A higher density of Registered Instructors of Cardiac Rehabilitation was positively associated with higher prefecture-level inpatient cardiac rehabilitation participation rates in 2023 (r=0.31).
Observational (n=3,100,000)
Yes
Does a higher number of Registered Instructors of Cardiac Rehabilitation improve inpatient cardiac rehabilitation participation rates in eligible inpatients?
Regions with a greater number of Registered Instructors of Cardiac Rehabilitation consistently demonstrate higher levels of inpatient cardiac rehabilitation implementation, though increasing instructor numbers alone does not directly drive longitudinal growth.
Effect estimate: r=0.31 (95% CI 0.02, 0.55)
p-value: p=0.03
Background: There have been no reports examining whether Registered Instructors of Cardiac Rehabilitation (RICRs) contribute to inpatient cardiac rehabilitation (CR) participation. Methods and Results: Using data from the Japanese Registry of All Cardiac and Vascular Diseases and the Diagnosis Procedure Combination (JROAD-DPC) database, we calculated the inpatient CR participation rate for each prefecture from 2014 to 2023. The number of RICRs, cardiologists, general hospital physicians, general hospital nurses, and physical therapists per 100,000 population were also calculated for each prefecture. The median CR participation rate increased from 31.2% to 57.3%, and the total number of RICRs increased from 3,399 to 7,367 during the study period. In prefecture-level correlation analyses for 2023, the number of RICRs was positively associated with the CR participation rate (r=0.31; 95% confidence interval 0.02, 0.55; P=0.03). In contrast, the increase in the number of RICRs was not significantly associated with the growth of CR participation during the study period. Conclusions: Regions with a greater number of RICRs consistently demonstrated higher levels of CR implementation; however, increases in the number of RICRs were not directly correlated with longitudinal growth in CR utilization.
Sawamura et al. (Wed,) conducted a observational in Cardiac rehabilitation eligibility (heart failure, acute coronary syndrome, aortic diseases, open chest surgery) (n=3,100,000). Registered Instructors of Cardiac Rehabilitation (RICR) density vs. Lower RICR density was evaluated on Correlation between number of RICRs per 100,000 population and CR participation rate in 2023 (r=0.31, 95% CI 0.02, 0.55, p=0.03). A higher density of Registered Instructors of Cardiac Rehabilitation was positively associated with higher prefecture-level inpatient cardiac rehabilitation participation rates in 2023 (r=0.31).