Key result
The median hospital-level proportions of inpatient and outpatient cardiac rehabilitation participation after myocardial infarction were 73.3% and 1.8%, respectively, with significant inequality among hospitals.
Why the study?
Cardiac rehabilitation is an evidence-based service for acute myocardial infarction, but its implementation is inadequate.
What is the hospital-level provision status and equality of inpatient and outpatient cardiac rehabilitation for patients with AMI in Japan?
Observational (n=35,298)
Yes
What is the hospital-level provision status and equality of inpatient and outpatient cardiac rehabilitation for patients with AMI in Japan?
In Japan, the provision of inpatient and outpatient cardiac rehabilitation after AMI is suboptimal and highly variable among hospitals, with outpatient CR participation being particularly low.
Answers are grounded in this paper and cite their sources.
Hospital variation and low outpatient cardiac rehabilitation after MI signal implementation gaps; leaves open targeted strategies to improve equity.
Background: Cardiac rehabilitation (CR) is an evidence-based medical service for patients with acute myocardial infarction (AMI); however, its implementation is inadequate. We investigated the provision status and equality of CR by hospitals in Japan using a comprehensive nationwide claims database.
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Komiyama et al. (2023) conducted an observational in Acute myocardial infarction (n=35,298). Cardiac rehabilitation was evaluated on Hospital-level proportions of inpatient and outpatient CR participation. The median hospital-level proportions of inpatient and outpatient cardiac rehabilitation participation after myocardial infarction were 73.3% and 1.8%, respectively, with significant inequality among hospitals.
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