1. Repositório Institucional da UFMG
2. Publicações Científicas e Culturais
3. Artigo de Periódico

Tipo:	Artigo de Periódico
Título:	Cardiac rehabilitation availability and density around the globe
Autor(es):	Karam Turk-Adawi Marta Supervia Francisco López Jiménez Ella Pesah Rongjing Ding Raquel Rodrigues Britto Birna Bjarnason-Wehrens Wayne Derman Ana Abreu Abraham Samuel Babu Claudia Victoria Anchique Santos Seng Khiong Jong Lucky Cuenza Tee Joo Yeo Dawn Scantlebury Graciela Gonzalez Vojislav Giga Dusko Vulic Eleonora Vataman 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 Ilarraza 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 Grace
Resumen:	Background: Despite the epidemic of cardiovascular disease and the benefits of cardiac rehabilitation (CR), availability is known to be insufficient, although this is not quantified. This study ascertained CR availability, volumes and its drivers, and density. Methods: A survey was administered to CR programs globally. Cardiac associations and local champions facilitated program identification. Factors associated with volumes were assessed using generalized linear mixed models, and compared by World Health Organization region. Density (i.e. annual ischemic heart disease [IHD] incidence estimate from Global Burden of Disease study divided by national CR capacity) was computed. Findings: CR was available in 111/203 (54.7%) countries; data were collected in 93 (83.8% country response; N = 1082 surveys, 32.1% program response rate). Availability by region ranged from 80.7% of countries in Europe, to 17.0% in Africa (p < .001). There were 5753 programs globally that could serve 1,655,083 patients/year, despite an estimated 20,279,651 incident IHD cases globally/year. Volume was significantly greater where patients were systematically referred (odds ratio [OR] = 1.36, 95% confidence interval [CI] = 1.35–1.38) and programs offered alternative models (OR = 1.05, 95%CI = 1.04–1.06), and significantly lower with private (OR = .92, 95%CI = .91–.93) or public (OR = .83, 95%CI = .82–84) funding compared to hybrid sources. Median capacity (i.e., number of patients a program could serve annually) was 246/program (Q25-Q75 = 150–390). The absolute density was one CR spot per 11 IHD cases in countries with CR, and 12 globally. Interpretation: CR is available in only half of countries globally. Where offered, capacity is grossly insufficient, such that most patients will not derive the benefits associated with participation.
Asunto:	Reabilitação cardíaca Densidade demográfica Cardiologia Medicina preventiva Saúde mundial Serviços de saúde
Idioma:	eng
País:	Brasil
Editor:	Universidade Federal de Minas Gerais
Sigla da Institución:	UFMG
Departamento:	EEF - DEPARTAMENTO DE FISIOTERAPIA
Tipo de acceso:	Acesso Aberto
Identificador DOI:	https://doi.org/10.1016/j.eclinm.2019.06.007
URI:	http://hdl.handle.net/1843/43185
Fecha del documento:	jul-2019
metadata.dc.url.externa:	https://www.sciencedirect.com/science/article/pii/S2589537019301002?via%3Dihub#!
metadata.dc.relation.ispartof:	eClinicalMedicine
Aparece en las colecciones:	Artigo de Periódico

Los elementos en el repositorio están protegidos por copyright, con todos los derechos reservados, salvo cuando es indicado lo contrario.