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May 1, 2013Journal of Cardiopulmonary Rehabilitation and Prevention

A nurse-delivered automatic bedside referral process increased the proportion of patients receiving cardiac rehabilitation referrals from 26.7% to 79.0% and participation to 32.6%.

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Why the study?

Does a nurse-delivered automatic bedside referral process improve referral and intake rates for cardiac rehabilitation in eligible patients following a cardiac event?

Population

Eligible patients following a cardiac event or intervention at the University of Ottawa Heart Institute.

Comparison

Nurse-delivered automatic bedside referral… vs Historical referral processes.

Design

Cohort

Key result

A nurse-delivered automatic bedside referral process increased the proportion of patients receiving cardiac rehabilitation referrals from 26.7% to 79.0% and participation to 32.6%.

Authors

LLLouise Leger-CaldwellUniversity of OttawaPOPatricia O’FarrellUniversity of OttawaAPAndrew PipePreventive Cardiology

Discussion

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Overview

May increase cardiac rehabilitation participation post-event; hypothesis-generating and requires randomized confirmation before practice change.

Study Design

Type

Observational

Multicenter

No

Structured PICO

Does a nurse-delivered automatic bedside referral process improve referral and intake rates for cardiac rehabilitation in eligible patients following a cardiac event?

P
Population
Patients eligible for cardiac rehabilitation following a cardiac event or intervention at the University of Ottawa Heart Institute.
E
Exposure
Nurse-delivered automatic bedside referral process for cardiac rehabilitation (nurse screened charts, discussed benefits, triaged, and facilitated booking).
C
Comparator
Historical referral processes (standard referral prior to 2006, and automatic referral system in 2007).
O
Outcome
Referral and intake rates for cardiac rehabilitation.

Main Result

Absolute Event Rate: 79% vs 26.7%

Implementing a nurse-delivered automatic bedside referral process significantly increases both referral and participation rates for cardiac rehabilitation.

Cite This Study

Leger-Caldwell et al. (2013) conducted an observational in Cardiac event or intervention. Nurse-delivered automatic bedside referral process vs. Standard referral process (historical control) was evaluated on Cardiac rehabilitation referral rate. A nurse-delivered automatic bedside referral process increased the proportion of patients receiving cardiac rehabilitation referrals from 26.7% to 79.0% and participation to 32.6%.

synapsesocial.com/papers/6a8ec456c2a8a91e7c3be786https://doi.org/10.1097/hcr.0b013e31827e14da
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Also Consider

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

  1. 1Effect of a Computerized Referral at Hospital Discharge on Cardiac Rehabilitation Participation Rates2009 · 31 citations
  2. 2Improved Cardiac Rehabilitation Referral Rate Utilizing a Multidisciplinary Quality Improvement Team2024 · 2 citations
  3. 3Nurse-Led Cardiac Rehabilitation Care Coordination Program2024 · 1 citations
  4. 4Automatic Referral to Cardiac Rehabilitation2004 · 74 citations
  5. 5The Role of Systematic Inpatient Cardiac Rehabilitation Referral in Increasing Equitable Access and Utilization2012 · 53 citations