Trends in referral to outpatient cardiac rehabilitation in the Hunter Region of Australia, 2002-2007

Johnson, Natalie A., Inder, Kerry J. and Bowe, Steven J. 2010, Trends in referral to outpatient cardiac rehabilitation in the Hunter Region of Australia, 2002-2007, European journal of preventative cardiology, vol. 17, no. 1, pp. 77-82, doi: 10.1097/HJR.0b013e3283304060.

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Title Trends in referral to outpatient cardiac rehabilitation in the Hunter Region of Australia, 2002-2007
Author(s) Johnson, Natalie A.
Inder, Kerry J.
Bowe, Steven J.ORCID iD for Bowe, Steven J.
Journal name European journal of preventative cardiology
Volume number 17
Issue number 1
Start page 77
End page 82
Total pages 6
Publisher Sage
Place of publication London, Eng.
Publication date 2010-02
ISSN 1741-8275
Summary BACKGROUND: Cardiac rehabilitation (CR) is an underutilized evidence-based treatment. We described trends in referral to outpatient CR (OCR) and the factors associated with referral. DESIGN: Cross-sectional survey data provided by Hunter residents aged 20 years or older discharged from public hospitals in the region between 2002 and 2007 with an OCR eligible diagnosis were extracted from the Hunter New England Heart and Stroke Register database. METHODS: Trends in referral were determined using the chi test for trend. Factors associated with referral were examined using multiple logistic regression. RESULTS: Sixty-five percent (4971 of 7678) of patients provided sufficient data for inclusion in the analysis. Approximately half of the patients reported being referred to OCR. No increase over time was observed. Factors associated with referral were age less than 70 years, male sex, being married, urban residence, at least one admission to the tertiary referral hospital for cardiology, at least one admission for acute myocardial infarction, revascularization, no admissions for congestive heart failure, a self-reported history of high cholesterol, and no history of stroke or atrial fibrillation. CONCLUSION: Access to this treatment of proven benefit remained suboptimal despite the provision of new programs and expansion of existing programs. Automatic referral, which is recommended in Australia, should be standard practice.
Language eng
DOI 10.1097/HJR.0b013e3283304060
Field of Research 110299 Cardiorespiratory Medicine and Haematology not elsewhere classified
1102 Cardiovascular Medicine And Haematology
Socio Economic Objective 920103 Cardiovascular System and Diseases
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2010, The European Society of Cardiology
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Document type: Journal Article
Collection: Faculty of Health
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