Cardiac Rehabilitation in a Rural Setting
| Autor: | Kristen M Frechette, Sheila M Conley, Terrence D Welch, Austin Tang |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Referral medicine.medical_treatment MEDLINE 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Outpatients medicine Humans Referral and Consultation Aged Retrospective Studies Inpatients Cardiac Rehabilitation Rehabilitation business.industry Cardiovascular Surgical Procedures Rural setting Percutaneous coronary intervention Retrospective cohort study Rural location Middle Aged Patient Acceptance of Health Care 030228 respiratory system Cardiovascular Diseases Physical therapy Female Rural Health Services Catchment area Patient Participation Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiopulmonary Rehabilitation and Prevention. 39:E4-E7 |
| ISSN: | 1932-7501 |
| Popis: | Purpose The cardiac rehabilitation (CR) program at Dartmouth-Hitchcock Medical Center (DHMC) devotes a nurse to the inpatient units in an attempt to optimize the referral process. This report defines the rates of referral and participation at DHMC and explores potential factors that affect participation. Methods Seven hundred ten consecutive patients who underwent percutaneous coronary intervention, coronary artery bypass grafting, or valve surgery from January 1, 2015 to June 30, 2015 were reviewed to determine whether the patient was referred for CR. Participation rates and the effect of time delay and patient-specific factors on participation were examined. Results Six hundred ninety-eight (98%) of the 710 post-procedural patients were evaluated by the inpatient rehabilitation nurse. One hundred sixty-seven patients were ineligible for outpatient therapy on the basis of established criteria; the remaining 543 patients were referred to DHMC or regional rehabilitation programs. Of those referred to the on-site program at DHMC, 84% participated. Of those referred to regional programs, 60% participated. There was an inverse correlation (r = -0.82; P = .003) between wait times and participation rates for the various programs. Conclusions Despite its rural location with a large geographic catchment area, DHMC achieves high rates of CR referral and participation. The approach used at DHMC, which includes a CR nurse working with the inpatient cardiac services, a strong level of integration with the physician community, and well-developed relationships with regional rehabilitation programs, may be helpful for those programs wishing to improve referral and participation rates. Shorter wait times between hospital discharge and initiation of rehabilitation may improve participation rates. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|