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August 20, 2021IJC Heart & VasculatureOpen Access

Systematic cardiac rehabilitation referral in patients hospitalized for acute coronary syndrome resulted in an 80% referral rate and a 75% participation rate.

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Why the study?

Cardiac rehabilitation is recommended after ACS hospitalization to reduce mortality and readmissions, but participation rates remain low, and whether systematic referral improves participation needed evaluation.

Does systematic referral improve cardiac rehabilitation participation rates in patients following acute coronary syndrome?

Population

469 patients eligible for CR hospitalized for ACS in 2017

Comparison

Systematic CR referral and factors associated with referral and participation

Design

Observational cohort study

Key result

Systematic cardiac rehabilitation referral in patients hospitalized for acute coronary syndrome resulted in an 80% referral rate and a 75% participation rate.

Authors

SRS. F. RodrigoLeiden University Medical CenterHEHenk J. van ExelLeiden University Medical CenterNKNicole van KeulenLeiden University Medical Center

Discussion

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Member takes

Overview

Supports systematic referral to increase post-ACS CR participation; extends observational data but leaves open effects on outcomes.

Study Design

Type

Observational (n=469)

Multicenter

No

Structured PICO

Does systematic referral improve cardiac rehabilitation participation rates in patients following acute coronary syndrome?

P
Population
469 patients hospitalized for acute coronary syndrome and eligible for cardiac rehabilitation, treated according to a local protocol with systematic referral, followed retrospectively.
E
Exposure
Systematic cardiac rehabilitation referral according to local protocol
O
Outcome
Cardiac rehabilitation referral and participation rates

Systematic referral protocols for cardiac rehabilitation after acute coronary syndrome can achieve high referral (80%) and participation (75%) rates, though older age, non-STEMI diagnosis, and distance to the center remain barriers.

Limitations

  • Retrospective design unable to determine reasons for nonreferral
  • Lack of data on disease perception, patient beliefs, and intention to participate
  • Unavailability of information on transportation options such as car ownership or driving license
  • Socio-economic status score was estimated based on area of residence, which is only a proxy

Cite This Study

Rodrigo et al. (2021) conducted an observational in Acute coronary syndrome (n=469). Systematic cardiac rehabilitation referral was evaluated on Cardiac rehabilitation referral. Systematic cardiac rehabilitation referral in patients hospitalized for acute coronary syndrome resulted in an 80% referral rate and a 75% participation rate.

synapsesocial.com/papers/6a2092c8c5fdd006bd0c8fa0https://doi.org/10.1016/j.ijcha.2021.100858
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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 Early and Late Enrollment in Cardiac Rehabilitation, Among Those Referred, After Acute Myocardial Infarction2012 · 83 citations
  2. 2Referral Rate and Outcomes of Cardiac Rehabilitation After Cardiac Catheterization in a Large Canadian City2004 · 34 citations
  3. 3Trends and Predictors of Participation in Cardiac Rehabilitation Following Acute Myocardial Infarction: Data From the Behavioral Risk Factor Surveillance System2017 · 114 citations
  4. 4Association Between Cardiac Rehabilitation Participation and Health Status Outcomes After Acute Myocardial Infarction2016 · 39 citations
  5. 5Increasing Cardiac Rehabilitation Participation Through a “Nearer to Home” Patient Referral Program2020 · 10 citations