Attendance at cardiac rehabilitation is associated with lower all-cause mortality after 14 years of follow-up

Beauchamp, Alison, Worcester, Marian, Ng, Andrew, Murphy, Barbara, Tatoulis, James, Grigg, Leeanne, Newman, Robert and Goble, Alan 2013, Attendance at cardiac rehabilitation is associated with lower all-cause mortality after 14 years of follow-up, Heart, vol. 99, no. 9, pp. 620-625, doi: 10.1136/heartjnl-2012-303022.

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Title Attendance at cardiac rehabilitation is associated with lower all-cause mortality after 14 years of follow-up
Author(s) Beauchamp, AlisonORCID iD for Beauchamp, Alison
Worcester, Marian
Ng, Andrew
Murphy, Barbara
Tatoulis, James
Grigg, Leeanne
Newman, Robert
Goble, Alan
Journal name Heart
Volume number 99
Issue number 9
Start page 620
End page 625
Total pages 6
Publisher BMJ Group
Place of publication London, England
Publication date 2013
ISSN 1355-6037
Keyword(s) cardiac rehabilitation
all-cause mortality
Summary Objective To investigate whether attendance at cardiac rehabilitation (CR) independently predicts all-cause mortality over 14 years and whether there is a dose–response relationship between the proportion of CR sessions attended and long-term mortality.

Design Retrospective cohort study.

Setting CR programmes in Victoria, Australia

Patients The sample comprised 544 men and women eligible for CR following myocardial infarction, coronary artery bypass surgery or percutaneous interventions. Participants were tracked 4 months after hospital discharge to ascertain CR attendance status.

Main outcome measures All-cause mortality at 14 years ascertained through linkage to the Australian National Death Index.

Results In total, 281 (52%) men and women attended at least one CR session. There were few significant differences between non-attenders and attenders. After adjustment for age, sex, diagnosis, employment, diabetes and family history, the mortality risk for non-attenders was 58% greater than for attenders (HR=1.58, 95% CI 1.16 to 2.15). Participants who attended <25% of sessions had a mortality risk more than twice that of participants attending ≥75% of sessions (OR=2.57, 95% CI 1.04 to 6.38). This association was attenuated after adjusting for current smoking (OR=2.06, 95% CI 0.80 to 5.29).

Conclusions This study provides further evidence for the long-term benefits of CR in a contemporary, heterogeneous population. While a dose–response relationship may exist between the number of sessions attended and long-term mortality, this relationship does not occur independently of smoking differences. CR practitioners should encourage smokers to attend CR and provide support for smoking cessation.
Language eng
DOI 10.1136/heartjnl-2012-303022
Field of Research 110201 Cardiology (incl Cardiovascular Diseases)
110321 Rehabilitation and Therapy (excl Physiotherapy)
110706 Immunogenetics (incl Genetic Immunology)
Socio Economic Objective 920102 Cancer and Related Disorders
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2013, BMJ Group
Persistent URL

Document type: Journal Article
Collection: Population Health
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