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المؤلفSupervia, Marta
المؤلفTurk-Adawi, Karam
المؤلفLopez-Jimenez, Francisco
المؤلفPesah, Ella
المؤلفDing, Rongjing
المؤلفBritto, Raquel R
المؤلفBjarnason-Wehrens, Birna
المؤلفDerman, Wayne
المؤلفAbreu, Ana
المؤلفBabu, Abraham S
المؤلفSantos, Claudia Anchique
المؤلفJong, Seng K
المؤلفCuenza, Lucky
المؤلفYeo, Tee Joo
المؤلفScantlebury, Dawn
المؤلفAndersen, Karl
المؤلفGonzalez, Graciela
المؤلفGiga, Vojislav
المؤلفVulic, Dusko
المؤلفVataman, Eleonora
المؤلفCliff, Jacqueline
المؤلفKouidi, Evangelia
المؤلفYagci, Ilker
المؤلفKim, Chul
المؤلفBenaim, Briseida
المؤلفEstany, Eduardo Rivas
المؤلفFernandez, Rosalia
المؤلفRadi, Basuni
المؤلفGaita, Dan
المؤلفSimon, Attila
المؤلفChen, Ssu-Yuan
المؤلفRoxburgh, Brendon
المؤلفMartin, Juan Castillo
المؤلفMaskhulia, Lela
المؤلفBurdiat, Gerard
المؤلفSalmon, Richard
المؤلفLomelí, Hermes
المؤلفSadeghi, Masoumeh
المؤلفSovova, Eliska
المؤلفHautala, Arto
المؤلفTamuleviciute-Prasciene, Egle
المؤلفAmbrosetti, Marco
المؤلفNeubeck, Lis
المؤلفAsher, Elad
المؤلفKemps, Hareld
المؤلفEysymontt, Zbigniew
المؤلفFarsky, Stefan
المؤلفHayward, Jo
المؤلفPrescott, Eva
المؤلفDawkes, Susan
المؤلفSantibanez, Claudio
المؤلفZeballos, Cecilia
المؤلفPavy, Bruno
المؤلفKiessling, Anna
المؤلفSarrafzadegan, Nizal
المؤلفBaer, Carolyn
المؤلفThomas, Randal
المؤلفHu, Dayi
المؤلفGrace, Sherry L
تاريخ الإتاحة2019-09-29T11:11:26Z
تاريخ النشر2019-08-01
اسم المنشورEClinicalMedicine
المعرّفhttp://dx.doi.org/10.1016/j.eclinm.2019.06.006
الاقتباس: M. Supervia, K. Turk-Adawi, F. Lopez-Jimenez, et al., Nature of Cardiac Rehabilitation Around the Globe, , https://doi.org/ 10.1016/j.eclinm.2019.06.006
معرّف المصادر الموحدhttp://hdl.handle.net/10576/11956
الملخصCardiac rehabilitation (CR) is a clinically-effective but complex model of care. The purpose of this study was to characterize the nature of CR programs around the world, in relation to guideline recommendations, and compare this by World Health Organization (WHO) region. In this cross-sectional study, a piloted survey was administered online to CR programs globally. Cardiac associations and local champions facilitated program identification. Quality (benchmark of ≥ 75% of programs in a given country meeting each of 20 indicators) was ranked. Results were compared by WHO region using generalized linear mixed models. 111/203 (54.7%) countries in the world offer CR; data were collected in 93 (83.8%; N = 1082 surveys, 32.1% program response rate). The most commonly-accepted indications were: myocardial infarction (n = 832, 97.4%), percutaneous coronary intervention (n = 820, 96.1%; 0.10), and coronary artery bypass surgery (n = 817, 95.8%). Most programs were led by physicians (n = 680; 69.1%). The most common CR providers (mean = 5.9 ± 2.8/program) were: nurses (n = 816, 88.1%; low in Africa, p < 0.001), dietitians (n = 739, 80.2%), and physiotherapists (n = 733, 79.3%). The most commonly-offered core components (mean = 8.7 ± 1.9 program) were: initial assessment (n = 939, 98.8%; most commonly for hypertension, tobacco, and physical inactivity), risk factor management (n = 928, 98.2%), patient education (n = 895, 96.9%), and exercise (n = 898, 94.3%; lower in Western Pacific, p < 0.01). All regions met ≥ 16/20 quality indicators, but quality was < 75% for tobacco cessation and return-to-work counseling (lower in Americas, p = < 0.05). This first-ever survey of CR around the globe suggests CR quality is high. However, there is significant regional variation, which could impact patient outcomes.
اللغةen
الناشرElsevier
الموضوعCardiac rehabilitation
Global health
Health services
Nature
Preventive cardiology
Survey
العنوانNature of Cardiac Rehabilitation Around the Globe.
النوعArticle
الصفحات46-56
رقم المجلد13
ESSN2589-5370
dc.accessType Abstract Only


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