Open AccessCARDIAC REHABILITATION UPTAKE FOLLOWING MYOCARDIAL INFARCTION, PERCUTANEOUS CORONARY INTERVENTION AND CARDIAC SURGERY: A LOCAL SCENARIO
Author(s) -
Farzana Amir Hashmi,
Marium Sheikh
Publication year - 2016
Publication title -
pakistan journal of rehabilitation
Language(s) - English
Resource type - Journals
eISSN - 2311-3863
pISSN - 2309-7833
DOI - 10.36283/pjr.zu.5.2/010
Subject(s) - medicine , attendance , percutaneous coronary intervention , conventional pci , myocardial infarction , candidacy , rehabilitation , cardiac surgery , physical therapy , cardiology , politics , political science , law , economics , economic growth
BACKGROUNDThe suboptimal utilization of Cardiac Rehabilitation (CR) poses achallenge to health policy makers in the prevention and managementof coronary heart diseases. Therefore, there is an increasedneed to understand the factors affecting CR attendance, toreduce the wide gap between the proven benefits of CR and itsclinically low utilization.OBJECTIVETo determine attendance rate and factors affecting outpatientCR enrollmentMETHODSTotal 2267 patients were included where the eligibility criterion wasset according to broadened candidacy for CR programs. Patientswith severe functional impairment or any co-existing debilitatingmorbidities in which exercise was contraindicated were excluded.RESULTSThe mean age of patients was 57.43±12.2 years and 75.7% weremales. Out of 221 (10%) enrolled patients, 188 patients (83.2%)completed >6 weeks of outpatient CR and 49.6% patients hadundergone CABG surgery. Significant association was foundbetween CR attendance and patient’s medical diagnosis &procedure (P<0.01), ethnicity (P<0.05) and educational level(P<0.01). No association was found between CR attendance andpatient’s gender, age and employment status. Among non-attendees,58.6% had undergone PCI and 16.2% had no formaleducation.