Key result
Living alone, older age, travel distance >50 km, and history of cardiovascular disease in women were significant barriers to enrollment in cardiac rehabilitation.
Why the study?
What population factors are associated with nonenrollment in cardiac rehabilitation programs among referred patients?
Observational (n=756)
No
What population factors are associated with nonenrollment in cardiac rehabilitation programs among referred patients?
Older age, living alone, travel distance, and a history of myocardial infarction in women are significant barriers to enrollment in cardiac rehabilitation programs.
Answers are grounded in this paper and cite their sources.
May guide targeted outreach for referred patients; leaves open whether addressing barriers increases enrollment.
In Brief PURPOSE: Cardiac rehabilitation (CR) is very effective for secondary prevention of cardiovascular disorders. The objective of this study was to analyze population factors associated with nonenrollment of cardiac patients in these programs. METHODS: Retrospective study of 756 patients referred to the cardiac rehabilitation program (CRP) of a tertiary referral hospital with a service area population of more than 640 000 from January 2009 to June 2012. We assessed the relationship between population characteristics of these patients and nonenrollment by logistic regression analysis. RESULTS: There were 2386 hospital admissions for an acute coronary syndrome during the study period. Out of the 2355 patients who were alive at discharge, 756 (632 men and 124 women) were referred for CR (32.1% vs 3% state average and vs 51% European average). Of these patients, 20.9% did not enroll. The referral rate was lower among women than among men (P < .001). The characteristics associated with a lower rate of enrollment in the program were age (OR: 1.05; 95% CI: 1.02-1.09), living alone (OR: 4.54; 95% CI: 2.53-8.16), living further than 50 km from the CR unit (OR: 2.90; 95% CI: 1.29-6.41) and, in women, having a history of cardiovascular disease (recurrent myocardial infarction) (OR: 6.35; 95% CI: 2.53-11.81). CONCLUSIONS: The rate of referral for CR in our setting is well above the national average but still could be improved. We identified older age, living alone, travel distance to the cardiac rehabilitation unit, and, in women, a history of a previous myocardial infarction as barriers to enrollment in CRPs. Cardiac rehabilitation programs are very effective for secondary prevention. The aim of this study was to analyze population factors associated with nonenrollment of referred cardiac patients in the program. We identified older age, living alone, history of myocardial infarction, and travel distance to the cardiac rehabilitation unit as barriers to enrollment.
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Chamosa et al. (2015) conducted an observational in Acute coronary syndrome (n=756). Living alone vs. Not living alone was evaluated on Nonenrollment in cardiac rehabilitation programs (OR 4.54, 95% CI 2.53-8.16). Living alone, older age, travel distance >50 km, and history of cardiovascular disease in women were significant barriers to enrollment in cardiac rehabilitation.
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