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AuthorTurk-Adawi, Karam
AuthorSupervia, Marta
AuthorPesah, Ella
AuthorLopez-Jimenez, Francisco
AuthorAfaneh, Jasser
AuthorEl-Heneidy, Asmaa
AuthorSadeghi, Masoumeh
AuthorSarrafzadegan, Nizal
AuthorAlhashemi, Mohammed
AuthorPapasavvas, Theodoros
AuthorGrace, Sherry L
Available date2019-04-18T09:51:22Z
Publication Date2019-03-14
Publication NameInternational Journal of Cardiology
Identifierhttp://dx.doi.org/10.1016/j.ijcard.2019.02.065
CitationTurk-Adawi, K., Supervia, M., Pesah, E., Lopez-Jimenez, F., Afaneh, J., El-Heneidy, A., ... & Grace, S. L. (2019). Availability and delivery of cardiac rehabilitation in the Eastern Mediterranean Region: How does it compare globally?. International journal of cardiology.
ISSN0167-5273
URIhttp://hdl.handle.net/10576/11496
AbstractThis study aimed to (1) confirm cardiac rehabilitation (CR) availability, (2) establish CR density and unmet need, as well as (3) the nature of programs in the Eastern Mediterranean Region (EMR), and (4) compare these (a) by EMR country and (b) to other countries. In this cross-sectional study, a survey was administered to CR programs globally. Cardiac associations and local champions facilitated program identification. CR need was based on Global Burden of Disease study ischemic heart disease (IHD) estimates. Of the 22 EMR countries, CR programs were identified in 12 (54.5%). Nine (75.0% country response rate) countries participated, and 24/49 (49.0% program response rate) surveys were initiated. There was 1 CR spot for every 104 incident IHD patients/year (versus 12 globally). One-third of responding programs were privately funded (n = 8; versus globally p < .001), and in 18 (75.0%) programs patients paid some or all of the cost out-of-pocket (versus n = 378, 36.3% globally; p < .001). Over 80% of programs accepted guideline-indicated patients. Nurses (n = 20, 95.2%), cardiologists (n = 18, 85.7%) and dietitians (n = 18, 85.7%) were the most common healthcare providers on CR teams (mean = 6.4 ± 2.2/program; 5.9 ± 2.8 globally, p = .18). On average, programs offered 8.9 ± 1.7/11 core components (versus 8.7 ± 1.9 globally, p = .90). These were most commonly initial assessment, management of risk factors, and patient education (n = 21, 100.0% for each), and least commonly return-to-work counselling (n = 15 71.4%). Mean dose was 27.0 ± 13.5 sessions (versus 28.7 ± 27.6 globally, p = .38). Seven (33.3%) programs offered some alternative models. CR is insufficiently implemented, with 2,079,283 more spots needed/year across the EMR. But where offered, CR is consistent with guidelines.
SponsorThis project was supported by a research grant from York University's Faculty of Health.
Languageen
PublisherElsevier
SubjectCardiac rehabilitation
Eastern Mediterranean region
Health services
Survey
TitleAvailability and delivery of cardiac rehabilitation in the Eastern Mediterranean Region: How does it compare globally?
TypeArticle
Pagination147-153
Volume Number285
dc.accessType Abstract Only


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