Logistical factors (OR 7.61) and comorbidities/functional status (OR 6.60) were identified as significant barriers to cardiac rehabilitation enrollment in patients with acute coronary syndrome.
Observational (n=552)
Yes
What factors are associated with barriers to enrollment and participation in cardiac rehabilitation in Korean patients with acute coronary syndrome?
Logistical factors, comorbidities, and work/time conflicts are significant barriers to cardiac rehabilitation enrollment and participation in Korean patients with acute coronary syndrome, highlighting the need for tailored CR models.
Effect estimate: OR 7.61 (95% CI 4.62-12.55)
p-value: p=<0.001
OBJECTIVE: To investigate factors associated with enrollment and participation in cardiac rehabilitation (CR) in Korea. METHODS: Patients admitted to four university hospitals with acute coronary syndrome between June 2014 and May 2016 were enrolled. The Cardiac Rehabilitation Barriers Scale (CRBS) made of 21-item questionnaire and divided in four subdomains was administered during admission. CRBS items used a 5-point Likert scale and ≥2.5 was considered as a barrier. Differences between CR non-attender and CR attender, or CR non-enroller and CR enroller in subscale and each items of CRBS were examined using the chi-square test. RESULTS: The CR participation rate in four hospitals was 31% (170 of the 552). Logistical factors (odds ratio OR=7.61; 95% confidence interval CI, 4.62-12.55) and comorbidities/functional status (OR=6.60; 95% CI, 3.95-11.01) were identified as a barrier to CR enrollment in the subdomain analysis. Among patients who were enrolled (agreed to participate in CR during admission), only work/time conflict was a significant barrier to CR participation (OR=2.17; 95% CI, 1.29-3.66). CONCLUSION: Diverse barriers to CR participation were identified in patients with acute coronary syndrome. Providing the tailored model for CR according to the individual patient's barrier could improve the CR utilization. Further multicenter study with large sample size including other CR indication is required.
Im et al. (Mon,) conducted a observational in Acute coronary syndrome (n=552). Cardiac rehabilitation vs. Non-enrollers / Non-attenders was evaluated on Cardiac rehabilitation non-enrollment (Logistical factors) (OR 7.61, 95% CI 4.62-12.55, p=<0.001). Logistical factors (OR 7.61) and comorbidities/functional status (OR 6.60) were identified as significant barriers to cardiac rehabilitation enrollment in patients with acute coronary syndrome.