| Trends in referral to outpatient cardiac rehabilitation in the Hunter Region of Australia, 2002-2007. | |
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MedLine Citation:
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PMID: 19675461 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Natalie A Johnson; Kerry J Inder; Steven J Bowe |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology Volume: 17 ISSN: 1741-8275 ISO Abbreviation: Eur J Cardiovasc Prev Rehabil Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-02-11 Completed Date: 2010-04-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101192000 Medline TA: Eur J Cardiovasc Prev Rehabil Country: England |
Other Details:
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Languages: eng Pagination: 77-82 Citation Subset: IM |
Affiliation:
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School of Medicine and Public Health, The University of Newcastle, Newcastle, New South Wales, Australia. Natalie.Johnson@newcastle.edu.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Ambulatory Care / trends* Chi-Square Distribution Cross-Sectional Studies Female Guideline Adherence Health Services Accessibility / trends* Heart Diseases / rehabilitation* Hospitals, Public / trends Humans Logistic Models Male Middle Aged New South Wales Odds Ratio Physician's Practice Patterns / trends* Practice Guidelines as Topic Referral and Consultation / trends* Registries Risk Factors Time Factors Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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