Attendance rates and outcomes of cardiac rehabilitation in Victoria, 1998

被引:61
作者
Sundararajan, V
Bunker, SJ
Begg, S
Marshall, R
McBurney, H
机构
[1] Dept Human Serv, Melbourne, Vic 3000, Australia
[2] Natl Heart Fdn Australia, Dept Cardiac Rehabil, W Melbourne, Vic, Australia
[3] La Trobe Univ, Dept Physiotherapy, Melbourne, Vic, Australia
关键词
D O I
10.5694/j.1326-5377.2004.tb05923.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To describe the patterns of use of cardiac rehabilitation in Victoria and to assess whether the survival benefits predicted in clinical trials have been realised in the community. Design: Cohort study based on data linkage. Participants: All patients admitted for acute myocardial infarction (AMI), coronary artery bypass grafting (CABG) or percutaneous transluminal coronary angioplasty (PTCA) in Victoria in 1998 (n = 12821). Interventions: Attendance at one of 66 participating outpatient cardiac rehabilitation centres in Victoria. Main outcome measures: Rates of attendance at rehabilitation based on key factors such as diagnosis, age, sex, and comorbidity. Five-year survival for attendees compared with non-attendees. Results: Rates of participation in rehabilitation were 15% for AMI, 37% for CABG, and 14% for PTCA. Rehabilitation attendance rates dropped sharply after 70 years of age. Attendees had a 35% improvement in 5-year survival (hazard ratio for death associated with rehabilitation attendance, 0.65 [95% Cl, 0.56-0.75]). Conclusions: Attendance rates at cardiac rehabilitation are suboptimal, even though attendance confers a clinically significant difference in 5-year survival. The elderly, women, and those with comorbid conditions may benefit measurably from increased rates of attendance.
引用
收藏
页码:268 / 271
页数:4
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