Cardiac rehabilitation: the forgotten intervention.

Cardiac rehabilitation: the forgotten intervention. Research Abstract Details 

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Cardiac rehabilitation: the forgotten intervention. Abstract Text:

K M King,D P Humen,K K Teo,

OBJECTIVE: To examine the influence of cardiac patients' demographic and health characteristics on physicians' cardiac rehabilitation (CR) referral practice and patients' attendance at such programs. DESIGN: A retrospective, systematic review of consecutive health records. SETTING: A tertiary care centre and the two associated CR programs in a Western Canadian city. PATIENTS: One thousand, three hundred and twenty-eight adult patients (21 years of age or older) discharged following acute myocardial infarction, percutaneous transluminal coronary angioplasty (PTCA) and/or coronary artery bypass graft surgery between September 1, 1996 and August 31, 1997. MAIN RESULTS: There were 1245 surviving patients. Evidence of attendance at a CR program was 28.4%, while auditable evidence of referral to a CR program was 23.9%. Stepwise logistic regression revealed that ability to speak English (OR 9.56) living in a city (OR 3.97) and current smoking (OR 1.51) were associated with an increased likelihood, whereas having a history of chronic obstructive pulmonary disease or asthma (OR 0.53), being 70 years of age or older (OR 0.42), having a current admission for PTCA (OR 0.32) and having a history of neurological or cognitive impairment (OR 0.26) were associated with a decreased likelihood of CR attendance. Sex, nature of coronary artery disease risk factors, incidence of postevent complications and pre-event cardiac status (including New York Heart Association status and number of previous events) were not associated with patients' CR attendance. CONCLUSIONS: This study suggests that there is an inconsistent and poorly documented approach to referral of patients to CR programs for reasons that remain unclear. These findings provide a foundation for development and testing of enhanced referral mechanisms and of innovative means to provide rehabilitation services to patients who are at risk for not being referred to or attending CR programs.

Cardiac rehabilitation: the forgotten intervention. Publishing Authors By Initials

KM King,DP Humen,KK Teo,

For similar investigative techniques: epidemiologic methods: data collection: vital statistics: mortality: survival rate research abstracts see: investigative techniques: epidemiologic methods: data collection: vital statistics: mortality: survival rate research

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Cardiac rehabilitation: the forgotten intervention. Journal Published:

PUBLICATION TYPE: Review

Journal: The Canadian journal of cardiology

VOLUME: 15

Page Numbers: 979-85

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ISSN: 1916-7075

DAY: 3

MONTH: Sep

YEAR: 1999

Cardiac rehabilitation: the forgotten intervention. Information

Number of References: 56

LANGUAGE: fre

NlmUniqueID: 8510280

Cardiac rehabilitation: the forgotten intervention. Keywords Mesh Terms:

KEYWORDS: Survival Rate

MESH TERMS: prevention & control

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Grant and Affiliation Information for Cardiac rehabilitation: the forgotten intervention.

AFFILIATION: University of Alberta, Edmonton, Canada. kathking@gpu.srv.ualberta.ca

Country: CANADA

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MEDLINETA: Can J Cardiol

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