2018 ACC/AHA Clinical Performance and Quality Measures for Cardiac Rehabilitation: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures

Thomas, Randal J.; Balady, Gary J.; Banka, Gaurav; Beckie, Theresa M.; Chiu, Jensen; Gokak, Sana; Ho, P. Michael; Keteyian, Steven J.; King, Marjorie L.; Lui, Karen; Pack, Quinn R.; Sanderson, Bonnie; Wang, Tracy Y.

doi:10.1161/hcq.0000000000000037

Cited by 143 publications

(157 citation statements)

References 64 publications

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“…The EAPC of the ESC is undergoing a quality of care programme aiming to develop and implement an accreditation of clinical centres providing primary prevention, secondary prevention and rehabilitation, and sports cardiology, to be applied in ESC-related countries. 191 The ACC/AHA review updated the clinical performance and quality measures for CR, 192 considering the following CR performance measures:…”

Section: How To Monitor Preventive Activities: Standard Of Performancementioning

confidence: 99%

Update on cardiovascular prevention in clinical practice: A position paper of the European Association of Preventive Cardiology of the European Society of Cardiology

Piepoli

Abreu

Albus

et al. 2019

Eur J Prev Cardiolog

178

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European guidelines on cardiovascular prevention in clinical practice were first published in 1994 and have been regularly updated, most recently in 2016, by the Sixth European Joint Task Force. Given the amount of new information that has become available since then, components from the task force and experts from the European Association of Preventive Cardiology of the European Society of Cardiology were invited to provide a summary and critical review of the most important new studies and evidence since the latest guidelines were published. The structure of the document follows that of the previous document and has six parts: Introduction (epidemiology and cost effectiveness); Cardiovascular risk; How to intervene at the population level; How to intervene at the individual level; Disease-specific interventions; and Settings: where to intervene? In fact, in keeping with the guidelines, greater emphasis has been put on a population-based approach and on disease-specific interventions, avoiding re-interpretation of information already and previously considered. Finally, the presence of several gaps in the knowledge is highlighted.

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Section: How To Monitor Preventive Activities: Standard Of Performancementioning

confidence: 99%

Update on cardiovascular prevention in clinical practice: A position paper of the European Association of Preventive Cardiology of the European Society of Cardiology

Piepoli

Abreu

Albus

et al. 2019

Eur J Prev Cardiolog

178

View full text Add to dashboard Cite

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“…However, the increase in referral rates has not translated into an increase in participation rates 39. Currently, in the United States only about half of cardiac patients are referred for rehabilitation 3940. About 35% of patients with a history of an acute myocardial infarction report having attended a cardiac rehabilitation program, a rate that has been relatively stable over the past 10 years 39.…”

Section: Cardiovascular Disease and Cardiac Rehabilitationmentioning

confidence: 99%

Advances in rehabilitation for chronic diseases: improving health outcomes and function

Richardson

Franklin

Moy

et al. 2019

BMJ

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Much of the burden on healthcare systems is related to the management of chronic conditions such as cardiovascular disease and chronic obstructive pulmonary disease. Although conventional outpatient cardiopulmonary rehabilitation programs significantly decrease morbidity and mortality and improve function and health related quality of life for people with chronic diseases, rehabilitation programs are underused. Barriers to enrollment are multifactorial and include failure to recommend and refer patients to these services; poor communication with patients about potential benefits; and patient factors including logistical and financial barriers, comorbidities, and competing demands that make participation in facility based programs difficult. Recent advances in rehabilitation programs that involve remotely delivered technology could help deliver services to more people who might benefit. Problems with intensity, adherence, and safety of home based programs have been investigated in recent clinical trials, and larger dissemination and implementation trials are under way. This review summarizes the evidence for benefit of in-person cardiac and pulmonary rehabilitation programs. It also reviews the literature on newer developments, such as home based remotely mediated exercise programs developed to decrease cost and improve accessibility, high intensity interval training in cardiac rehabilitation, and alternative therapies such as tai chi and yoga for people with chronic obstructive pulmonary disease.

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“…Both the control and WMI groups participated in a CR programme in a rural community following PCI or CABS at a tertiary medical centre. All CR programmes, including CR programmes in this study, provide care based on national standards set forth by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR; Thomas et al, ; Thomas et al, ). The 12‐week WMI was initiated within 2 weeks after cardiac revascularisation.…”

Section: Methodsmentioning

confidence: 99%

Weight management telehealth intervention for overweight and obese rural cardiac rehabilitation participants: A randomised trial

Barnason

Zimmerman

Schulz

et al. 2019

Journal of Clinical Nursing

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Aims and Objectives To determine whether a weight management intervention (WMI) plus cardiac rehabilitation (CR) compared to CR alone improves outcomes for overweight and obese cardiac revascularisation patients. Background Despite participating in cardiac rehabilitation (CR), few cardiac patients lose enough weight to achieve clinically significant cardiovascular disease risk reduction. Design A randomised controlled design was used with measurements at baseline, 4 and 6 months, guided by the CONSORT checklist, see Supporting Information File S1. Adults who had undergone either coronary artery bypass surgery (CABS) or percutaneous coronary intervention (PCI) and participated in a rural CR programmes were recruited. Subjects were randomised to a 12‐week telehealth WMI or control group. The primary outcome was weight loss. Secondary outcomes included physical activity, patient activation, perceived self‐efficacy and use of weight management behaviours. Results A total of 43 subjects participated, with a mean age of 63 (±9.3) years. The WMI group had significantly more weight loss averaged across the 4 and 6 months of 13.8 (±2.8) pounds compared to the control group [mean = 7.8 (±2.2) pounds]. There were no significant differences in physical activity (activity counts or daily minutes in moderate or more intense activity). The WMI group had significantly higher levels of patient activation. They also had significantly higher total scores on the Diet and Exercise Self‐Management survey, and subscales that included self‐efficacy for specific eating habits and managing diet behaviour. Conclusions Findings demonstrated the usefulness and feasibility of using telehealth delivery of the WMI for cardiac rehabilitation participants in rural communities to improve weight management outcomes. Relevance to Practice Study findings underscore the opportunity to further improve weight loss of overweight and obese cardiac participants using a weight management intervention to augment CR participation.

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2018 ACC/AHA Clinical Performance and Quality Measures for Cardiac Rehabilitation: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures

Cited by 143 publications

References 64 publications

Update on cardiovascular prevention in clinical practice: A position paper of the European Association of Preventive Cardiology of the European Society of Cardiology

Update on cardiovascular prevention in clinical practice: A position paper of the European Association of Preventive Cardiology of the European Society of Cardiology

Advances in rehabilitation for chronic diseases: improving health outcomes and function

Weight management telehealth intervention for overweight and obese rural cardiac rehabilitation participants: A randomised trial

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