40 years of cardiac rehabilitation and secondary prevention in post cardiac ischaemic patients. Are we still in the wilderness?

Jelinek, Michael V., Thompson, David R., Ski, Chantal, Bunker, Stephen and Vale, Margarite J. (2015) 40 years of cardiac rehabilitation and secondary prevention in post cardiac ischaemic patients. Are we still in the wilderness?. International Journal of Cardiology, 179 153-159. doi:10.1016/j.ijcard.2014.10.154

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Author Jelinek, Michael V.
Thompson, David R.
Ski, Chantal
Bunker, Stephen
Vale, Margarite J.
Title 40 years of cardiac rehabilitation and secondary prevention in post cardiac ischaemic patients. Are we still in the wilderness?
Journal name International Journal of Cardiology   Check publisher's open access policy
ISSN 0167-5273
1874-1754
Publication date 2015-01-20
Year available 2014
Sub-type Article (original research)
DOI 10.1016/j.ijcard.2014.10.154
Volume 179
Start page 153
End page 159
Total pages 7
Place of publication Shannon, Co. Clare Ireland
Publisher Elsevier
Language eng
Abstract Cardiac rehabilitation (CR) is the sum of interventions required to ensure the best physical, psychological and social conditions so that patients with cardiac disease may assume their place in society and slow the progression of the disease. Exercise testing (ET) early after MI has been shown to result in earlier return to work than the non-performance of ET. Research quality CR has resulted in lower cardiovascular mortality and lower recurrent hospitalisation and has been shown to be cost-effective. However, the content of cardiac rehabilitation programmes varies considerably. The only randomised trial of CR as usually performed in the ‘real world’ showed that CR had no impact on cardiac death rates or any other outcome. Only 20–50% of eligible patients attend CR programmes and attendance at CR has not improved in the last 20 years despite major attempts to increase participation in CR. Alternative methods for provision of CR have been sought. These include home-based CR, case management approaches, and nurse coordinated prevention programmes. Telephone based programmes, such as The COACH Program, have been introduced to coach patients and improve behavioural and biomedical risk factors. These have been shown to improve risk factors better than usual patient care and to reduce recurrences of cardiac events after discharge from hospital due to MI. Expansion of novel approaches such as The COACH Program may help to counteract the non-attendance at CR.
Keyword Rehabilitation
Secondary Prevention
Coronary disease
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online: 29 October 2014.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Created: Wed, 12 Nov 2014, 00:04:57 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work