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AuthorChacin-Suarez, Audry
AuthorGrace, Sherry L
AuthorAnchique-Santos, Claudia
AuthorSupervia, Marta
AuthorTurk-Adawi, Karam
AuthorBritto, Raquel R
AuthorScantlebury, Dawn C
AuthorAraya-Ramirez, Felipe
AuthorGonzalez, Graciela
AuthorBenaim, Briseida
AuthorFernandez, Rosalia
AuthorHol, Jacqueline
AuthorBurdiat, Gerard
AuthorSalmon, Richard
AuthorLomeli, Hermes
AuthorMamataz, Taslima
AuthorMedina-Inojosa, Jose R
AuthorLopez-Jimenez, Francisco
Available date2021-08-08T10:52:21Z
Publication Date2021-05-28
Publication NameAmerican Heart Journal
Identifierhttp://dx.doi.org/10.1016/j.ahj.2021.05.010
CitationMD , Audry Chacin-Suarez, et. al. "Cardiac rehabilitation availability and characteristics in Latin America and the Caribbean: A Global Comparison", American Heart Journal, Volume 240, 2021, Pages 16-27, ISSN 0002-8703, https://doi.org/10.1016/j.ahj.2021.05.010.
URIhttp://hdl.handle.net/10576/21644
AbstractThis study aimed to establish availability and characteristics of cardiac rehabilitation (CR) in Latin America and the Caribbean (LAC), where cardiovascular disease is highly prevalent. In this cross-sectional sub-analysis focusing on the 35 LAC countries, local cardiovascular societies identified CR programs globally. An online survey was administered to identified programs, assessing capacity and characteristics. CR need was computed relative to ischemic heart disease (IHD) incidence from the Global Burden of Disease study. ≥1 CR program was identified in 24 LAC countries (68.5% availability; median = 3 programs/country). Data were collected in 20/24 countries (83.3%); 139/255 programs responded (54.5%), and compared to responses from 1082 programs in 111 countries. LAC density was 1 CR spot per 24 IHD patients/year (vs 18 globally). Greatest need was observed in Brazil, Dominican Republic and Mexico (all with >150,000 spots needed/year). In 62.8% (vs 37.2% globally P < .001) of CR programs, patients pay out-of-pocket for some or all of CR. CR teams were comprised of a mean of 5.0 ± 2.3 staff (vs 6.0 ± 2.8 globally; P < .001); Social workers, dietitians, kinesiologists, and nurses were significantly less common on CR teams than globally. Median number of core components offered was 8 (vs 9 globally; P < .001). Median dose of CR was 36 sessions (vs 24 globally; P < .001). Only 27 (20.9%) programs offered alternative CR models (vs 31.1% globally; P < .01). In LAC countries, there is very limited CR capacity in relation to need. CR dose is high, but comprehensiveness low, which could be rectified with a more multidisciplinary team.
Languageen
PublisherElsevier
SubjectCardiac rehabilitation
Cardiovascular disease
latin America
global comparison
TitleCardiac rehabilitation availability and characteristics in Latin America and the Caribbean: A Global Comparison
TypeArticle
Pagination16-27
Volume Number240


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