The Italian Survey on Cardiac Rehabilitation - 2008 (ISYDE-2008). Part 3. National availability and organization of cardiac rehabilitation facilities. Official report of the Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiolog

Tramarin, Roberto; Ambrosetti, Marco; Feo, Stefania De; Piepoli, Massimo F; Riccio, Carmine; Griffo, Raffaele

doi:10.4081/monaldi.2008.413

Cited by 12 publications

(12 citation statements)

References 13 publications

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“…In the first 61 , in addition to those shown in Table 1, other healthcare professionals on CR teams were psychologists (74%) and dietitians (62%). Sixty-eight percent of phase II programs were residential.…”

Section: Accepted M Manuscriptmentioning

confidence: 99%

“…Also interestingly, in some regions physiotherapists were a main part of the team (n=17 of 21 papers reporting staff composition, e.g., Australia, England, Scotland, Northern Ireland, Wales, Denmark, Italy, Portugal, Spain, Mexico, Bahrain, Egypt, Qatar, UAE and Canada; e.g., 24,61,66,92 ), whereas in others, exercise specialists were more common (i.e., exercise physiologists, kinesiologists; n=7 of 21 papers reporting staff composition; North America, China and the Middle East; e.g., 24,93 ). Whether this is a function of availability of training programs and hence staff to hire, reimbursement policies in the healthcare system, costs to programs, or other factors is unknown, as is the impact for patient outcomes (although there is no basis on which to assume different outcomes would be observed).…”

Section: Accepted M Manuscriptmentioning

confidence: 99%

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A Review of Cardiac Rehabilitation Delivery Around the World

Pesah

Supervía

Turk-Adawi

et al. 2017

Progress in Cardiovascular Diseases

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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...

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Section: Accepted M Manuscriptmentioning

confidence: 99%

Section: Accepted M Manuscriptmentioning

confidence: 99%

A Review of Cardiac Rehabilitation Delivery Around the World

Pesah

Supervía

Turk-Adawi

et al. 2017

Progress in Cardiovascular Diseases

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“…The number of CR programs per inhabitant (referred to as CR density) is a crude estimate of the number of patients who might have access to CR in each country . Based on national and regional surveys in high‐income countries, CR density ranges from one program per 100,000 to one program per 300,000 inhabitants . In middle‐income countries, CR density ranges from 0.9 to 6.4 million inhabitants per program …”

Section: Utilization Of Cr Globallymentioning

confidence: 99%

“…22 Based on national and regional surveys in high-income countries, CR density ranges from one program per 100,000 to one program per 300,000 inhabitants. [23][24][25] In middle-income countries, CR density ranges from 0.9 to 6.4 million inhabitants per program. 23 Given data demonstrating the cost-effectiveness of CR, 26 clearly there is a need to augment delivery of CR to ensure greater patient access and, subsequently, greater hypertension management.…”

Section: Utilization Of Cr Globallymentioning

confidence: 99%

Cardiac Rehabilitation for Hypertension Assessment and Control: Report From the International Council of Cardiovascular Prevention and Rehabilitation

Babu

Grace

2015

J of Clinical Hypertension

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The burden of cardiovascular diseases (CVDs) has been steadily rising over the past decades, with an over 40% increase globally.1 Efforts in primary and secondary prevention of CVD and its associated risk factors are required to mitigate this epidemic. One of the chief risk factors contributing to the CVD burden is hypertension, as it is a significant contributor to CVD-related morbidity and mortality. Specifically, hypertension is estimated to cause 7.5 million deaths, which is approximately 12.8% of total mortality, making it one of the top 10 leading causes for death across the world. 2,3Moreover, hypertension accounts for nearly 57 million disability-adjusted life years or 3.7% of total disabilityadjusted life years.

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“…Information regarding index events, complications during the acute phase, comorbidities, the rehabilitation programme, lifestyle, and therapies were collected. Armed with ISYDE and ICAROS pictures of "real-life" patients [7][8], health operators should now focus particular attention on pulmonary-related situations and unmet clinical needs after cardiac surgery. Data from these surveys has shown that, prior to cardiac rehabilitation admission, about 5% of patients had mechanical ventilation in the perioperative in-hospital stay, and about 4% of patients were treated for post-operative pleural effusion by means of thoracenthesis.…”

mentioning

confidence: 99%