Nature of cardiac rehabilitation around the globe

• Autor(a) principal: Marta Supervia
• Data de Publicação: 2019
• Outros Autores: Abraham Samuel Babu, Claudia Victoria Anchique Santos, Seng Khiong Jong, Lucky Cuenza, Tee Joo Yeo, Dawn Scantlebury, Karl Andersen, Graciela Gonzalez, Vojislav Giga, Dusko Vulic, Karam Turk-Adawi, Eleonora Vataman, Jacqueline Cliff, Evangelia Kouidi, Ilker Yagci, Chul Kim, Briseida Benaim, Eduardo Rivas Estany, Rosalia Fernández, Basuni Radi, Dan Gaita, Francisco Lopez-Jimenez, Attila Simon, Ssu-Yuan Chen, Brendon Roxburgh, Juan Castillo Martin, Lela Maskhulia, Gerard Burdiat, Richard Salmon, Hermes Ilarraza Lomelí, Masoumeh Sadeghi, Eliska Sovova, Ella Pesah, Arto Hautala, Egle Tamuleviciute-Prasciene, Marco Ambrosetti, Lis Neubeck, Elad Asher, Hareld Kemps, Zbigniew Eysymontt, Stefan Farsky, Jo Hayward, Eva Prescott, Rongjing Ding, Susan Dawkes, Claudio Santibañez, Cecilia Zeballos, Bruno Pavy, Anna Kiessling, Nizal Sarrafzadegan, Carolyn Baer, Randal Thomas, Dayi Hu, Sherry Grace, Raquel Rodrigues Britto, Birna Bjarnason-Wehrens, Wayne Derman, Ana Abreu
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: https://doi.org/10.1016/j.eclinm.2019.06.006; http://hdl.handle.net/1843/40136; https://orcid.org/ 0000-0002-5178-8315; https://orcid.org/ 0000-0003-1084-0137; https://orcid.org/ 0000-0002-2462-6257; https://orcid.org/ 0000-0002-6683-6439; https://orcid.org/ 0000-0001-5473-7794; https://orcid.org/ 0000-0003-1049-6321; https://orcid.org/ 0000-0002-4162-7761; https://orcid.org/ 0000-0002-5653-1818; https://orcid.org/ 0000-0002-5023-2542; https://orcid.org/ 0000-0002-5988-7369; https://orcid.org/ 0000-0002-5484-6111; https://orcid.org/ 0000-0002-6428-9304; https://orcid.org/ 0000-0003-0320-6779; https://orcid.org/ 0000-0002-8025-6211; https://orcid.org/ 0000-0002-1942-4685; https://orcid.org/ 0000-0001-7179-5558; https://orcid.org/ 0000-0002-9878-4565; https://orcid.org/ 0000-0003-3381-605X; https://orcid.org/ 0000-0003-0272-4355; https://orcid.org/0000-0001-6987-3422; https://orcid.org/ 0000-0002-8352-0540; https://orcid.org/ 0000-0003-1448-7182; https://orcid.org/ 0000-0001-7063-3610; https://orcid.org/ 0000-0002-9533-3654; https://orcid.org/ 0000-0002-8879-177X; https://orcid.org/ 0000-0003-0786-7830
• topic: Cardiac rehabilitation; Nature; Preventive cardiology; Global health; Health services; Survey; Reabilitação cardíaca; Coração - Doenças; Cardiologia; Programas de sáude; Saúde - Pesquisa

Background: Cardiac rehabilitation (CR) is a clinically-effective but complex model of care. The purpose of this study was to haracterize 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.