Post-discharge home visits at four weeks were associated with better cardiac rehabilitation attendance following primary percutaneous coronary intervention (OR 2.64; 95% CI 1.48-4.71).
Observational (n=246)
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What factors predict cardiac rehabilitation attendance in patients following primary percutaneous coronary intervention for ST-elevation myocardial infarction?
Post-discharge home visits and male sex are associated with higher rates of cardiac rehabilitation attendance following primary PCI for STEMI, highlighting a need for integrated post-discharge support.
Odds Ratio: 2.64 (95% CI 1.48–4.71)
Cardiac rehabilitation is an important component of recovery and secondary prevention following urgent primary percutaneous coronary intervention. However, attendance and factors that predict participation by patients admitted with ST-elevation myocardial infarction remain unclear. This Australian study was conducted using a descriptive, comparative design. Consecutive patients (n = 246) at two hospitals were interviewed by telephone at four weeks and six months. Open-ended questions were used to assess cardiac rehabilitation attendance, sociodemographics, modifiable risk factors, clinical outcomes, and post-discharge health support. Post-discharge home visits at four weeks (odds ratio: 2.64, 95% confidence interval: 1.48-4.71) and at six months were associated with better cardiac rehabilitation attendance; more males participated at four weeks and at six months. The results suggest the need to integrate post-discharge health support with cardiac rehabilitation to facilitate recovery after primary percutaneous coronary intervention, particularly for females with ST-elevation myocardial infarction.
Hoo et al. (Mon,) conducted a observational in ST-elevation myocardial infarction (n=246). Post-discharge home visits vs. No post-discharge home visits was evaluated on Cardiac rehabilitation attendance (OR 2.64, 95% CI 1.48-4.71). Post-discharge home visits at four weeks were associated with better cardiac rehabilitation attendance following primary percutaneous coronary intervention (OR 2.64; 95% CI 1.48-4.71).
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