Key result
Post-discharge home visits at four weeks were associated with better cardiac rehabilitation attendance following primary percutaneous coronary intervention (OR 2.64; 95% CI 1.48-4.71).
Why the study?
What factors predict cardiac rehabilitation attendance in patients following primary percutaneous coronary intervention for ST-elevation myocardial infarction?
Observational (n=246)
Yes
What factors predict cardiac rehabilitation attendance in patients following primary percutaneous coronary intervention for ST-elevation myocardial infarction?
Odds Ratio: 2.64 (95% CI 1.48–4.71)
Post-discharge home visits and male sex are associated with higher rates of cardiac rehabilitation attendance following primary PCI for STEMI, highlighting a need for integrated post-discharge support.
May support integrating home visits into post-PCI pathways to boost CR attendance; leaves open causal effects pending RCTs.
Cardiac rehabilitation is an important component of recovery and secondary prevention following urgent primary percutaneous coronary intervention. However, attendance and factors that predict participation by patients admitted with ST-elevation myocardial infarction remain unclear. This Australian study was conducted using a descriptive, comparative design. Consecutive patients (n = 246) at two hospitals were interviewed by telephone at four weeks and six months. Open-ended questions were used to assess cardiac rehabilitation attendance, sociodemographics, modifiable risk factors, clinical outcomes, and post-discharge health support. Post-discharge home visits at four weeks (odds ratio: 2.64, 95% confidence interval: 1.48-4.71) and at six months were associated with better cardiac rehabilitation attendance; more males participated at four weeks and at six months. The results suggest the need to integrate post-discharge health support with cardiac rehabilitation to facilitate recovery after primary percutaneous coronary intervention, particularly for females with ST-elevation myocardial infarction.
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Hoo et al. (2016) conducted an observational in ST-elevation myocardial infarction (n=246). Post-discharge home visits vs. No post-discharge home visits was evaluated on Cardiac rehabilitation attendance (OR 2.64, 95% CI 1.48-4.71). Post-discharge home visits at four weeks were associated with better cardiac rehabilitation attendance following primary percutaneous coronary intervention (OR 2.64; 95% CI 1.48-4.71).
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