Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Nature of Cardiac Rehabilitation Around the Globe

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Tocilizumab and soluble interleukin-6 receptor in JAK2V617F somatic mutation and myeloproliferative neoplasm

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Two-fold risk of pneumonia and respiratory mortality in individuals with myeloproliferative neoplasm: A population-based cohort study

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Antibiotic exposure in infancy and development of BMI and body composition in childhood

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Algorithmic prediction of HIV status using nation-wide electronic registry data

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Long-Term Exposure to Air Pollution and Incidence of Myocardial Infarction: A Danish Nurse Cohort Study

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Level of Physical Activity, Left Ventricular Mass, Hypertension, and Prognosis

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Evaluation of computed tomography myocardial perfusion in women with angina and no obstructive coronary artery disease

    Research output: Contribution to journalJournal articleResearchpeer-review

  • Marta Supervia
  • Karam Turk-Adawi
  • Francisco Lopez-Jimenez
  • Ella Pesah
  • Rongjing Ding
  • Raquel R Britto
  • Birna Bjarnason-Wehrens
  • Wayne Derman
  • Ana Abreu
  • Abraham S Babu
  • Claudia Anchique Santos
  • Seng K Jong
  • Lucky Cuenza
  • Tee Joo Yeo
  • Dawn Scantlebury
  • Karl Andersen
  • Graciela Gonzalez
  • Vojislav Giga
  • Dusko Vulic
  • Eleonora Vataman
  • Jacqueline Cliff
  • Evangelia Kouidi
  • Ilker Yagci
  • Chul Kim
  • Briseida Benaim
  • Eduardo Rivas Estany
  • Rosalia Fernandez
  • Basuni Radi
  • Dan Gaita
  • Attila Simon
  • Ssu-Yuan Chen
  • Brendon Roxburgh
  • Juan Castillo Martin
  • Lela Maskhulia
  • Gerard Burdiat
  • Richard Salmon
  • Hermes Lomelí
  • Masoumeh Sadeghi
  • Eliska Sovova
  • Arto Hautala
  • Egle Tamuleviciute-Prasciene
  • Marco Ambrosetti
  • Lis Neubeck
  • Elad Asher
  • Hareld Kemps
  • Zbigniew Eysymontt
  • Stefan Farsky
  • Jo Hayward
  • Eva Prescott
  • Susan Dawkes
  • Claudio Santibanez
  • Cecilia Zeballos
  • Bruno Pavy
  • Anna Kiessling
  • Nizal Sarrafzadegan
  • Carolyn Baer
  • Randal Thomas
  • Dayi Hu
  • Sherry L Grace
View graph of relations

Background: Cardiac rehabilitation (CR) is a clinically-effective but complex model of care. The purpose of this study was to characterize the nature of CR programs around the world, in relation to guideline recommendations, and compare this by World Health Organization (WHO) region.

Methods: In this cross-sectional study, a piloted survey was administered online to CR programs globally. Cardiac associations and local champions facilitated program identification. Quality (benchmark of ≥ 75% of programs in a given country meeting each of 20 indicators) was ranked. Results were compared by WHO region using generalized linear mixed models.

Findings: 111/203 (54.7%) countries in the world offer CR; data were collected in 93 (83.8%; N = 1082 surveys, 32.1% program response rate). The most commonly-accepted indications were: myocardial infarction (n = 832, 97.4%), percutaneous coronary intervention (n = 820, 96.1%; 0.10), and coronary artery bypass surgery (n = 817, 95.8%). Most programs were led by physicians (n = 680; 69.1%). The most common CR providers (mean = 5.9 ± 2.8/program) were: nurses (n = 816, 88.1%; low in Africa, p < 0.001), dietitians (n = 739, 80.2%), and physiotherapists (n = 733, 79.3%). The most commonly-offered core components (mean = 8.7 ± 1.9 program) were: initial assessment (n = 939, 98.8%; most commonly for hypertension, tobacco, and physical inactivity), risk factor management (n = 928, 98.2%), patient education (n = 895, 96.9%), and exercise (n = 898, 94.3%; lower in Western Pacific, p < 0.01). All regions met ≥ 16/20 quality indicators, but quality was < 75% for tobacco cessation and return-to-work counseling (lower in Americas, p = < 0.05).

Interpretation: This first-ever survey of CR around the globe suggests CR quality is high. However, there is significant regional variation, which could impact patient outcomes.

Original languageEnglish
JournalEClinicalMedicine
Volume13
Pages (from-to)46-56
Number of pages11
ISSN2589-5370
DOIs
Publication statusPublished - Aug 2019

ID: 59427936