Barriers to Cardiac Rehabilitation

Abstract

Given that the benefits of CR are achieved in older patients as well as the young, interventions to overcome these modifiable barriers to enrollment and participation are needed.

Cardiac rehabilitation for heart failure: Do older people want to attend and are they referred?

“…However, on pooling all those willing to participate, regardless of preferred service model, age was no longer a significant factor. These findings are largely consistent with previous reported associations between older age and nonparticipation in cardiac rehabilitation in patients with MI and CABG [1], [2] and [3] that have often been limited to group-based outpatient cardiac rehabilitation service models and younger cohorts.…”

“…Older people participate less frequently in cardiac rehabilitation than younger cardiac patients [1], [2], [3] and [4]. Exercise training improves quality of life and reduces hospital readmission for those with heart failure [5] and international guidelines recommend cardiac rehabilitation for patients with heart failure [6].…”

Desenvolvimento e validação da versão em português da Escala de Barreiras para Reabilitação Cardíaca

“…Moreover, the nature of their barriers differs, especially among non-participants 17 . Regarding age, the fact that elderly patients are less aware of the benefits of CR and have other complaints and comorbidities result in more barriers to the treatment 19,20 . The level of schoolingcharacterizing the socioeconomic level in this study -showed to be related to participation in CR programs, as described in other studies.…”

Effects of cardiac rehabilitation referral strategies on referral and enrollment rates

“…20 the uK is the only country to establish targets for Cr utilization, where the aim is to achieve an 85% referral rate. 21 reasons for low rates of Cr utilization are multifactorial, and include health-system, [22][23][24][25] health-care provider, 7,[26][27][28][29][30][31][32][33][34] and patient level 20,22,26,29,30,[35][36][37] factors. lack of Cr referral is the most common reason given by patients when they are asked why they did not attend Cr after a cardiac event or procedure.…”