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AuthorSupervia, Marta
AuthorTurk-Adawi, Karam
AuthorLopez-Jimenez, Francisco
AuthorPesah, Ella
AuthorDing, Rongjing
AuthorBritto, Raquel R
AuthorBjarnason-Wehrens, Birna
AuthorDerman, Wayne
AuthorAbreu, Ana
AuthorBabu, Abraham S
AuthorSantos, Claudia Anchique
AuthorJong, Seng K
AuthorCuenza, Lucky
AuthorYeo, Tee Joo
AuthorScantlebury, Dawn
AuthorAndersen, Karl
AuthorGonzalez, Graciela
AuthorGiga, Vojislav
AuthorVulic, Dusko
AuthorVataman, Eleonora
AuthorCliff, Jacqueline
AuthorKouidi, Evangelia
AuthorYagci, Ilker
AuthorKim, Chul
AuthorBenaim, Briseida
AuthorEstany, Eduardo Rivas
AuthorFernandez, Rosalia
AuthorRadi, Basuni
AuthorGaita, Dan
AuthorSimon, Attila
AuthorChen, Ssu-Yuan
AuthorRoxburgh, Brendon
AuthorMartin, Juan Castillo
AuthorMaskhulia, Lela
AuthorBurdiat, Gerard
AuthorSalmon, Richard
AuthorLomelí, Hermes
AuthorSadeghi, Masoumeh
AuthorSovova, Eliska
AuthorHautala, Arto
AuthorTamuleviciute-Prasciene, Egle
AuthorAmbrosetti, Marco
AuthorNeubeck, Lis
AuthorAsher, Elad
AuthorKemps, Hareld
AuthorEysymontt, Zbigniew
AuthorFarsky, Stefan
AuthorHayward, Jo
AuthorPrescott, Eva
AuthorDawkes, Susan
AuthorSantibanez, Claudio
AuthorZeballos, Cecilia
AuthorPavy, Bruno
AuthorKiessling, Anna
AuthorSarrafzadegan, Nizal
AuthorBaer, Carolyn
AuthorThomas, Randal
AuthorHu, Dayi
AuthorGrace, Sherry L
Available date2019-09-29T11:11:26Z
Publication Date2019-08-01
Publication NameEClinicalMedicine
Identifierhttp://dx.doi.org/10.1016/j.eclinm.2019.06.006
Citation: 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
URIhttp://hdl.handle.net/10576/11956
AbstractCardiac 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.
Languageen
PublisherElsevier
SubjectCardiac rehabilitation
Global health
Health services
Nature
Preventive cardiology
Survey
TitleNature of Cardiac Rehabilitation Around the Globe.
TypeArticle
Pagination46-56
Volume Number13
ESSN2589-5370
dc.accessType Abstract Only


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