| Autor: |
Jug, B, Furlan, T, Ravnikar, T, Farkas Lainscak, J, Lainscak, M, Novakovic, M, Dosenovic Bonca, P, Fras, Z |
| Zdroj: |
European Journal of Preventive Cardiology; June 2024, Vol. 31 Issue: 1, Number 1 Supplement 1 |
| Abstrakt: |
Dedicated centres providing outpatient comprehensive cardiac rehabilitation (CR) programmes were established in seven (out of 15) Slovenian regional hospitals between 2017 and 2020. Implementation encompassed referral pathways, CR centre accreditation, and full reimbursement for mandatory programme content (initial and end-of-programme assessment, exercise training, risk factor and secondary prevention management, patient education and psychosocial support). In the present analysis, we sought to assess the impact of dedicated CR centres initiation on nation-wide CR uptake in patients with myocardial infarction.Data on patients hospitalised for myocardial infarction in Slovenia between 2015 and 2021 were retrospectively obtained from the Health Insurance Institute of Slovenia by linking the national hospital database and CR reimbursement claims. The impact of CR centres set-up on nation-wide CR uptake (monthly aggregated proportion of eligible patients attending CR, as ) was assessed by interrupted time series analysis with segmented regression.Of the 11,815 eligible patients, 3,819 (32.3%) attended CR. Comprehensive outpatient CR programmes initiation in 2017 was associated with a 9.7% [95%CI 6.3, 13.1] increase in level and 0.41% per month [95%CI 0.22, 0.6] increase in trend of nation-wide CR uptake, which was partially reversed by the coronavirus pandemic outbreak (–7.2% [95%CI –13.8, –0.6] drop in level). See Figure.In conclusion, systematic initiation of comprehensive regional outpatient CR programmes increased nation-wide CR uptake (which was, however, partially reversed by the coronavirus pandemic). |
| Databáze: |
Supplemental Index |
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