Outpatient cardiac rehabilitation attendance in England

Bethell, Hugh, Lewin, Robert, Evans, Julia, Turner, Sally, Allender, Steven and Petersen, Sophie 2008, Outpatient cardiac rehabilitation attendance in England, Journal of cardiopulmonary rehabilitation and prevention, vol. 28, no. 6, pp. 386-391.

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Title Outpatient cardiac rehabilitation attendance in England
Author(s) Bethell, Hugh
Lewin, Robert
Evans, Julia
Turner, Sally
Allender, Steven
Petersen, Sophie
Journal name Journal of cardiopulmonary rehabilitation and prevention
Volume number 28
Issue number 6
Start page 386
End page 391
Total pages 6
Publisher Lippincott Williams & Wilkins
Place of publication Philadelphia, Pa.
Publication date 2008-11
ISSN 1932-7501
1932-751X
Summary Abstract
PURPOSE:
Cardiac rehabilitation is an effective but underprovided treatment for patients recovering from acute cardiac events. The geographical spread of provision has not been investigated recently in any country. This study aimed to investigate the level of participation in cardiac rehabilitation programs of patients following myocardial infarction or revascularization (eligible patients) and the geographical equity of attendance.
METHODS:
Questionnaire data were collected from all cardiac rehabilitation centers in England for the year 2003/2004. The number of patients attending rehabilitation was compared with eligible patients across the 9 Government Office Regions of England as indicated by Hospital Episode Statistics.
RESULTS:
Nationally, 29% of eligible patients attended rehabilitation, while within various regions, the proportion of eligible patients participating in rehabilitation ranged between 14% (95% CI, 13.2-14.3) and 37% (95% CI, 36.6-37.6). Participation also differed significantly by primary cardiac event: myocardial infarction, 25%; percutaneous coronary intervention, 24%; and coronary artery bypass surgery, 66% (P < .001).
CONCLUSION:
The participation rate of eligible patients in cardiac rehabilitation was low in all regions. There were large differences between regions with widely varying incidence of attendance in different parts of the country.
Notes Cover date Nov-Dec 2008
Language eng
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
HERDC collection year 2008
Copyright notice ©2008, Lippincott Williams & Wilkins
Persistent URL http://hdl.handle.net/10536/DRO/DU:30020464

Document type: Journal Article
Collection: Public Health Research, Evaluation, and Policy Cluster
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