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Nature of Cardiac Rehabilitation Around the Globe
M. Supervia, K. Turk-Adawi, F. Lopez-Jimenez, E. Pesah, R. Ding, RR. Britto, B. Bjarnason-Wehrens, W. Derman, A. Abreu, AS. Babu, CA. Santos, SK. Jong, L. Cuenza, TJ. Yeo, D. Scantlebury, K. Andersen, G. Gonzalez, V. Giga, D. Vulic, E. Vataman,...
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články
NLK
Directory of Open Access Journals
od 2018
PubMed Central
od 2018
Europe PubMed Central
od 2018
ROAD: Directory of Open Access Scholarly Resources
od 2018
- Publikační typ
- časopisecké články MeSH
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 < 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). Interpretation: 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.
Asociacion Cardiovascular Centroccidental 17 Callejón 12 Barquisimeto 3001 Lara Venezuela
Beijing United Family Hospital 2 Jiangtai Rd Chaoyang Qu Beijing Shi 100096 China
Bispebjerg Frederiksberg Hospital Bispebjerg Bakke 23 2400 København NV Denmark
Cardiovascular Institute of Buenos Aires Av del Libertador 6302 1428 Buenos Aires Argentina
Central Hospital of Social Security Institute Asuncion Paraguay
Edinburgh Napier University 9 Sighthill Ct Edinburgh EH11 4BN Scotland United Kingdom
Heart House Martin Bagarova 30 Martin Podháj Slovakia
Hospital Raja Isteri Pengiran Anak Saleha Bandar Seri Begawan BA1710 Brunei
Hospital Santa Marta R de Santa Marta 50 Lisbon 1169 024 Portugal
Institute of Cardiology Str Testemitanu 20 Chisinau Republic of Moldova
Instituto Nacional Cardiovascular Jirón Coronel Zegarra Jesus Maria Lima 11 Peru
Instituto Nacional de Cardiología Belisario Domínguez Sección 16 Tlalpan 14080 CDMX Mexico
Karolinska Institutet Department of Clinical Sciences Danderyd Hospital 182 88 Stockholm Sweden
Laboratory of Sports Medicine Aristotle University of Thessaloniki Thessaloniki 57001 Greece
Lithuanian University of Health Sciences A Mickevičiaus g 9 Kaunas 44307 Lithuania
Loire Vendée Océan Hospital Boulevard des Régents 44270 Machecoul France
Maxima Medical Centre De Run 4600 5504 DB Veldhoven Netherlands
Mayo Clinic 200 1st St SW Rochester MN 55905 USA
Mediagnóstica Duitama Cra16 14 68 oficina 201 Duitama Boyacá Colombia
Moncton Hospital 135 Macbeath Ave Moncton New Brunswick E1C 6Z8 Canada
National Cardiovascular Center Harapan Kita Kav 87 Jl Letjen S Parman Jakarta Indonesia
Norfolk and Norwich University Hospital Colney Lane Norwich NR4 7UY United Kingdom
Octubre Universitary Hospital Av Cordoba s n 28041 Madrid Spain
Peiking University People' Hospital 11 Xizhimen S St Xicheng Qu Beijing Shi China
Philippine Heart Center East Avenue Quezon City 1100 Philippines
PHYSIS Prevencion Cardiovascular Cdla Bolivariana Av del Libertador Mz 1 Villa 5 Guayaquil Ecuador
QU Health Qatar University Al Jamiaa St Doha Qatar
Sanggye Paik Hospital Inje University Dongil ro 1342 Nowon gu Seoul Republic of Korea
Shaare Zedek Medical Center the Hebrew University Jerusalem Israel
Ślaskie Centrum Rehabilitacji w Ustroniu Zdrojowa 6 43 450 Ustroń Poland
Sociedad Chilena de Cardiología Alfredo Barros Errázuriz 1954 Providencia Región Metropolitana Chile
Spanish Association Hospital Bulevar Gral Artigas 1471 Montevideo 1471 Uruguay
State Hospital for Cardiology Gyógy tér 2 Balatonfüred 8230 Hungary
Tbilisi State Medical University 33 Vazha Pshavela Ave Tbilisi Georgia
The University of Auckland 71 Merton Road Private Bag 92019 Auckland 1142 New Zealand
University of Banja Luka Faculty of Medicine Save Mrkalja 14 78000 Banja Luka Bosnia and Herzegovina
University of British Columbia 2206 East Mall Vancouver British Colombia V6T 1Z3 Canada
University of Iceland Saemundargata 2 IS 101 Reykjavik Iceland
University of the West Indies at Cave Hill St Michael Barbados
York University 4700 Keele Street Toronto Ontario M3J1P3 Canada
Citace poskytuje Crossref.org
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- $a 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 < 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). Interpretation: 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.
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