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November 1, 2004Journal of Cardiopulmonary Rehabilitation

Cardiac rehab referral after catheterization is linked to ~32% lower mortality.

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Why the study?

Does referral to a cardiac rehabilitation program reduce mortality in adult patients with coronary artery disease who survived at least 6 months after cardiac catheterization?

Population

5,081 adult residents with coronary artery disease who survived 6 months or more after cardiac…

Comparison

Referral to a cardiac rehabilitation (CR) program vs No referral to a cardiac rehabilitation program

Design

Cohort

Key result

Referral to a cardiac rehabilitation program after cardiac catheterization was associated with significantly lower mortality (HR 0.68; 95% CI 0.51-0.90; P=0.005).

Authors

CNColleen M. NorrisLJLouise JensenPGP. Diane Galbraith

Discussion

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Overview

Supports broader cardiac rehabilitation referral post-catheterization; leaves open causality and requires randomized confirmation before practice change.

Study Design

Type

Cohort (n=5,081)

Structured PICO

Does referral to a cardiac rehabilitation program reduce mortality in adult patients with coronary artery disease who survived at least 6 months after cardiac catheterization?

P
Population
5,081 adult patients with coronary artery disease who survived at least 6 months after cardiac catheterization.
E
Exposure
Referral to a cardiac rehabilitation (CR) program
C
Comparator
No referral to a cardiac rehabilitation program
O
Outcome
Mortality (statistically adjusted survival rates)hard clinical

Main Result

Hazard Ratio: 0.68 (95% CI 0.51–0.9)

p-value: p=0.005

Referral to cardiac rehabilitation after cardiac catheterization is associated with a significant reduction in mortality, highlighting a missed opportunity for improved outcomes given the low referral rate (28.9%).

Cite This Study

Norris et al. (2004) conducted a cohort in Coronary artery disease (n=5,081). Referral to a cardiac rehabilitation program vs. No referral to a cardiac rehabilitation program was evaluated on Mortality (HR 0.68, 95% CI 0.51-0.90, p=0.005). Referral to a cardiac rehabilitation program after cardiac catheterization was associated with significantly lower mortality (HR 0.68; 95% CI 0.51-0.90; P=0.005).

synapsesocial.com/papers/6aa3d6028d691864e1f42bc6https://doi.org/10.1097/00008483-200411000-00006
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Also Consider

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

  1. 1Cardiac Rehabilitation Attendance and Outcomes in Coronary Artery Disease Patients2012 · 304 citations
  2. 2Clinical and sociodemographic correlates of referral for cardiac rehabilitation following cardiac revascularization in Ontario2013 · 20 citations
  3. 3Referral and participation in cardiac rehabilitation of patients following acute coronary syndrome; lessons learned2021 · 17 citations
  4. 4The Canadian Cardiac Rehabilitation Registry: Inaugural Report on the Status of Cardiac Rehabilitation in Canada2015 · 22 citations
  5. 5Observing temporal trends in cardiac rehabilitation from 1996 to 2010 in Ontario: characteristics of referred patients, programme participation and mortality rates2015 · 19 citations