated Heart Failure Patients on 6 Minute Walk Test and Quality of Life

Randomized, Single Center Study to Determine if a Cardiac Rehabilitation Program Immediately Following Hospitalization Reduces Hospital Readmissions and Improves Quality of Life Outcomes in Heart Failure Patients.

The aim of the investigators' project is to determine if patients admitted with a primary diagnosis of heart failure to Sanford Health facilities in regional southeastern South Dakota demonstrate benefits in improvement in functional capacity, quality of life, and a reduction in hospital readmission rates from a cardiac rehab program immediately following a discharge for an acute decompensated heart failure diagnosis related inpatient hospitalization encounter. The investigators hypothesize that those that receive cardiac rehab will have improved quality of life and reduced readmission rates at 30 and 90 days.

This arm will receive routine care following their heart failure which includes no cardiac rehab intervention.

Assess increased functional capacity, determined by the 6 minute walk test in the cardiac rehabilitation group compared to the routine care group at 4 weeks following hospital discharge

Determine if 30-day readmission rates are lower with those receiving cardiac rehabilitation compared to those receiving routine care

Determine if 90-day readmission rates are lower with those receiving cardiac rehabilitation compared to those receiving routine care

Assess if those receiving cardiac rehabilitation have improved quality of life using the Kansas City Cardiomyopathy Questionnaire (KCCQ) classifications at 30 days

Inclusion Criteria: Age 18 years or older Admitted with acute, decompensated heart failure Signed informed consent Exclusion Criteria: Approved by Center for Medicare and Medicaid Services (CMS) to enroll in cardiac rehab Have an elective procedure that would interrupt their exercise program Unable to partake in an exercise program due to physical incapacities Pregnancy Unable to read and understand the consent form

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