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November 1, 2009Journal of Cardiopulmonary Rehabilitation and Prevention

A computerized referral process at hospital discharge increased cardiac rehabilitation participation rates compared to a baseline nurse-based strategy (53% vs 47%; OR 1.49; 95% CI 1.11-1.99; P<0.01).

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Why the study?

Does a computerized referral process at hospital discharge improve cardiac rehabilitation participation rates in patients after acute MI or CABG surgery?

Population

804 patients after acute myocardial infarction or coronary artery bypass graft surgery

Comparison

Computerized referral process added to an… vs Already-established nurse-based recruiting…

Design

Cohort

Key result

A computerized referral process at hospital discharge increased cardiac rehabilitation participation rates compared to a baseline nurse-based strategy (53% vs 47%; OR 1.49; 95% CI 1.11-1.99; P<0.01).

Authors

EMEnkhtuyaa MuellerUniversity of VermontPSPatrick D. SavagePreventive CardiologyDSDavid J. SchneiderGeneral Cardiology

Discussion

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Member takes

Overview

May support computerized referrals in post-MI/CABG discharge protocols; leaves open confirmation via randomized trials before practice change.

Study Design

Type

Observational (n=804)

Structured PICO

Does a computerized referral process at hospital discharge improve cardiac rehabilitation participation rates in patients after acute MI or CABG surgery?

P
Population
804 patients after acute myocardial infarction or coronary artery bypass graft surgery evaluated before and after implementation of a computerized referral process.
E
Exposure
Computerized referral process (personalized letter at hospital discharge and a scheduled group introductory visit at the CR center) added to an already-established nurse-based recruiting strategy
C
Comparator
Already-established nurse-based recruiting strategy alone (personalized, in-hospital visits)
O
Outcome
Cardiac rehabilitation (CR) participation rates

Main Result

Odds Ratio: 1.49 (95% CI 1.11–1.99)

Absolute Event Rate: 53% vs 47%

p-value: p=< .01

A computerized referral process at hospital discharge significantly increases cardiac rehabilitation participation rates among patients recovering from acute MI or CABG.

Cite This Study

Mueller et al. (2009) conducted an observational in Acute myocardial infarction (MI) or coronary artery bypass graft (CABG) surgery (n=804). Computerized cardiac rehabilitation referral process vs. Baseline nurse-based recruiting strategy was evaluated on Cardiac rehabilitation participation rates (OR 1.49, 95% CI 1.11-1.99, p=< .01). A computerized referral process at hospital discharge increased cardiac rehabilitation participation rates compared to a baseline nurse-based strategy (53% vs 47%; OR 1.49; 95% CI 1.11-1.99; P<0.01).

synapsesocial.com/papers/6a205db577803e985598ff96https://doi.org/10.1097/hcr.0b013e3181b4ca75
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Also Consider

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

  1. 1Cardiac Rehabilitation2013 · 13 citations
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