Cardiac Rehabilitation Availability and Density around the Globe
Status PubMed-not-MEDLINE Jazyk angličtina Země Anglie, Velká Británie Médium electronic-ecollection
Typ dokumentu časopisecké články
PubMed
31517261
PubMed Central
PMC6737209
DOI
10.1016/j.eclinm.2019.06.007
PII: S2589-5370(19)30100-2
Knihovny.cz E-zdroje
- Klíčová slova
- Capacity, Cardiac rehabilitation, Density, Global health, Health services, Preventive cardiology,
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Despite the epidemic of cardiovascular disease and the benefits of cardiac rehabilitation (CR), availability is known to be insufficient, although this is not quantified. This study ascertained CR availability, volumes and its drivers, and density. METHODS: A survey was administered to CR programs globally. Cardiac associations and local champions facilitated program identification. Factors associated with volumes were assessed using generalized linear mixed models, and compared by World Health Organization region. Density (i.e. annual ischemic heart disease [IHD] incidence estimate from Global Burden of Disease study divided by national CR capacity) was computed. FINDINGS: CR was available in 111/203 (54.7%) countries; data were collected in 93 (83.8% country response; N = 1082 surveys, 32.1% program response rate). Availability by region ranged from 80.7% of countries in Europe, to 17.0% in Africa (p < .001). There were 5753 programs globally that could serve 1,655,083 patients/year, despite an estimated 20,279,651 incident IHD cases globally/year. Volume was significantly greater where patients were systematically referred (odds ratio [OR] = 1.36, 95% confidence interval [CI] = 1.35-1.38) and programs offered alternative models (OR = 1.05, 95%CI = 1.04-1.06), and significantly lower with private (OR = .92, 95%CI = .91-.93) or public (OR = .83, 95%CI = .82-84) funding compared to hybrid sources.Median capacity (i.e., number of patients a program could serve annually) was 246/program (Q25-Q75 = 150-390). The absolute density was one CR spot per 11 IHD cases in countries with CR, and 12 globally. INTERPRETATION: CR is available in only half of countries globally. Where offered, capacity is grossly insufficient, such that most patients will not derive the benefits associated with participation.
ASCARDIO 17 Callejón 12 Barquisimeto 3001 Lara Venezuela
Beijing United Family Hospital 2 Jiangtai Rd Chaoyang Qu Beijing Shi China 100096
Bispebjerg Frederiksberg Hospital Bispebjerg Bakke 23 2400 København NV Copenhagen 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 Slovakia
Hospital Raja Isteri Pengiran Anak Saleha Bandar Seri Begawan BA1710 Brunei
Hospital Santa Marta 1169 024 R de Santa Marta 50 Lisbon Portugal
INCOR Instituto Nacional Cardiovascular Jirón Coronel Zegarra Jesus Maria Lima 11 Peru
Institute of Cardiology Str Testemitanu 20 Chisinau Republic of Moldova
Karolinska Institutet Department of Clinical Sciences Danderyd Hospital Stockholm Sweden
KITE University Health Network 399 Bathurst St Toronto ON M5T 2S8 Canada
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 Rochester 200 1st St SW Rochester MN 55905 USA
Mediagnóstica Duitama Cra16 14 68 oficina 201 Duitama Boyacá Colombia
Moncton Hospital 135 Macbeath Ave Moncton NB 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 Philippines 1100
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 11200 Bulevar Gral Artigas 1471 Montevideo Uruguay
State Hospital for Cardiology Balatonfüred Gyógy tér 2 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 BC 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
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