What question did this study set out to answer?

November 17, 2021Journal of Cardiopulmonary Rehabilitation and PreventionOpen Access

Factors Associated With Cardiac Rehabilitation Participation in Older Adults After Myocardial Infarction

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Why the study?

Despite growing evidence of unique benefits of cardiac rehabilitation in older adults following acute myocardial infarction, it remains underutilized.

What demographic, clinical, and functional factors are associated with cardiac rehabilitation participation in older adults (≥75 years) after myocardial infarction?

Population

2003 patients age ≥75 yr hospitalized with AMI

Comparison

Factors associated with CR participation vs non-participation

Design

Nationwide prospective cohort study

Follow-up

6 mo

Discussion

Member takes

Implication

Identifies demographic and functional barriers to CR uptake in older AMI patients; leaves open whether targeting them boosts participation.

Key Points

To identify demographic, clinical, functional, and sensory factors associated with cardiac rehabilitation participation among older adults hospitalized with acute myocardial infarction.
Analyzed data from the SILVER-AMI study, a nationwide prospective cohort of 2,003 patients aged ≥75 years hospitalized with acute myocardial infarction with 6-month follow-up.
Collected baseline demographic, clinical, psychosocial, functional, and sensory impairment data alongside 6-month survey-reported cardiac rehabilitation participation.
Identified independent predictors of rehabilitation utilization using backward selection in a multivariable-adjusted logistic regression model.
Only 39% of participants (779 of 2,003) engaged in cardiac rehabilitation within 6 months of hospital discharge.
Decreased participation was independently associated with older age, longer hospital stays, ≤12 years of education, visual impairment, cognitive impairment, and living alone.
Undergoing interventional or diagnostic procedures (cardiac catheterization, percutaneous coronary intervention, or coronary artery bypass grafting) significantly increased the likelihood of participation.

Structured PICO

What demographic, clinical, and functional factors are associated with cardiac rehabilitation participation in older adults (≥75 years) after myocardial infarction?

Population

2,003 older adults (age ≥75 years) hospitalized with acute myocardial infarction (AMI) from a nationwide prospective cohort study.

Intervention

Various demographic, clinical, psychosocial, functional, and sensory factors assessed at baseline.

Outcome

Utilization of cardiac rehabilitation (CR) within 6 months of discharge, collected by survey.patient reported

Cardiac rehabilitation remains underutilized (39%) in older adults after AMI, with participation significantly hindered by functional and sensory impairments, lower education, and social isolation.

Cite This Study

A 2021 study studied this question.

synapsesocial.com/papers/6a85264c69a073149ac6ad79 https://doi.org/10.1097/hcr.0000000000000627

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Implication

Identifies demographic and functional barriers to CR uptake in older AMI patients; leaves open whether targeting them boosts participation.

Factors Associated With Cardiac Rehabilitation Participation in Older Adults After Myocardial Infarction

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Factors Associated With Cardiac Rehabilitation Participation in Older Adults After Myocardial Infarction

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider