Document Detail

Predictors of cardiac rehabilitation participation in older coronary patients.
MedLine Citation:
PMID:  1580707     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: While older coronary patients have a lower exercise capacity than younger coronary patients and have been demonstrated to improve exercise capacity to a degree similar to younger coronary patients, they are less likely to be referred to an outpatient cardiac rehabilitation program. The goal of this study was to determine demographic, medical, and psychosocial predictors of outpatient cardiac rehabilitation participation in hospitalized older post--coronary event patients. METHODS: An in-hospital-guided interview was performed by the clinical research nurse of the cardiac rehabilitation program with 226 hospitalized patients, aged 62 years and older, who had recently suffered a myocardial infarction or coronary bypass surgery. Demographic, medical, and psychosocial data were analyzed. RESULTS: Overall cardiac rehabilitation participation rate in a population with a mean age of 70.4 +/- 6 years (range, 62 to 92 years) was 21%. By multivariate analysis, the strength of the primary physician's recommendation for participation was the most powerful predictor of cardiac rehabilitation entry. Also, significant predictors of participation included commute time, patient "denial" of severity of illness, and history of depression. Medical factors such as cardiac diagnosis and left ventricular ejection fraction did not predict participation. CONCLUSIONS: Demographic, medical, and psychosocial data, collected in hospitalized post-coronary event patients are powerful predictors of subsequent participation in cardiac rehabilitation.
P A Ades; M L Waldmann; W J McCann; S O Weaver
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Archives of internal medicine     Volume:  152     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1992 May 
Date Detail:
Created Date:  1992-06-08     Completed Date:  1992-06-08     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1033-5     Citation Subset:  AIM; IM    
Division of Cardiology, University of Vermont College of Medicine, Burlington.
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MeSH Terms
Age Factors
Aged, 80 and over
Coronary Artery Bypass / psychology,  rehabilitation*
Myocardial Infarction / psychology,  rehabilitation*
Patient Acceptance of Health Care / statistics & numerical data*
Patient Compliance
Referral and Consultation
Grant Support
1 K08 AG00426-01/AG/NIA NIH HHS

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