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Nature of cardiac rehabilitation around the globe |
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| Author: | Supervia, Marta1,2; Turk-Adawi, Karam3; Lopez-Jimenez, Francisco2; |
| Organizations: |
1Gregorio Marañón General University Hospital, Gregorio Marañón Health Research Institute, Dr. Esquerdo, 46, 28007 Madrid, Spain 2Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA 3QU Health, Qatar University, Al Jamiaa St, Doha, Qatar
4York University, 4700 Keele Street, Toronto, Ontario M3J1P3, Canada
5Peiking University People' Hospital, 11 Xizhimen S St, Xicheng Qu, Beijing Shi, China 6Universidade Federal de Minas Gerais, Av. Pres. Antônio Carlos, 6627 - Pampulha, Belo Horizonte, MG 31270-901, Brazil 7Institute for Cardiology and Sports Medicine, Dep. Preventive and Rehabilitative Sport Medicine and Exercise Physiology, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany 8Stellenbosch University & International Olympic Committee Research Center South Africa, Francie Van Zijl Drive, Stellenbosch 7599, South Africa 9Hospital Santa Marta, R. de Santa Marta 50, Lisbon 1169-024, Portugal 10Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal - 576104, Karnataka 11Mediagnóstica Duitama, Cra16 #14-68 oficina 201, Duitama, Boyacá, Colombia 12Hospital Raja Isteri Pengiran Anak Saleha, Bandar Seri Begawan BA1710, Brunei 13Philippine Heart Center, East Avenue, Quezon City 1100, Philippines 14National University Heart Centre Singapore, National University Health System Tower Block, 1E Kent Ridge Road, Level 9, Cardiac Department, Singapore 119228, Singapore 15University of the West Indies at Cave Hill, St. Michael, Barbados 16University of Iceland, Saemundargata 2, IS-101 Reykjavik, Iceland 17Central Hospital of Social Security Institute, Asuncion, Paraguay 18Institute of Cardiovascular Diseases, Clinical Center of Serbia, Dr. Koste Todorovića 8, 11000 Beograd, Serbia 19University of Banja Luka, Faculty of Medicine, Save Mrkalja 14, 78000 Banja Luka, Bosnia and Herzegovina 20Institute of Cardiology, Str. Testemitanu, 20, Chisinau, Republic of Moldova 21Betsi Cadwaladr University Health Board, Wrexham Maelor Hospital, Croesnewydd Road, Wrexham LL13 7TD, Wales, United Kingdom 22Laboratory of Sports Medicine, Aristotle University of Thessaloniki, Thessaloniki 57001, Greece 23Marmara University, School of Medicine, Department of Physical Medicine and Rehabilitation, Fevzi Çakmak Mah Muhsin Yazıcıoğlu Cad. No:10 Üst Kaynarca Pendik / İstanbul, Turkey 24Sanggye Paik Hospital, Inje University, Dongil-ro 1342, Nowon-gu, Seoul, Republic of Korea 25Asociacion Cardiovascular Centroccidental (ASCARDIO), 17 Callejón 12, Barquisimeto 3001, Lara, Venezuela 26ICCCV Instituto de Cardiología y Cirugía Cardiovascular, No. 702 entre A y Paseo, Vedado, Calle 17, La Habana, Cuba 27Instituto Nacional Cardiovascular (INCOR), Jirón Coronel Zegarra, Jesus Maria, Lima 11, Peru 28National Cardiovascular Center Harapan Kita, Kav 87, Jl. Letjen. S. Parman, Jakarta, Indonesia 29University of Medicine & Pharmacy “Victor Babes”, Cardiovascular Prevention & Rehabilitation Clinic, Bvd CD Loga 49, 300020 Timisoara, Romania 30State Hospital for Cardiology, Gyógy tér 2, Balatonfüred 8230, Hungary 31Fu Jen Catholic University Hospital and School of Medicine, College of Medicine, Fu Jen Catholic University, No. 69, Guizi Road, Taishan District, New Taipei City 24352, Taiwan 32The University of Auckland, 71 Merton Road, Private Bag 92019, Auckland 1142, New Zealand 3312 Octubre Universitary Hospital, Av. Cordoba, s/n, 28041 Madrid, Spain 34Tbilisi State Medical University, 33 Vazha Pshavela Ave, Tbilisi, Georgia 35Spanish Association Hospital, Bulevar Gral. Artigas 1471, Montevideo 1471, Uruguay 36PHYSIS Prevencion Cardiovascular, Cdla Bolivariana Av. del Libertador - Mz I Villa 5, Guayaquil, Ecuador 37Instituto Nacional de Cardiología, Belisario Domínguez Sección 16, Tlalpan, 14080 CDMX, Mexico 38Cardiac Rehabilitation Research Centre, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Hezar-Jerib Ave., Isfahan 81746 73461, IR, Iran 39University of Palacky, University Hospital Olomouc, I.P. Pavlova 185/6, Nová Ulice, 779 00 Olomouc, Czech Republic 40Cardiovascular Research Group, Division of Cardiology, Oulu University Hospital, University of Oulu, Finland 41Lithuanian University of Health Sciences, A. Mickevičiaus g. 9, Kaunas 44307, Lithuania 42Istituti Clinici Scientifici Maugeri, Care and Research Institute, Department of Cardiac Rehabilitation, Pavia, Italy 43Edinburgh Napier University, 9 Sighthill Ct, Edinburgh EH11 4BN, Scotland, United Kingdom 44Shaare Zedek Medical Center, the Hebrew University, Jerusalem, Israel 45Maxima Medical Centre, De Run 4600, 5504 DB Veldhoven, Netherlands 46Ślaskie Centrum Rehabilitacji w Ustroniu, Zdrojowa 6, 43-450 Ustroń, Poland 47Heart House Martin, Bagarova 30, Martin, Podháj, Slovakia 48Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, United Kingdom 49Bispebjerg Frederiksberg Hospital, Bispebjerg Bakke 23, 2400 København, NV, Denmark 50Sociedad Chilena de Cardiología, Alfredo Barros Errázuriz 1954, Providencia, Región Metropolitana, Chile 51Cardiovascular Institute of Buenos Aires, Av. del Libertador 6302, 1428 Buenos Aires, Argentina 52Loire-Vendée-Océan Hospital, Boulevard des Régents, 44270 Machecoul, France 53Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, 182 88 Stockholm, Sweden 54University of British Columbia, 2206 East Mall, Vancouver, British Colombia V6T 1Z3, Canada 55Moncton Hospital, 135 Macbeath Ave, Moncton, New Brunswick E1C 6Z8, Canada 56Beijing United Family Hospital, 2 Jiangtai Rd, Chaoyang Qu, Beijing Shi 100096, China 57University Health Network, 399 Bathurst St, Toronto, ON M5T 2S8, Canada |
| Format: | article |
| Version: | published version |
| Access: | open |
| Online Access: | PDF Full Text (PDF, 0.6 MB) |
| Persistent link: | http://urn.fi/urn:nbn:fi-fe202003198537 |
| Language: | English |
| Published: |
Elsevier,
2019
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| Publish Date: | 2020-03-19 |
| Description: |
AbstractBackground: 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. see all
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| Series: |
EClinicalMedicine |
| ISSN: | 2589-5370 |
| ISSN-E: | 2589-5370 |
| ISSN-L: | 2589-5370 |
| Volume: | 13 |
| Pages: | 46 - 56 |
| DOI: | 10.1016/j.eclinm.2019.06.006 |
| OADOI: | https://oadoi.org/10.1016/j.eclinm.2019.06.006 |
| Type of Publication: |
A1 Journal article – refereed |
| Field of Science: |
3121 General medicine, internal medicine and other clinical medicine |
| Subjects: | |
| Copyright information: |
© 2019 Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
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https://creativecommons.org/licenses/by-nc-nd/4.0/ |