Availability and Characteristics of Cardiovascular Rehabilitation Programs in South America

Cortés-Bergoderi, Mery; López-Jiménez, Francisco; Herdy, Artur Haddad; Zeballos, Cecilia; Anchique, Claudia V.; Santibáñez, Claudio; Burdiat, Gerard; González, Graciela; González, Karina; Finizola, Bartolomé; Fernández, Rosalía; Paniagua, María; Thomas, Randal J.; González-Moreno, Juan; Rodriguez-Escudero, Juan P.; Perez‐Terzic, Carmen

doi:10.1097/hcr.0b013e318272153e

Cited by 53 publications

(70 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As a final point, the response rate was low in some studies (n=3, 16% <40%) 24,48,78 , and not reported in many others (n=6, 21%) 55,53,60,69,72,73 , and hence caution is warranted in generalizing results from those studies in particular.…”

Section: Accepted Manuscriptmentioning

confidence: 92%

See 1 more Smart Citation

A Review of Cardiac Rehabilitation Delivery Around the World

Pesah

Supervía

Turk-Adawi

et al. 2017

Progress in Cardiovascular Diseases

View full text Add to dashboard Cite

Herein, 28 publications describing cardiac rehabilitation (CR) delivery in 50 of the 113 countries globally suspected to deliver it are reviewed, to characterize the nature of services. Government funding was the main source of CR reimbursement in most countries (73%), with private and patient funding in about ¼ of cases.Myocardial infarction patients and those having revascularization were commonly served. The main professions delivering CR were physicians, nurses, and physiotherapists. Programs offered a median of 20 sessions, although this varied. Most programs offered the core components of exercise training, patient education and nutrition counselling. Alternative models were not commonly offered. Lack of human and/or financial resources as well as space constraints were reported as the major barriers to delivery. Overall, CR delivery has been characterized in less than half of the countries where it is offered. The nature of services delivered is fairly consistent with major CR guidelines and statements.Keywords: cardiac rehabilitation, global health, secondary prevention Alphabetical List of Abbreviations: AS= administrative support CABG = coronary artery bypass graft CB = community-based A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT2 CR = cardiac rehabilitation CPR= cardiopulmonary resuscitation CVD = cardiovascular disease ECG = electrocardiogram EQ= equipment ET = exercise training FR= financial resources HB = home-based HF = heart failure HR= human resources IA = initial assessment IB = internet-based IHD = ischemic heart disease LMIC = low-and middle-income country MI = myocardial infarction NC = nutrition counseling NZ = New Zealand PAW= patient awareness PCI = percutaneous coronary intervention PE = patient education PR= patient referral RF = risk factor management SC = smoking cessation SM = stress management and/or psychosocial support/counselling TI = transportation issues UAE = United Arab Emirates VAD = ventricular assist device A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT3 By 2030, it is expected 84 million individuals will be diagnosed with cardiovascular disease (CVD) 1 .Moreover, it is among the leading causes of disability around the world, and contributes to 10% of disabilityadjusted life years lost world-wide 2 . With improved survival (in high-income countries 3 ), clearly there is a great need for secondary prevention, such as is offered in cardiac rehabilitation (CR) programs.Many meta-analyses demonstrate that participation in CR is associated with improved quality of life, as well as decreased morbidity and mortality [4][5][6][7] . CR is also cost-effective 8 . Accordingly, it is a class 1 level A recommendation in clinical practice guidelines for CVD patients 9,10 . 19 , have established guidelines to ensure consistent provision and quality of CR delivery in order to achieve the greatest population health benefits. They all outline the nature of patients indicated for services, and make recommendations regarding the composition of a multi-disciplinary...

show abstract

Section: Accepted Manuscriptmentioning

confidence: 92%

“…In the survey in South America 73 , in addition to the healthcare providers listed in Table 1, many CR teams also included psychologists (53%), nurses (50%), and sport physicians (32%). Psychological counseling (68%) and smoking cessation (59%) were also provided as core components in most programs.…”

Section: Cr Delivery In Latin America and The Caribbeanmentioning

confidence: 99%

A Review of Cardiac Rehabilitation Delivery Around the World

Pesah

Supervía

Turk-Adawi

et al. 2017

Progress in Cardiovascular Diseases

View full text Add to dashboard Cite

show abstract

“…29 Paraguay reported a single CVR program in 2010 and had the lowest density of CVR center per inhabitants. 24,30 Similarly, Bolivia has 9 CVR centers concentrated in 3 areas, while in Peru all registered centers in 2010 were located in the capital city of Lima, of which 3 were eventually closed down due to insufficient funds and low patient referral. 30 Brazil, the largest and most populated country in LA, provides partial coverage by both the public and private healthcare systems.…”

Section: Cardiac Rehabilitation In Latin Americamentioning

confidence: 99%

“…South America (SA) has an estimated population of 393 million, 23 and only about 172 CVR programs, equivalent to one CVR program for every 2,285,768 ( Table 2). 24 For example, in 2009, the availability of CVR programs per inhabitants, a concept we have coined as CVR programs' density, is highly variable in LA. Mexico registered 17 CVR programs for a population of 106.6 million 25 while Costa Rica registered 1 CVR program for a population of 4,451,205.…”

Section: Cardiac Rehabilitation In Latin Americamentioning

confidence: 99%

“…However, some aspects of CVR are commonly available like prescribing and performing supervised exercises, monitoring, control and follow up of an exercise plan, medical evaluations, risk factor education, as well as monitoring of blood glucose and lipids. 24,25,26,29,[37][38][39] Other program components convey significant heterogeneity like smoking cessation interventions and risk assessment for depression and sleep apnea, which are all evaluations of risk factors affecting the prognosis and treatment of several cardiovascular conditions. 30,[37][38][39] Exercise stress test with oxygen consumption assessment and specific CV health programs aimed at women are performed by less than 20% of centers.…”

Section: Cardiac Rehabilitation In Latin Americamentioning

confidence: 99%

See 1 more Smart Citation