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July 9, 2008European Journal of Public HealthOpen Access

Cardiac rehabilitation: health characteristics and socio-economic status among those who do not attend

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Why the study?

Does attendance at a comprehensive cardiac rehabilitation programme improve 2-year mortality and invasive treatment rates in MI survivors compared to non-attendance?

Population

200 consecutive myocardial infarction patients aged 30-69 years who survived 30 days post-admission…

Comparison

Comprehensive cardiac rehabilitation programme. vs Non-attendance to cardiac rehabilitation (n=55).

Design

Cohort

Follow-up

2 years

Key result

Cardiac rehabilitation attendance was associated with significantly lower 2-year mortality compared to non-attendance (2.8% vs 21.8%, P<0.0001) among patients surviving 30 days post-myocardial infarction.

Authors

JNJens Cosedis NielsenOFOle FærgemanAFAnders Foldspang

Discussion

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Member takes

Overview

Does not support practice change from observational data; leaves open causal mortality benefit of cardiac rehabilitation post-MI for randomized confirmation.

Study Design

Type

Cohort (n=200)

Structured PICO

Does attendance at a comprehensive cardiac rehabilitation programme improve 2-year mortality and invasive treatment rates in MI survivors compared to non-attendance?

P
Population
200 consecutive myocardial infarction patients aged 30-69 years who survived 30 days post-admission, followed for 2 years.
E
Exposure
Comprehensive cardiac rehabilitation (CR) programme (attended by n=145, 72.5%).
C
Comparator
Non-attendance to cardiac rehabilitation (n=55).
O
Outcome
2-year mortality, re-admission, and invasive treatment, as well as predictors of CR-attendance.hard clinical

Main Result

Absolute Event Rate: 2.8% vs 21.8%

p-value: p=<0.0001

Non-attendance to cardiac rehabilitation after MI is associated with significantly higher 2-year mortality, which is partly driven by the selection of healthier patients and socioeconomic factors.

Limitations

  • Selection bias (selection of healthy patients for cardiac rehabilitation may partly explain the mortality difference)

Cite This Study

Nielsen et al. (2008) conducted a cohort in Myocardial infarction (n=200). Cardiac rehabilitation attendance vs. Cardiac rehabilitation non-attendance was evaluated on 2-year mortality (p=<0.0001). Cardiac rehabilitation attendance was associated with significantly lower 2-year mortality compared to non-attendance (2.8% vs 21.8%, P<0.0001) among patients surviving 30 days post-myocardial infarction.

synapsesocial.com/papers/6a205db577803e985598ff9bhttps://doi.org/10.1093/eurpub/ckn060
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