Why the study?
Cardiac rehabilitation is under-available and under-studied in resource-poor settings where it is needed most.
Does cardiac rehabilitation improve functional capacity, health behaviors, and psychosocial outcomes in patients with cardiovascular disease in resource-poor settings?
Does cardiac rehabilitation improve functional capacity, health behaviors, and psychosocial outcomes in patients with cardiovascular disease in resource-poor settings?
The first year of the International Cardiac Rehab Registry demonstrates the feasibility and clinical benefit of implementing cardiac rehabilitation in resource-poor settings, with program completers showing significant improvements in functional capacity, lifestyle behaviors, and psychosocial outcomes.
Supports cardiac rehabilitation feasibility in resource-poor settings; hypothesis-generating pending randomized trials to confirm benefits.
Objectives Cardiac rehabilitation – programs comprehensively delivering outpatient secondary prevention – is under-available and under-studied in the resource-poor settings where it is needed most. This report summarizes the governance, participating sites, patient characteristics and outcomes, as well as knowledge translation activities during first year of operation of ICCPR’s registry, namely the International Cardiac Rehab Registry.Methods A pilot study was undertaken with five centers, demonstrating feasibility, satisfaction with the on-boarding processes, as well as data quality.Results Fourteen centers have been engaged from all regions but Europe; Data have been entered on >1000 patients (18.1% female; mean age = 57.6), of whom 62.4% completed their programs and 19.9% dropped out for work or clinical reasons. Post-program, completers had significantly better work status, functional capacity, medication adherence, physical activity levels, diet, as well as lower tobacco use than non-completers (all p < 0.05). A site Certification program was developed and piloted, with five centers now recognized for their quality, given they met over 70% of the 13 internationally agreed standards based on Registry data and a virtual site assessment.Conclusion Annual assessments have started. Quality improvement activities will soon be underway. We continue to invite new programs, supporting development in resource-poor settings to the benefit of patients served.
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Turk-Adawi et al. (2023) studied this question.
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