NSF for CHD: 3 years of 12-month follow-up audit after cardiac rehabilitation
Background The coronary heart disease (CHD) National Service Framework (NSF) sets standards and milestones. For acute myocardial infarction (AMI) or coronary revascularization, ‘Milestone 3, of Standard 12 requires that, by April 2002, every hospital should have clinical audit data no more than 12 m...
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| Veröffentlicht in: | Journal of public health (Oxford, England) England), 2006-03, Vol.28 (1), p.35-38 |
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| creator | Evans, Julia A. Bethell, Hugh J. N. Turner, Sally C. |
| description | Background The coronary heart disease (CHD) National Service Framework (NSF) sets standards and milestones. For acute myocardial infarction (AMI) or coronary revascularization, ‘Milestone 3, of Standard 12 requires that, by April 2002, every hospital should have clinical audit data no more than 12 months old showing ‘total number and % of those recruited to cardiac rehabilitation who, one year after discharge, report: regular physical activity of at least 30 minutes duration on average five times a week, not smoking and a Body Mass Index (BMI) of |
| doi_str_mv | 10.1093/pubmed/fdi064 |
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N. ; Turner, Sally C.</creator><creatorcontrib>Evans, Julia A. ; Bethell, Hugh J. N. ; Turner, Sally C.</creatorcontrib><description>Background The coronary heart disease (CHD) National Service Framework (NSF) sets standards and milestones. For acute myocardial infarction (AMI) or coronary revascularization, ‘Milestone 3, of Standard 12 requires that, by April 2002, every hospital should have clinical audit data no more than 12 months old showing ‘total number and % of those recruited to cardiac rehabilitation who, one year after discharge, report: regular physical activity of at least 30 minutes duration on average five times a week, not smoking and a Body Mass Index (BMI) of <30 kg/m2’. This study looked at cost, method and practicalities of retrieving this data. Methods A postal questionnaire was used to follow-up coronary patients who started our cardiac rehabilitation programme between 1 April 2001 and 31 March 2004. The project was costed. Results Three hundred and seventy-five (33 per cent) AMI patients, 412 (36 per cent) coronary artery bypass grafting (CABG) patients and 343 (30 per cent) percutaneous coronary intervention (PCI) patients entered the cardiac rehabilitation programme over 3 years. Completed questionnaires were received from 903 (80 per cent). Post-AMI patients or those stratified as high risk for further cardiac events were least likely to respond. Of responders, 74 per cent were exercising regularly, 95 per cent were not smoking and 79 per cent had a BMI <30 kg/m2. Conclusion Targets for smoking and BMI set by the NSF are too low and were achieved by most patients before the start of cardiac rehabilitation. Patients who are post-AMI or are stratified as high risk need to be targeted if a high level of follow-up is to be achieved.</description><identifier>ISSN: 1741-3842</identifier><identifier>EISSN: 1741-3850</identifier><identifier>DOI: 10.1093/pubmed/fdi064</identifier><identifier>PMID: 16251258</identifier><identifier>CODEN: JPHME9</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Body Mass Index ; cardiac rehabilitation ; Cardiovascular diseases ; Continuity of Patient Care ; Coronary Disease - economics ; Coronary Disease - epidemiology ; Coronary Disease - physiopathology ; Coronary Disease - rehabilitation ; England - epidemiology ; Ex-smokers ; Exercise ; Followup studies ; Health services ; Humans ; Motor Activity - physiology ; Myocardial infarction ; Myocardial Infarction - economics ; Myocardial Infarction - epidemiology ; Myocardial Infarction - physiopathology ; Myocardial Infarction - rehabilitation ; NSF ; Patient Compliance ; Risk Assessment ; smoking ; Smoking Cessation ; State Medicine - standards ; Surveys and Questionnaires ; Utilization Review</subject><ispartof>Journal of public health (Oxford, England), 2006-03, Vol.28 (1), p.35-38</ispartof><rights>Faculty of Public Health 2006</rights><rights>Copyright Oxford University Press(England) Mar 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c456t-f699744bda679980c3e1d3a51e355ef955385dc8b5e922e509c76ac9247ee6c13</citedby><cites>FETCH-LOGICAL-c456t-f699744bda679980c3e1d3a51e355ef955385dc8b5e922e509c76ac9247ee6c13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/45242044$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/45242044$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,31000,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16251258$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Evans, Julia A.</creatorcontrib><creatorcontrib>Bethell, Hugh J. N.</creatorcontrib><creatorcontrib>Turner, Sally C.</creatorcontrib><title>NSF for CHD: 3 years of 12-month follow-up audit after cardiac rehabilitation</title><title>Journal of public health (Oxford, England)</title><addtitle>J Public Health</addtitle><description>Background The coronary heart disease (CHD) National Service Framework (NSF) sets standards and milestones. For acute myocardial infarction (AMI) or coronary revascularization, ‘Milestone 3, of Standard 12 requires that, by April 2002, every hospital should have clinical audit data no more than 12 months old showing ‘total number and % of those recruited to cardiac rehabilitation who, one year after discharge, report: regular physical activity of at least 30 minutes duration on average five times a week, not smoking and a Body Mass Index (BMI) of <30 kg/m2’. This study looked at cost, method and practicalities of retrieving this data. Methods A postal questionnaire was used to follow-up coronary patients who started our cardiac rehabilitation programme between 1 April 2001 and 31 March 2004. The project was costed. Results Three hundred and seventy-five (33 per cent) AMI patients, 412 (36 per cent) coronary artery bypass grafting (CABG) patients and 343 (30 per cent) percutaneous coronary intervention (PCI) patients entered the cardiac rehabilitation programme over 3 years. Completed questionnaires were received from 903 (80 per cent). Post-AMI patients or those stratified as high risk for further cardiac events were least likely to respond. Of responders, 74 per cent were exercising regularly, 95 per cent were not smoking and 79 per cent had a BMI <30 kg/m2. Conclusion Targets for smoking and BMI set by the NSF are too low and were achieved by most patients before the start of cardiac rehabilitation. Patients who are post-AMI or are stratified as high risk need to be targeted if a high level of follow-up is to be achieved.</description><subject>Body Mass Index</subject><subject>cardiac rehabilitation</subject><subject>Cardiovascular diseases</subject><subject>Continuity of Patient Care</subject><subject>Coronary Disease - economics</subject><subject>Coronary Disease - epidemiology</subject><subject>Coronary Disease - physiopathology</subject><subject>Coronary Disease - rehabilitation</subject><subject>England - epidemiology</subject><subject>Ex-smokers</subject><subject>Exercise</subject><subject>Followup studies</subject><subject>Health services</subject><subject>Humans</subject><subject>Motor Activity - physiology</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - economics</subject><subject>Myocardial Infarction - epidemiology</subject><subject>Myocardial Infarction - physiopathology</subject><subject>Myocardial Infarction - rehabilitation</subject><subject>NSF</subject><subject>Patient Compliance</subject><subject>Risk Assessment</subject><subject>smoking</subject><subject>Smoking Cessation</subject><subject>State Medicine - standards</subject><subject>Surveys and Questionnaires</subject><subject>Utilization Review</subject><issn>1741-3842</issn><issn>1741-3850</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqF0c1vFCEYBnBiNLZWj14NMdHb2JePFwZvzWq7alsPfsR4ISzDpKyzywpMtP-9Y2azGi-eIPDLSx4eQh4zeMHAiNPduNqE7rTvIih5hxwzLVkjWoS7h73kR-RBKWsAbjjgfXLEFEfGsT0mV9cfzmmfMl0sX72kgt4GlwtNPWW82aRtvZkuhyH9aMYddWMXK3V9DZl6l7voPM3hxq3iEKurMW0fknu9G0p4tF9PyKfz1x8Xy-by_cWbxdll4yWq2vTKGC3lqnNKG9OCF4F1wiELAjH0BnEK0Pl2hcFwHhCM18p5w6UOQXkmTsjzee4up-9jKNVuYvFhGNw2pLFYpZVBYPy_EDVIFCAn-PQfuE5j3k4hLOcgWAtMTKiZkc-plBx6u8tx4_KtZWB_t2HnNuzcxuSf7IfOxwe9__4JPJvButSU_57GBWgrkUsOUv55OJYafh6cy9-mqEKjXX75as1n8xavL97ZK_EL_eGfGA</recordid><startdate>200603</startdate><enddate>200603</enddate><creator>Evans, Julia A.</creator><creator>Bethell, Hugh J. N.</creator><creator>Turner, Sally C.</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>200603</creationdate><title>NSF for CHD: 3 years of 12-month follow-up audit after cardiac rehabilitation</title><author>Evans, Julia A. ; Bethell, Hugh J. N. ; Turner, Sally C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c456t-f699744bda679980c3e1d3a51e355ef955385dc8b5e922e509c76ac9247ee6c13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Body Mass Index</topic><topic>cardiac rehabilitation</topic><topic>Cardiovascular diseases</topic><topic>Continuity of Patient Care</topic><topic>Coronary Disease - economics</topic><topic>Coronary Disease - epidemiology</topic><topic>Coronary Disease - physiopathology</topic><topic>Coronary Disease - rehabilitation</topic><topic>England - epidemiology</topic><topic>Ex-smokers</topic><topic>Exercise</topic><topic>Followup studies</topic><topic>Health services</topic><topic>Humans</topic><topic>Motor Activity - physiology</topic><topic>Myocardial infarction</topic><topic>Myocardial Infarction - economics</topic><topic>Myocardial Infarction - epidemiology</topic><topic>Myocardial Infarction - physiopathology</topic><topic>Myocardial Infarction - rehabilitation</topic><topic>NSF</topic><topic>Patient Compliance</topic><topic>Risk Assessment</topic><topic>smoking</topic><topic>Smoking Cessation</topic><topic>State Medicine - standards</topic><topic>Surveys and Questionnaires</topic><topic>Utilization Review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Evans, Julia A.</creatorcontrib><creatorcontrib>Bethell, Hugh J. N.</creatorcontrib><creatorcontrib>Turner, Sally C.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of public health (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Evans, Julia A.</au><au>Bethell, Hugh J. N.</au><au>Turner, Sally C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>NSF for CHD: 3 years of 12-month follow-up audit after cardiac rehabilitation</atitle><jtitle>Journal of public health (Oxford, England)</jtitle><addtitle>J Public Health</addtitle><date>2006-03</date><risdate>2006</risdate><volume>28</volume><issue>1</issue><spage>35</spage><epage>38</epage><pages>35-38</pages><issn>1741-3842</issn><eissn>1741-3850</eissn><coden>JPHME9</coden><abstract>Background The coronary heart disease (CHD) National Service Framework (NSF) sets standards and milestones. For acute myocardial infarction (AMI) or coronary revascularization, ‘Milestone 3, of Standard 12 requires that, by April 2002, every hospital should have clinical audit data no more than 12 months old showing ‘total number and % of those recruited to cardiac rehabilitation who, one year after discharge, report: regular physical activity of at least 30 minutes duration on average five times a week, not smoking and a Body Mass Index (BMI) of <30 kg/m2’. This study looked at cost, method and practicalities of retrieving this data. Methods A postal questionnaire was used to follow-up coronary patients who started our cardiac rehabilitation programme between 1 April 2001 and 31 March 2004. The project was costed. Results Three hundred and seventy-five (33 per cent) AMI patients, 412 (36 per cent) coronary artery bypass grafting (CABG) patients and 343 (30 per cent) percutaneous coronary intervention (PCI) patients entered the cardiac rehabilitation programme over 3 years. Completed questionnaires were received from 903 (80 per cent). Post-AMI patients or those stratified as high risk for further cardiac events were least likely to respond. Of responders, 74 per cent were exercising regularly, 95 per cent were not smoking and 79 per cent had a BMI <30 kg/m2. Conclusion Targets for smoking and BMI set by the NSF are too low and were achieved by most patients before the start of cardiac rehabilitation. Patients who are post-AMI or are stratified as high risk need to be targeted if a high level of follow-up is to be achieved.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>16251258</pmid><doi>10.1093/pubmed/fdi064</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Body Mass Index cardiac rehabilitation Cardiovascular diseases Continuity of Patient Care Coronary Disease - economics Coronary Disease - epidemiology Coronary Disease - physiopathology Coronary Disease - rehabilitation England - epidemiology Ex-smokers Exercise Followup studies Health services Humans Motor Activity - physiology Myocardial infarction Myocardial Infarction - economics Myocardial Infarction - epidemiology Myocardial Infarction - physiopathology Myocardial Infarction - rehabilitation NSF Patient Compliance Risk Assessment smoking Smoking Cessation State Medicine - standards Surveys and Questionnaires Utilization Review |
| title | NSF for CHD: 3 years of 12-month follow-up audit after cardiac rehabilitation |
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