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Bispebjerg Hospital - a part of Copenhagen University Hospital
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Offering, participation and adherence to cardiac rehabilitation programmes in the elderly: a European comparison based on the EU-CaRE multicentre observational study

Research output: Contribution to journalJournal articlepeer-review

DOI

  1. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice

    Research output: Contribution to journalJournal article

  • Violeta González-Salvado
  • Carlos Peña-Gil
  • Óscar Lado-Baleato
  • Carmen Cadarso-Suárez
  • Guillermo Prada-Ramallal
  • Eva Prescott
  • Matthias Wilhelm
  • Prisca Eser
  • Marie-Christine Iliou
  • Uwe Zeymer
  • Diego Ardissino
  • Wendy Bruins
  • Astrid E van der Velde
  • Arnoud W J Van't Hof
  • Ed P de Kluiver
  • Evelien K Kolkman
  • Leonie Prins
  • José Ramón González Juanatey
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AIMS: Cardiac rehabilitation (CR) is strongly recommended but participation of elderly patients has not been well characterized. This study aims to analyse current rates and determinants of CR referral, participation, adherence, and compliance in a contemporary European cohort of elderly patients.

METHODS AND RESULTS: The EU-CaRE observational study included data from consecutive patients aged ≥ 65 with acute coronary syndrome, revascularization, stable coronary artery disease, or heart valve replacement, recruited in eight European centres. Rates and factors determining offering, participation, and adherence to CR programmes and compliance with training sessions were studied across centres, under consideration of extensive-outpatient vs. intensive-inpatient programmes. Three thousand, four hundred, and seventy-one patients were included in the offering and participation analysis. Cardiac rehabilitation was offered to 80.8% of eligible patients, formal contraindications being the main reason for not offering CR. Mean participation was 68.0%, with perceived lack of usefulness and transport issues being principal barriers. Mean adherence to CR programmes of participants in the EU-CaRE study (n = 1663) was 90.3%, with hospitalization/physical impairment as principal causes of dropout. Mean compliance with training sessions was 86.1%. Older age was related to lower offering and participation, and comorbidity was associated with lower offering, participation, adherence, and compliance. Intensive-inpatient programmes displayed higher adherence (97.1% vs. 85.9%, P < 0.001) and compliance (full compliance: 66.0% vs. 38.8%, P < 0.001) than extensive-outpatient programmes.

CONCLUSION: In this European cohort of elderly patients, older age and comorbidity tackled patients' referral and uptake of CR programmes. Intensive-inpatient CR programmes showed higher completion than extensive-outpatient CR programmes, suggesting this formula could suit some elderly patients.

Original languageEnglish
JournalEuropean Journal of Preventive Cardiology
Volume28
Issue number5
Pages (from-to)558-568
Number of pages11
ISSN2047-4873
DOIs
Publication statusPublished - 14 May 2021

Bibliographical note

Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2021. For permissions, please email: journals.permissions@oup.com.

    Research areas

  • Aged, Cardiac Rehabilitation, Cardiac Surgical Procedures, Cohort Studies, Coronary Artery Disease, Humans, Patient Compliance

ID: 74540416