Situación actual de la rehabilitación cardiaca en Chile

Santibáñez, Claudio; Perez‐Terzic, Carmen; López-Jiménez, Francisco; Cortés-Bergoderi, Mery; Araya, María Virginia; Burdiat, Gerard

doi:10.4067/s0034-98872012000500002

Cited by 11 publications

(9 citation statements)

References 33 publications

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“…There were 4 English-language abstracts identified describing CR in Chile, Italy, Hong Kong and Mexico [29][30][31][32][33] , but the full publications were not available in…”

Section: Accepted M Manuscriptmentioning

confidence: 99%

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A Review of Cardiac Rehabilitation Delivery Around the World

Pesah

Supervía

Turk-Adawi

et al. 2017

Progress in Cardiovascular Diseases

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Herein, 28 publications describing cardiac rehabilitation (CR) delivery in 50 of the 113 countries globally suspected to deliver it are reviewed, to characterize the nature of services. Government funding was the main source of CR reimbursement in most countries (73%), with private and patient funding in about ¼ of cases.Myocardial infarction patients and those having revascularization were commonly served. The main professions delivering CR were physicians, nurses, and physiotherapists. Programs offered a median of 20 sessions, although this varied. Most programs offered the core components of exercise training, patient education and nutrition counselling. Alternative models were not commonly offered. Lack of human and/or financial resources as well as space constraints were reported as the major barriers to delivery. Overall, CR delivery has been characterized in less than half of the countries where it is offered. The nature of services delivered is fairly consistent with major CR guidelines and statements.Keywords: cardiac rehabilitation, global health, secondary prevention Alphabetical List of Abbreviations: AS= administrative support CABG = coronary artery bypass graft CB = community-based A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT2 CR = cardiac rehabilitation CPR= cardiopulmonary resuscitation CVD = cardiovascular disease ECG = electrocardiogram EQ= equipment ET = exercise training FR= financial resources HB = home-based HF = heart failure HR= human resources IA = initial assessment IB = internet-based IHD = ischemic heart disease LMIC = low-and middle-income country MI = myocardial infarction NC = nutrition counseling NZ = New Zealand PAW= patient awareness PCI = percutaneous coronary intervention PE = patient education PR= patient referral RF = risk factor management SC = smoking cessation SM = stress management and/or psychosocial support/counselling TI = transportation issues UAE = United Arab Emirates VAD = ventricular assist device A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT3 By 2030, it is expected 84 million individuals will be diagnosed with cardiovascular disease (CVD) 1 .Moreover, it is among the leading causes of disability around the world, and contributes to 10% of disabilityadjusted life years lost world-wide 2 . With improved survival (in high-income countries 3 ), clearly there is a great need for secondary prevention, such as is offered in cardiac rehabilitation (CR) programs.Many meta-analyses demonstrate that participation in CR is associated with improved quality of life, as well as decreased morbidity and mortality [4][5][6][7] . CR is also cost-effective 8 . Accordingly, it is a class 1 level A recommendation in clinical practice guidelines for CVD patients 9,10 . 19 , have established guidelines to ensure consistent provision and quality of CR delivery in order to achieve the greatest population health benefits. They all outline the nature of patients indicated for services, and make recommendations regarding the composition of a multi-disciplinary...

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“…There were 4 English-language abstracts identified describing CR in Chile, Italy, Hong Kong and Mexico [29][30][31][32][33] , but the full publications were not available in…”

Section: Accepted M Manuscriptmentioning

confidence: 99%

“…An English-language abstract was identified from a survey conducted in Chile 29,75 . The survey was completed by 7 (87%) phase II programs.…”

Section: Cr Delivery In Latin America and The Caribbeanmentioning

confidence: 99%

A Review of Cardiac Rehabilitation Delivery Around the World

Pesah

Supervía

Turk-Adawi

et al. 2017

Progress in Cardiovascular Diseases

View full text Add to dashboard Cite

show abstract

“…Esta reducción podría explicarse, en parte, por el mejor acceso a diagnóstico precoz y tratamientos de reperfusión y revascularización, al disponerse de mayores recursos para el sistema público de salud 25,28 . En la fase tardía el incremento en la sobrevida fue menor, lo que podría deberse a la falta de centros de rehabilitación cardiaca, la ausencia de una estrategia consolidada de prevención secundaria en el sector público, y a la baja indicación de estos programas en el sector privado 29,30 . La evidencia sobre el deficiente acceso a tratamientos posterior a un IAM se relaciona con peor pronós-tico en el largo plazo 31 ; también la dificultad para adoptar estilos de vida saludables que es mayor en pacientes de bajo NSE 32 .…”

Section: Discussionunclassified

Tendencia en la sobrevida de pacientes hospitalizados por infarto agudo de miocardio según nivel socioeconómico: Chile, 2002-2012

et al. 2017

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“…Se incorpora la garantía de acceso a prevención secundaria, lo que incluye profilaxis farmacológica; hipolipemiante, educación sobre hábitos de vida saludables, control adecuado de la hipertensión arterial y la diabetes. Sin embargo, a pesar de la evidencia disponible, la garantía de seguimiento no explicitó el acceso a un programa de ejercicio supervisado 10 . En nuestro país, existen PRC basados en ejercicio físico realizados en su mayoría en instituciones privadas y concentrados en la Región Metropolitana 11 .…”

Section: Introductionunclassified