The Impact of Cardiac Rehabilitation and Secondary Prevention Programs on 12-Month Clinical Outcomes: A Linked Data Analysis

Improving the Monitoring of Cardiac Rehabilitation Delivery and Quality: A Call to Action for Australia

“…Queensland incorporates CR data into the Queensland Cardiac Outcomes Registry (QCOR) [13], and currently captures data from 43/48 public hospital outpatient CR sites. In South Australia there has been a minimum dataset and database since 2012, with three state-wide audits comprising 24 rural and metropolitan services conducted [14]. Western Australia, the Northern Territory and Tasmania reported no systematic approach in place for routinely capturing statelevel CR data.…”

Estimating the health loss due to poor engagement with cardiac rehabilitation in Australia

“…CR programs are now recommended as standard care post ST-elevated myocardial infarction (STEMI), percutaneous coronary intervention (PCI) and coronary artery bypass surgery (CABGS) in national and international guidelines [4][5][6]. However, despite these benefits and recommendations, referrals to a CR program and subsequent attendance remains low, with only a third of eligible patients referred to a CR program in Australia [7]. Of those patients referred, only 28% of patients attend CR [7], with a high proportion failing to complete [8].…”

“…However, despite these benefits and recommendations, referrals to a CR program and subsequent attendance remains low, with only a third of eligible patients referred to a CR program in Australia [7]. Of those patients referred, only 28% of patients attend CR [7], with a high proportion failing to complete [8].…”

“…Traditional CR programs in Australia comprise of face-to-face sessions with one hour of supervised exercise and one hour of education on pre-determined topics conforming to national standards [11][12][13][14]. A recent paper by Astley, Chew, Keech, Nicholls et al analysed data of 49 909 patients admitted to hospitals in South Australia with a STEMI, PCI or CABGs between 2013-2015 [7]. Of these, 15 089 (30.2%) people were referred to CR postdischarge, however, only 28.4% of those referred attended the first session [7].…”

Cardiac rehabilitation services: A global perspective on performance and barriers

“…CR programs have been operating for many decades, yet Australia faces remarkably similar issues to Iran. A recent study of approximately 50,000 hospital admissions eligible for CR between 2013 and 2015 demonstrated that only 30% were referred for CR and that the attendance rates of patients was 28%, despite the evidence that those who did attend CR had significantly less cardiovascular readmissions [12].…”