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June 22, 2004Medical Care

Of 272 participants, 199 (73.2%) attended a CR assessment; enrollment was reliably predicted by lower denial/minimization, fewer logistical barriers, and lower perceptions of AHD as cyclical or episodic, but not by predisposing sociodemographic factors.

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Why the study?

What factors predict cardiac rehabilitation enrollment among patients with atherosclerotic heart disease who are automatically referred?

Population

272 patients with atherosclerotic heart disease treated at a tertiary care center in Ontario, Canada, drawn…

Design

Cohort

Authors

SGSherry L. GracePreventive CardiologyAEAlexandra EvindarTufts Medical CenterTKTabitha KungMount Sinai Hospital

Discussion

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Overview

Psychological and logistical factors may drive CR enrollment despite automatic referral; hypothesis-generating for targeted strategies pending prospective trials.

Structured PICO

What factors predict cardiac rehabilitation enrollment among patients with atherosclerotic heart disease who are automatically referred?

P
Population
272 patients with atherosclerotic heart disease (AHD) treated at a tertiary care center in Ontario, Canada, drawn from a random sample of 501 patients.
I
Intervention
Automatic referral to cardiac rehabilitation (CR)
O
Outcome
Cardiac rehabilitation enrollment (attendance at a CR assessment)

In an automatic referral system, enabling factors and perceived need, rather than predisposing sociodemographic factors, are the primary predictors of patient enrollment in cardiac rehabilitation.

Cite This Study

Grace et al. (2004) studied this question.

synapsesocial.com/papers/6a736a4e96bd0fc833c1e56chttps://doi.org/10.1097/01.mlr.0000129901.05299.aa
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Also Consider

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

  1. 1Predicting cardiac rehabilitation enrollment: the role of automatic physician referral2006 · 49 citations
  2. 2Cardiac Rehabilitation and Women2010 · 54 citations
  3. 3Cardiac Rehabilitation2013 · 13 citations
  4. 4A prospective comparison of cardiac rehabilitation enrollment following automatic vs usual referral2007 · 82 citations
  5. 5Will Increasing Referral to Cardiac Rehabilitation Improve Participation?2010 · 28 citations