Nature of cardiac rehabilitation around the globe

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dc.creatorMarta Supervia
dc.creatorAbraham Samuel Babu
dc.creatorClaudia Victoria Anchique Santos
dc.creatorSeng Khiong Jong
dc.creatorLucky Cuenza
dc.creatorTee Joo Yeo
dc.creatorDawn Scantlebury
dc.creatorKarl Andersen
dc.creatorGraciela Gonzalez
dc.creatorVojislav Giga
dc.creatorDusko Vulic
dc.creatorKaram Turk-Adawi
dc.creatorEleonora Vataman
dc.creatorJacqueline Cliff
dc.creatorEvangelia Kouidi
dc.creatorIlker Yagci
dc.creatorChul Kim
dc.creatorBriseida Benaim
dc.creatorEduardo Rivas Estany
dc.creatorRosalia Fernández
dc.creatorBasuni Radi
dc.creatorDan Gaita
dc.creatorFrancisco Lopez-Jimenez
dc.creatorAttila Simon
dc.creatorSsu-Yuan Chen
dc.creatorBrendon Roxburgh
dc.creatorJuan Castillo Martin
dc.creatorLela Maskhulia
dc.creatorGerard Burdiat
dc.creatorRichard Salmon
dc.creatorHermes Ilarraza Lomelí
dc.creatorMasoumeh Sadeghi
dc.creatorEliska Sovova
dc.creatorElla Pesah
dc.creatorArto Hautala
dc.creatorEgle Tamuleviciute-Prasciene
dc.creatorMarco Ambrosetti
dc.creatorLis Neubeck
dc.creatorElad Asher
dc.creatorHareld Kemps
dc.creatorZbigniew Eysymontt
dc.creatorStefan Farsky
dc.creatorJo Hayward
dc.creatorEva Prescott
dc.creatorRongjing Ding
dc.creatorSusan Dawkes
dc.creatorClaudio Santibañez
dc.creatorCecilia Zeballos
dc.creatorBruno Pavy
dc.creatorAnna Kiessling
dc.creatorNizal Sarrafzadegan
dc.creatorCarolyn Baer
dc.creatorRandal Thomas
dc.creatorDayi Hu
dc.creatorSherry Grace
dc.creatorRaquel Rodrigues Britto
dc.creatorBirna Bjarnason-Wehrens
dc.creatorWayne Derman
dc.creatorAna Abreu
dc.date.accessioned2022-03-16T01:04:47Z
dc.date.accessioned2025-09-08T23:27:50Z
dc.date.available2022-03-16T01:04:47Z
dc.date.issued2019-08
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1016/j.eclinm.2019.06.006
dc.identifier.issn2589-5370
dc.identifier.urihttps://hdl.handle.net/1843/40136
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofEClinicalMedicine
dc.rightsAcesso Aberto
dc.subjectReabilitação cardíaca
dc.subjectCoração - Doenças
dc.subjectCardiologia
dc.subjectProgramas de sáude
dc.subjectSaúde - Pesquisa
dc.subject.otherCardiac rehabilitation
dc.subject.otherNature
dc.subject.otherPreventive cardiology
dc.subject.otherGlobal health
dc.subject.otherHealth services
dc.subject.otherSurvey
dc.titleNature of cardiac rehabilitation around the globe
dc.typeArtigo de periódico
local.citation.epage56
local.citation.spage46
local.citation.volume13
local.description.resumoBackground: 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.
local.identifier.orcidhttps://orcid.org/ 0000-0002-5178-8315
local.identifier.orcidhttps://orcid.org/ 0000-0003-1084-0137
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local.identifier.orcidhttps://orcid.org/ 0000-0002-4162-7761
local.identifier.orcidhttps://orcid.org/ 0000-0002-5653-1818
local.identifier.orcidhttps://orcid.org/ 0000-0002-5023-2542
local.identifier.orcidhttps://orcid.org/ 0000-0002-5988-7369
local.identifier.orcidhttps://orcid.org/ 0000-0002-5484-6111
local.identifier.orcidhttps://orcid.org/ 0000-0002-6428-9304
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local.identifier.orcidhttps://orcid.org/ 0000-0001-7179-5558
local.identifier.orcidhttps://orcid.org/ 0000-0002-9878-4565
local.identifier.orcidhttps://orcid.org/ 0000-0003-3381-605X
local.identifier.orcidhttps://orcid.org/ 0000-0003-0272-4355
local.identifier.orcidhttps://orcid.org/0000-0001-6987-3422
local.identifier.orcidhttps://orcid.org/ 0000-0002-8352-0540
local.identifier.orcidhttps://orcid.org/ 0000-0003-1448-7182
local.identifier.orcidhttps://orcid.org/ 0000-0001-7063-3610
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local.identifier.orcidhttps://orcid.org/ 0000-0003-0786-7830
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.initialsUFMG
local.url.externahttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6733999/pdf/main.pdf

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