Key result
A multidisciplinary education program and personnel participation in discharge rounds increased overall cardiac rehabilitation referral rates after TAVR from 5% to 56%.
Why the study?
Cardiac rehabilitation after TAVR is associated with improved outcomes but remains relatively underutilized in this patient population.
Does a multidisciplinary education and rounding program increase cardiac rehabilitation referral rates in post-TAVR patients?
Does a multidisciplinary education and rounding program increase cardiac rehabilitation referral rates in post-TAVR patients?
A multidisciplinary education and rounding program significantly increased cardiac rehabilitation referral rates after TAVR.
Answers are grounded in this paper and cite their sources.
May boost post-TAVR cardiac rehab referrals; leaves open effects on adherence and outcomes.
Cardiac rehabilitation following transcatheter aortic valve replacement (TAVR) is associated with improved outcomes; however, it remains relatively underutilized in this patient population. As part of a quality improvement initiative, we sought to increase the rate of cardiac rehabilitation referral after TAVR at our institution. We designed and implemented a multidisciplinary program that included education of cardiothoracic surgery providers discharging post-TAVR patients on the benefits of cardiac rehabilitation with participation of cardiac rehabilitation personnel during discharge rounds with the surgical team. The study period was defined as 12 months prior to and 6 months following the implementation of the education program. Overall referral rates increased from 5% to 56% ( P < 0.0001), and referrals placed before hospital discharge increased from 0.8% to 53% ( P < 0.0001) over the study period. In conclusion, a combination of education regarding the benefits of cardiac rehabilitation and cardiac rehabilitation personnel participation in discharge rounds significantly increased referral to cardiac rehabilitation after TAVR.
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Nusbickel et al. (2022) studied Transcatheter Aortic Valve Replacement (TAVR). Multidisciplinary education program and cardiac rehabilitation personnel participation vs. 12 months prior to implementation was evaluated on Overall referral rates to cardiac rehabilitation (p=< 0.0001). A multidisciplinary education program and personnel participation in discharge rounds increased overall cardiac rehabilitation referral rates after TAVR from 5% to 56%.
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