December 19, 2004European Journal of Cardiovascular NursingOpen Access

Setting up and Auditing Guideline- and Evidence-Based Cardiac Rehabilitation

Q: What is the clinical evidence from this study?

Study design: Observational. Population: post-myocardial infarction (MI). Intervention: Guideline-based four-phase stepped rehabilitation programme. Primary outcome: Feasibility and delivery of guideline-based rehabilitation.

Q: What does this research mean for the field?

A guideline-based, individualized four-phase cardiac rehabilitation program for post-myocardial infarction patients is feasible to implement and monitor over 3 months with high rates of team-delivered interventions. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

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Key result

Guideline-based four-phase post-MI rehabilitation demonstrates high implementation feasibility and delivery rates over three months.

Why the study?

Is a four-phase stepped programme for guideline-based cardiac rehabilitation feasible in post-myocardial infarction patients?

Population

Post-myocardial infarction (MI) patients

Design

Cohort

Follow-up

3 months post-discharge

Authors

RMRichard MayouWarneford Hospital JWJenny WelstandBetsi Cadwaladr University Health Board STSally TyndelUniversity of Oxford

Discussion

Member takes

Implication

Supports the operational viability of structured post-MI rehabilitation; leaves open the need for prospective trials to.

Study Design

Type

Observational

Structured PICO

Is a four-phase stepped programme for guideline-based cardiac rehabilitation feasible in post-myocardial infarction patients?

Population

Post-myocardial infarction patients undergoing a four-phase stepped rehabilitation program, followed for 3 months post-discharge.

Exposure

A four-phase stepped programme based on individualised in-hospital care and aftercare from a menu of options, involving co-ordination between hospital services, primary care and community services

Outcome

Feasibility of guideline-based rehabilitation, delivery of care, and identification of problems

Guideline-based individualized cardiac rehabilitation is feasible, though coordination and communication between hospital and primary care services need improvement.

Limitations

Difficulties and failures in communication
Patients with major social or psychological difficulties were the most difficult to treat
Need to improve the coordination of delivery of later steps of care and refine specialist interventions

Cite This Study

Mayou et al. (2004) conducted an observational in post-myocardial infarction (MI). Guideline-based four-phase stepped rehabilitation programme was evaluated on Feasibility and delivery of guideline-based rehabilitation. A guideline-based four-phase rehabilitation program for post-MI patients was feasible to implement and monitor over 3 months, with high rates of intervention delivery by the rehabilitation team.

synapsesocial.com/papers/6aa73ff82763b0a462d3b4a7 https://doi.org/10.1016/j.ejcnurse.2004.09.002

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Setting up and Auditing Guideline- and Evidence-Based Cardiac Rehabilitation

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Setting up and Auditing Guideline- and Evidence-Based Cardiac Rehabilitation

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider