Nature of cardiac rehabilitation around the globe.

Supervia, Marta; Turk-Adawi, Karam; Lopez-Jimenez, Francisco; Dawkes, Susan; Grace, Sherry L.

Abstract

Background: Cardiac 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. Methods: 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. Findings: 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

Citation

SUPERVIA, M., TURK-ADAWI, K., LOPEZ-JIMENEZ, F., et al. 2019. Nature of cardiac rehabilitation around the globe. EClinialMedicine [online], 13, pages 46-56. Available from: https://doi.org/10.1016/j.eclinm.2019.06.006

• Journal Article Type: Article
• Acceptance Date: Jun 12, 2019
• Online Publication Date: Jul 4, 2019
• Publication Date: Aug 31, 2019
• Deposit Date: Jun 8, 2021
• Publicly Available Date: Jun 8, 2021
• Journal: EClinicalMedicine
• Electronic ISSN: 2589-5370
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 13
• Pages: 46-56
• DOI: https://doi.org/10.1016/j.eclinm.2019.06.006
• Keywords: Cardiac rehabilitation; Nature; Preventive cardiology; Global health; Health services; Survey
• Public URL: https://rgu-repository.worktribe.com/output/1255144
• Related Public URLs: https://rgu-repository.worktribe.com/output/1357924