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November 1, 2001Journal of Cardiopulmonary Rehabilitation

Temporal Trends and Associated Factors of Inpatient Cardiac Rehabilitation in Patients With Acute Myocardial Infarction: A Community-wide Perspective

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Key result

The overall rate of referral to inpatient cardiac rehabilitation after acute myocardial infarction was 68%, with a slight decline to less than 60% by 1997.

Population

5,204 residents hospitalized with validated acute myocardial infarction in seven 1-year periods between 1986…

Comparison

Inpatient cardiac rehabilitation (CR) vs No inpatient cardiac rehabilitation

Design

Cohort

Authors

FSFrederick A. SpencerGeneral CardiologyBSBobak SalamiJYJorge YarzebskiUniversity of Arizona

Discussion

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Implication

Suboptimal post-AMI cardiac rehabilitation referral warrants clinical attention; this cohort study leaves open whether boosting rates improves guideline-directed therapy use.

Study Design

Type

Observational (n=5,204)

Multicenter

Yes

Structured PICO

P
Population
5,204 residents hospitalized with validated acute myocardial infarction across multiple hospitals between 1986 and 1997.
E
Exposure
Inpatient cardiac rehabilitation (CR)
C
Comparator
No inpatient cardiac rehabilitation
O
Outcome
Rate of referral to inpatient cardiac rehabilitation

Inpatient cardiac rehabilitation is underutilized after acute myocardial infarction, particularly among women and the elderly, and non-referred patients are less likely to receive guideline-directed therapies.

Cite This Study

Spencer et al. (2001) conducted an observational in Acute Myocardial Infarction (n=5,204). Inpatient cardiac rehabilitation vs. No inpatient cardiac rehabilitation was evaluated on Overall rate of referral to inpatient cardiac rehabilitation. The overall rate of referral to inpatient cardiac rehabilitation after acute myocardial infarction was 68%, with a slight decline to less than 60% by 1997.

synapsesocial.com/papers/6a20564967e003a2985ad2afhttps://doi.org/10.1097/00008483-200111000-00006

Topics

Heart failure hospitalization
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Predictors of cardiac rehabilitation participation in older coronary patients1992 · 52 citations
  2. 2Cardiac rehabilitation after myocardial infarction. Combined experience of randomized clinical trials1988 · 1,048 citations
  3. 3Age-related trends (1986-1993) in the use of thrombolytic agents in patients with acute myocardial infarction. The Worcester Heart Attack Study1997 · 34 citations
  4. 4National Use and Effectiveness of β-Blockers for the Treatment of Elderly Patients After Acute Myocardial Infarction1998 · 496 citations
  5. 5The Cardiac Rehabilitation Program of the University of Vermont Medical Center1986 · 26 citations