Open AccessSelection criteria for referral to cardiac rehabilitation centers
Author(s) -
Cesare Greco,
Giuseppe Cacciatore,
Michele Massimo Gulizia,
Luigi Martinelli,
Fabrizio Oliva,
Zoran Olivari,
Fulvia Seccareccia,
Pier Luigi Temporelli,
Stefano Urbinati,
Associazione Nazionale Medici Cardiologi Ospedalieri,
Gruppo Italiano di Cardiologia Riabilitativa
Publication year - 2015
Publication title -
monaldi archives for chest disease. pulmonary series/monaldi archives for chest disease/monaldi archives for chest disease. cardiac series
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.196
H-Index - 46
eISSN - 2465-101X
pISSN - 1122-0643
DOI - 10.4081/monaldi.2011.200
Subject(s) - rehabilitation , medicine , referral , myocardial infarction , psychological intervention , intensive care medicine , acute care , pulmonary rehabilitation , physical therapy , medical emergency , health care , family medicine , nursing , economic growth , economics
Current guidelines state that cardiac rehabilitation is indicated after the acute phase of major cardiovascular diseases and interventions; on the other hand implementation of these indications is difficult because of several barriers, i.e. the number of patients per year with an indication exceeds by far the accommodation offer of cardiac rehabilitation centers; the demand for access to cardiac rehabilitation from acute cardiac care hospitals is low because the attention is focused on the acute phase of cardiac diseases. The present Consensus Document describes the changes in clinical epidemiology of the main cardiovascular diseases, showing that complications are increasingly more frequent in the postacute phase, especially in the setting of myocardial infarction. The Joint ANMCO/IACPR-GICR Committee defines priority criteria based on clinical risk for admission to cardiac rehabilitation centers as inpatients. This Consensus Document represents, therefore, an important step forward in the search for continuity of care in high-risk patients during the post-acute phase.