Cardiac rehabilitation services: A global perspective on performance and barriers

Hendriks, Jeroen; Gallagher, Celine; Astley, Carolyn; Linz, Dominik; Gallagher, Robyn

doi:10.1016/j.ijcha.2019.100410

Cited by 9 publications

(7 citation statements)

References 18 publications

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“…Dedicated goal-setting, action planning, self-monitoring and regular feedback has also demonstrated to increase CR uptake and adherence [ 12 ]. Studies have also shown increased compliance and outcomes when CR participants receive 3–5 text messages per week containing health and lifestyle modification advice [ 24 ]. The use of mobile tracking applications and wearable devices to encourage and track physical activity is becoming more readily available and recognised in literature, with recent studies demonstrating up to 87% use adherence study participants [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Quality of life following cardiac rehabilitation in cardiac surgery patients

Lourens

Baker

Krieg

2022

J Cardiothorac Surg

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Background Undergoing cardiac surgery often result in perioperative loss of health-related quality of life (HRQOL). Although participation rates in Australia is low, cardiac rehabilitation (CR) has been demonstrated to improve patient HRQOL in cardiac patients. Literature is unclear regarding the role of CR and HRQOL in the cardiac surgery (CS) patient population. Methods A prospective non-randomised study was conducted on eligible cardiac surgery patients between December 2009 and March 2015. HRQOL was assessed using the Short Form 12 at baseline and post-operatively at 30 days and 180 days. CR participation was recorded and barriers to CR uptake was assessed using the Cardiac Rehabilitation Enrolment Obstacles (CREO) scale. Results At 180 days, 107 patients participated in CR and 111 did not participate in CR. A significant improvement from baseline mental and physical HRQOL was observed in both groups at 30 days and 180 days (p < 0.002). No significant difference between group characteristics or HRQOL was observed at any time. A trend of superior improvement in mental QOL was observed in the CR group. The study is limited by poor initial uptake (218/1772 of eligible) and may be underpowered to observe a clinical difference. A significant difference in CREO scores were observed between the two groups at 30 days (13 out of 16 questions, p < 0.001) and 180 days (11 out of 16 questions, p < 0.011). Conclusion Literature has shown that CR may improve numerous health outcomes in cardiac and CS patients, however CR uptake in Australia is low. Mental and Physical QOL is demonstrated to improve following CS, however further research is required to delineate the role of CR and QOL in CS patients. The CREO tool utilised in this study identified numerous potentially modifiable barriers to CR uptake. Specific strategies related to the survey are suggested to improve awareness, uptake, and adherence to CR, including advocacy of home-based and telehealth services.

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Section: Discussionmentioning

confidence: 99%

Quality of life following cardiac rehabilitation in cardiac surgery patients

Lourens

Baker

Krieg

2022

J Cardiothorac Surg

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“…Of these, 13 were centre-based and delivered in-person CR. One was a telehealth CR program established since 2011 [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

“…However, in regional and rural areas where 30% of the Australian population live, cancellation of secondary prevention programs, patients’ concerns about the health risks, and redeployment of CR staff to “more essential” roles were common in cardiovascular care [ 12 ]. This may have amplified the previously existing barriers to access to and engagement with centre-based CR programs and the poorer cardiovascular outcomes of people living in rural areas compared to those in major cities [ [13] , [14] , [15] , [16] ].…”

Section: Introductionmentioning

confidence: 99%

The Impact of the SARS-CoV-2 Virus (COVID-19) Pandemic and the Rapid Adoption of Telehealth for Cardiac Rehabilitation and Secondary Prevention Programs in Rural and Remote Australia: A Multi-Method Study

Champion

Clark²,

Tirimacco³

et al. 2022

Heart, Lung and Circulation

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“…The diagnosis and treatment of sleep apnea in AF patients requires a close interdisciplinary collaboration between the electrophysiologist/cardiologist and sleep-specialists, possibly within an integrated care model [22] , [23] , [24] . In clinical practice, questionnaires are often used to decide whether a formal SDB screening should be performed [25] , [26] , [27] , [28] .…”

Section: How To Screen For Sdb In Af Patientsmentioning

confidence: 99%