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February 8, 2022Journal of Cardiopulmonary Rehabilitation and PreventionOpen Access

Tracking Cardiac Rehabilitation Utilization in Medicare Beneficiaries

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Key result

Cardiac rehabilitation utilization remains low, with only 28.6% of 412,080 eligible Medicare beneficiaries completing at least one session within 365 days after discharge.

Why the study?

This study was conducted to update cardiac rehabilitation utilization data in Medicare beneficiaries hospitalized for eligible events, stratified by patient demographics and state of residence.

What are the rates of cardiac rehabilitation utilization among Medicare beneficiaries hospitalized for CR-eligible events?

Population

412 080 Medicare fee-for-service beneficiaries with a primary CR-eligible event in 2017

Comparison

CR utilization stratified by beneficiary characteristics, state of residence, and qualifying event type

Design

Retrospective cohort study

Follow-up

365 d

Discussion

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Implication

Low CR enrollment (28.6%) and completion persist among Medicare beneficiaries; leaves open effective strategies to close gaps.

Study Design

Type

Cohort (n=412,080)

Multicenter

Yes

Structured PICO

What are the rates of cardiac rehabilitation utilization among Medicare beneficiaries hospitalized for CR-eligible events?

P
Population
412,080 Medicare fee-for-service beneficiaries hospitalized for a cardiac rehabilitation-eligible event in 2017, assessed for participation within 365 days.
E
Exposure
Cardiac rehabilitation (CR) participation (≥1 CR sessions in 365 d), engagement, and completion (≥36 sessions)
O
Outcome
CR participation (≥1 CR sessions in 365 d), engagement, and completion (≥36 sessions) rates

Cardiac rehabilitation enrollment and completion rates remain low among Medicare beneficiaries, highlighting a significant gap in the utilization of a class I guideline-recommended therapy.

Cite This Study

A 2022 study conducted a cohort in Hospitalized for cardiac rehabilitation-eligible events (n=412,080). Cardiac rehabilitation utilization was evaluated on Completion of ≥1 cardiac rehabilitation session within 365 days. Cardiac rehabilitation utilization remains low, with only 28.6% of 412,080 eligible Medicare beneficiaries completing at least one session within 365 days after discharge.

synapsesocial.com/papers/6a9fc008516c2ec66e7c66a1https://doi.org/10.1097/hcr.0000000000000675

Topics

Percutaneous coronary intervention
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Also Consider

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

  1. 1The Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2) Collaborative Quality Improvement Initiative in Percutaneous Coronary Interventions2002 · 76 citations
  2. 2Determinants of Hospital Variation in Cardiac Rehabilitation Enrollment During Coronary Artery Disease Episodes of Care2021 · 32 citations
  3. 3Predictors of Cardiac Rehabilitation Participation2021 · 62 citations
  4. 4Increasing Use of Cardiac and Pulmonary Rehabilitation in Traditional and Community Settings2020 · 30 citations
  5. 5Trends and Predictors of Participation in Cardiac Rehabilitation Following Acute Myocardial Infarction: Data From the Behavioral Risk Factor Surveillance System2017 · 115 citations