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Cardiac rehabilitation availability and delivery in Europe: How does it differ by region and compare with other high-income countries?: Endorsed by the European Association of Preventive Cardiology

A. Abreu, E. Pesah, M. Supervia, K. Turk-Adawi, B. Bjarnason-Wehrens, F. Lopez-Jimenez, M. Ambrosetti, K. Andersen, V. Giga, D. Vulic, E. Vataman, D. Gaita, J. Cliff, E. Kouidi, I. Yagci, A. Simon, A. Hautala, E. Tamuleviciute-Prasciene, H....

. 2019 ; 26 (11) : 1131-1146. [pub] 20190220

Jazyk angličtina Země Velká Británie

Typ dokumentu srovnávací studie, časopisecké články, multicentrická studie, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc20025798

AIMS: The aims of this study were to establish cardiac rehabilitation availability and density, as well as the nature of programmes, and to compare these by European region (geoscheme) and with other high-income countries. METHODS: A survey was administered to cardiac rehabilitation programmes globally. Cardiac associations were engaged to facilitate programme identification. Density was computed using global burden of disease study ischaemic heart disease incidence estimates. Four high-income countries were selected for comparison (N = 790 programmes) to European data, and multilevel analyses were performed. RESULTS: Cardiac rehabilitation was available in 40/44 (90.9%) European countries. Data were collected in 37 (94.8% country response rate). A total of 455/1538 (29.6% response rate) programme respondents initiated the survey. Programme volumes (median 300) were greatest in western European countries, but overall were higher than in other high-income countries (P < 0.001). Across all Europe, there was on average only 1 CR spot per 7 IHD patients, with an unmet regional need of 3,449,460 spots annually. Most programmes were funded by social security (n = 25, 59.5%; with significant regional variation, P < 0.001), but in 72 (16.0%) patients paid some or all of the programme costs (or ∼18.5% of the ∼€150.0/programme) out of pocket. Guideline-indicated conditions were accepted in 70% or more of programmes (lower for stable coronary disease), with no regional variation. Programmes had a multidisciplinary team of 6.5 ± 3.0 staff (number and type varied regionally; and European programmes had more staff than other high-income countries), offering 8.5 ± 1.5/10 core components (consistent with other high-income countries) over 24.8 ± 26.0 hours (regional differences, P < 0.05). CONCLUSION: European cardiac rehabilitation capacity must be augmented. Where available, services were consistent with guidelines, but varied regionally.

Cardiac Rehabilitation Department Betsi Cadwaladr University Health Board Wrexham Maelor Hospital UK

Cardiac Rehabilitation Department Loire Vendée Océan Hospital France

Cardiac Rehabilitation Department Ślaskie Centrum Rehabilitacji w Ustroniu Poland

Cardiac Rehabilitation Department State Hospital for Cardiology Hungary

Cardiology Department Bispebjerg Frederiksberg Hospital Denmark

Cardiology Department Heart House Martin Slovakia

Cardiology Department Hospital Santa Maria Portugal

Cardiology Department Norfolk and Norwich University Hospital UK

Cardiovascular Research Group Oulu University Hospital Finland

Department of 1st Internal Medicine Aristotle University of Thessaloniki Greece

Department of Cardiology Maxima Medical Centre The Netherlands

Department of Cardiovascular Medicine Mayo Clinic USA

Department of Internal Medicine University of Iceland Iceland

Department of Internal Medicine University of Palacky University Hospital Olomouc Czech Republic

Department of Kinesiology and Health Sciences York University Canada

Department of Kinesiology and Health Sciences York University Canada 28 Toronto Rehabiliation Institute University Health Network Canada

Department of Public Health Qatar University Qatar

Department of Rehabilitation Lithuanian University of Health Sciences Lithuania

Institute for Cardiology and Sports Medicine German Sport University Cologne Germany

Institute of Cardiology Moldova Academy of Science Republica Moldova

Institute of Cardiovascular Diseases Clinical Center of Serbia Serbia

Istituti Clinici Scientifici Maugeri Care and Research Institute Department of Cardiac Rehabilitation Italy

Karolinska Institutet Department of Clinical Sciences Danderyd Hospital Sweden

Physical Medicine and Rehabilitation Department Marmara University School of Medicine Turkey

Physical Medicine and Rehabilitation Gregorio Marañón General University Hospital Gregorio Marañón Health Research Institute Spain

School of Health and Social Care Edinburgh Napier University UK

University of Banja Luka Center for Medical Research Bosnia and Herzegovina

University of Medicine and Pharmacy Victor Babes Cardiovascular Prevention and Rehabilitation Clinic Romania

Citace poskytuje Crossref.org

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