This consensus document establishes clinical risk-based priority criteria for inpatient cardiac rehabilitation admission to improve continuity of care for high-risk post-acute cardiovascular patients.
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Prioritizes inpatient cardiac rehabilitation for high-risk post-acute patients; extends guidelines with explicit risk-based admission criteria.
Current guidelines state that cardiac rehabilitation is indicated after the acute phase of major cardiovascular diseases and interventions; on the other hand implementation of these indications is difficult because of several barriers, i.e. the number of patients per year with an indication exceeds by far the accommodation offer of cardiac rehabilitation centers; the demand for access to cardiac rehabilitation from acute cardiac care hospitals is low because the attention is focused on the acute phase of cardiac diseases. The present Consensus Document describes the changes in clinical epidemiology of the main cardiovascular diseases, showing that complications are increasingly more frequent in the postacute phase, especially in the setting of myocardial infarction. The Joint ANMCO/IACPR-GICR Committee defines priority criteria based on clinical risk for admission to cardiac rehabilitation centers as inpatients. This Consensus Document represents, therefore, an important step forward in the search for continuity of care in high-risk patients during the post-acute phase.
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Greco et al. (2015) conducted a review in Cardiovascular diseases. Cardiac rehabilitation was evaluated. Cardiac rehabilitation referral criteria were defined to prioritize inpatient admission for high-risk patients following acute cardiovascular events or cardiac surgery.
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