Cardiac rehabilitation for patients with heart failure: a national Danish register-based study of predictors of referral and outcomes
| Autor: | Janne Schurmann Tolstrup, K. la Cour, Teresa Holmberg, Kirstine Lærum Sibilitz, Lau Caspar Thygesen, Claus Vinther Nielsen, Anne Nakano, Hasnain M Dalal, Morten Grønbæk, Kenneth Egstrup, Charlotte Glümer, Ann-Dorthe Zwisler, Lars Køber, Rod S Taylor, Line Zinckernagel |
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| Rok vydání: | 2021 |
| Předmět: |
Advanced and Specialized Nursing
Register based medicine.medical_specialty Rehabilitation Ejection fraction Referral Cost effectiveness business.industry medicine.medical_treatment medicine.disease language.human_language Danish Medical–Surgical Nursing Heart failure Emergency medicine language Medicine Myocardial infarction Cardiology and Cardiovascular Medicine business |
| Zdroj: | Thygesen, L C, Zinckernagel, L, Dalal, H, Egstrup, K, Glumer, C, Gronbaek, M, Holmberg, T, Kober, L, La Cour, K, Nakano, A, Nielsen, C V, Sibilitz, K L, Tolstrup, J S, Zwisler, A D & Taylor, R S 2021, ' Cardiac rehabilitation for patients with heart failure: a national Danish register-based study of predictors of referral and outcomes ', European journal of cardiovascular nursing, vol. 20, no. Suppl. 1, pp. 76 . https://doi.org/10.1093/eurjcn/zvab060.071 |
| ISSN: | 1873-1953 1474-5151 |
| DOI: | 10.1093/eurjcn/zvab060.071 |
| Popis: | Funding Acknowledgements Type of funding sources: Foundation. Main funding source(s): The Danish Heart Foundation Background Heart failure (HF) places a large burden on patients and society as a major cause of morbidity, mortality and healthcare costs. Participation in exercise-based cardiac rehabilitation (CR) in people with HF is a clinically and cost-effective strategy and recommended in international clinical guidelines. Purpose The aims of this study were to: (1) examine the temporal trends and predictors of national CR referral, and (2) compare the risk of hospital readmission and mortality in those referred for CR compared to no referral. Methods All patients in Denmark with incident HF were identified by the Danish Heart Failure Register in the period 2010 to 2018 (n = 33,257) and CR referral assessed within 120 days of hospital admission. Multivariable logistic regression models were used to evaluate the association between CR referral and predictors and to compare risk of hospital readmission and mortality until 1 year between referred and not referred patients. Results Overall, 45.0% of HF patients were referred to exercise-based CR, increasing from 31.7% in 2010 to 52.2% in 2018. Factors independently associated with higher CR referral were: NYHA functional class II, LVEF Conclusions Although CR referral has increased over time, only some 1 in 2 diagnosed HF patients in Denmark are referred to exercise-based CR. CR referral is associated with lower risk in readmissions and mortality. Strategies to promote CR referral including healthcare professional education on the benefits of CR and alternative methods of CR delivery are urgently needed to improve access to CR, especially for high-risk groups. |
| Databáze: | OpenAIRE |
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