Promoting Patient Utilization of Outpatient Cardiac Rehabilitation A JOINT INTERNATIONAL COUNCIL AND CANADIAN ASSOCIATION OF CARDIOVASCULAR PREVENTION AND REHABILITATION POSITION STATEMENT

被引：15

作者：

Pio, Carolina Santiago de Araujo ^{[1
]}

Beckie, Theresa M. ^{[2
]}

Varnfield, Marlien ^{[3
,4
]}

Sarrafzadegan, Nizal ^{[5
,6
]}

Babu, Abraham S. ^{[7
]}

Baidya, Sumana ^{[8
]}

Buckley, John ^{[9
]}

Chen, Ssu-Yuan ^{[10
,11
,12
,13
]}

Gagliardi, Anna ^{[14
]}

Heine, Martin ^{[15
]}

Khiong, Jong Seng ^{[16
]}

Mola, Ana ^{[17
]}

Radi, Basuni ^{[18
]}

Supervia, Marta ^{[19
,20
]}

Trani, Maria R. ^{[21
]}

Abreu, Ana ^{[22
,23
]}

Sawdon, John A. ^{[24
]}

Moffatt, Paul D. ^{[25
]}

Grace, Sherry L. ^{[1
,26
]}

机构：

[1] York Univ, Sch Kinesiol & Hlth Sci, Bethune 368,4700 Keele St, Toronto, ON M3J 1P3, Canada

[2] Univ S Florida, Coll Nursing, Tampa, FL 33620 USA

[3] CSIRO, Australian eHlth Res Ctr, Floreat, Australia

[4] Australian Cardiovasc Hlth & Rehabil Assoc ACRA, St Leonards, NSW, Australia

[5] Univ British Columbia, Fac Med, Sch Populat & Publ Hlth, Vancouver, BC, Canada

[6] Isfahan Univ Med Sci, Cardiovasc Res Inst, Isfahan Cardiovasc Res Ctr, Esfahan, Iran

[7] Manipal Acad Higher Educ, Sch Allied Hlth Sci, Dept Physiotherapy, Manipal, Karnataka, India

[8] Kathmandu Univ, Dhulikhel Hosp, Dept Physiotherapy, Dhulikhel, Nepal

[9] Univ Ctr Shrewsbury, Shrewsbury, Salop, England

[10] Fu Jen Catholic Univ, Fu Jen Catholic Univ Hosp, Dept Phys Med & Rehabil, New Taipei, Taiwan

[11] Fu Jen Catholic Univ, Coll Med, New Taipei, Taiwan

[12] Natl Taiwan Univ Hosp, Dept Phys Med & Rehabil, Taipei, Taiwan

[13] Natl Taiwan Univ, Coll Med, Taipei, Taiwan

[14] Univ Hlth Network, Toronto Gen Hosp, Res Inst, Toronto, ON, Canada

[15] Stellenbosch Univ, Inst Sport & Exercise Med, Fac Med & Hlth Sci, Cape Town, South Africa

[16] Raja Isteri Pengiran Anak Saleha Hosp, Darussalam, Brunei

[17] NYU, Care Transit & Populat Hlth Management, Langone Hlth Med Ctr, New York, NY USA

[18] Harapan Kita, Natl Cardiovasc Ctr, Jakarta, Indonesia

[19] Gregorio Maranon Gen Univ Hosp, Gregorio Maranon Hlth Res Inst, Dept Phys Med & Rehabil, Madrid, Spain

[20] Mayo Clin, Div Prevent Cardiol, Dept Cardiovasc Med, Rochester, MN USA

[21] Philippine Heart Assoc, Pasig, Philippines

[22] CHLN, Hosp Santa Maria, Dept Cardiol, Lisbon, Portugal

[23] Univ Lisbon, Sch Med, Lisbon, Portugal

[24] Cardiac Hlth Fdn Canada, Publ Educ & Special Projects, Toronto, ON, Canada

[25] Univ Hlth Network, Patient Partner Program, Toronto, ON, Canada

[26] Univ Toronto, Toronto Rehabil Inst, KITE Univ Hlth Network, Toronto, ON, Canada

来源：

JOURNAL OF CARDIOPULMONARY REHABILITATION AND PREVENTION | 2020年 / 40卷 / 02期

关键词：

cardiac rehabilitation; coronary artery disease; disease management; health services accessibility; secondary prevention; RANDOMIZED CONTROLLED-TRIAL; MYOCARDIAL-INFARCTION; SEX-DIFFERENCES; HEART-FAILURE; OLDER-ADULTS; PARTICIPATION; ATTENDANCE; PROGRAMS; EXERCISE; DISEASE;

D O I：

10.1097/HCR.0000000000000474

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose: Cardiac rehabilitation (CR) is a recommendation in international clinical practice guidelines given its benefits; however, use is suboptimal. The purpose of this position statement was to translate evidence on interventions that increase CR enrollment and adherence into implementable recommendations. Methods: The writing panel was constituted by representatives of societies internationally concerned with preventive cardiology and included disciplines that would be implementing the recommendations. Patient partners served, as well as policy makers. The statement was developed in accordance with AGREE II, among other guideline checklists. Recommendations were based on our update of the Cochrane review on interventions to promote patients' utilization of CR. These were circulated to panel members, who were asked to rate each on a 7-point Likert scale in terms of scientific acceptability, actionability, and feasibility of assessment. A Web call was convened to achieve consensus and confirm strength of the recommendations (based on Grading of Recommendations Assessment, Development, and Evaluation [GRADE]). The draft underwent external review and public comment. Results: The 3 drafted recommendations were that to increase enrollment, health care providers, particularly nurses (strong), should promote CR to patients face-to-face (strong), and that to increase adherence, part of CR could be delivered remotely (weak). Ratings (mean +/- SD) for the 3 recommendations were 5.95 +/- 0.69, 5.33 +/- 1.12, and 5.64 +/- 1.08, respectively. Conclusions: Interventions can significantly increase utilization of CR and hence should be widely applied. We call upon cardiac care institutions to implement these strategies to augment CR utilization and to ensure that CR programs are adequately resourced to serve enrolling patients and support them to complete programs.

引用

页码：79 / 86

页数：8

共 68 条

[1] Increasing Cardiac Rehabilitation Participation From 20% to 70%: A Road Map From the Million Hearts Cardiac Rehabilitation Collaborative [J].

Ades, Philip A. ;

Keteyian, Steven J. ;

Wright, Janet S. ;

Hamm, Larry F. ;

Lui, Karen ;

Newlin, Kimberly ;

Shepard, Donald S. ;

Thomas, Randal J. .

MAYO CLINIC PROCEEDINGS, 2017, 92 (02) :234-242

[2] 2011 ACCF/AHA Focused Update Incorporated Into the ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction [J].

Anderson, Jeffrey L. ;

Adams, Cynthia D. ;

Antman, Elliott M. ;

Bridges, Charles R. ;

Califf, Robert M. ;

Casey, Donald E., Jr. ;

Chavey, William E. ;

Fesmire, Francis M. ;

Hochman, Judith S. ;

Levin, Thomas N. ;

Lincoff, A. Michael ;

Peterson, Eric D. ;

Theroux, Pierre ;

Wenger, Nanette Kass ;

Wright, R. Scott ;

Anderson, Jeffrey L. ;

Adams, Cynthia D. ;

Bridges, Charles R. ;

Casey, Donald E., Jr. ;

Ettinger, Steven M. ;

Fesmire, Francis M. ;

Ganiats, Theodore G. ;

Jneid, Hani ;

Lincoff, A. Michael ;

Peterson, Eric D. ;

Philippides, George J. ;

Theroux, Pierre ;

Wenger, Nanette K. ;

Zidar, James Patrick ;

Jacobs, Alice K. ;

Anderson, Jeffrey L. ;

Albert, Nancy ;

Hochman, Judith S. ;

Creager, Mark A. ;

Kushner, Frederick G. ;

Ettinger, Steven M. ;

Ohman, Erik Magnus ;

Guyton, Robert A. ;

Stevenson, William G. ;

Halperin, Jonathan L. ;

Yancy, Clyde W. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2011, 57 (19) :E215-E367

[3]

[Anonymous], 2015, GRADEPRO GUID DEV TO

[4]

[Anonymous], 2013, Clinical Guideline CG172

[5]

[Anonymous], 2011, STAND DEV TRUSTW CLI

[6]

[Anonymous], 2017, NAT AUD CARD REH ANN

[7]

[Anonymous], 2014, J AM COLL CARDIOL, DOI DOI 10.1016/j.jacc.2014.09.016

[8]

[Anonymous], 2012, PILOT TRIAL COACHING

[9] Advocacy for outpatient cardiac rehabilitation globally [J].

Babu, Abraham Samuel ;

Lopez-Jimenez, Francisco ;

Thomas, Randal J. ;

Isaranuwatchai, Wanrudee ;

Herdy, Artur Haddad ;

Hoch, Jeffrey S. ;

Grace, Sherry L. .

BMC HEALTH SERVICES RESEARCH, 2016, 16

[10] Core components of cardiac rehabilitation/secondary prevention programs: 2007 update - A scientific statement from the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, the Council on Clinical Cardiology; the Councils on Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical Activity, and Metabolism; and the American Association of Cardiovascular and Pulmonary Rehabilitation [J].

Balady, Gary J. ;

Williams, Mark A. ;

Ades, Philip A. ;

Bittner, Vera ;

Comoss, Patricia ;

Foody, JoAnne M. ;

Franklin, Barry ;

Sanderson, Bonnie ;

Southard, Douglas .

CIRCULATION, 2007, 115 (20) :2675-2682

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