Attendance rates and outcomes of cardiac rehabilitation in Victoria, 1998
Objective: To describe the patterns of use of cardiac rehabilitation in Victoria and to assess whether the survival benefits predicted in clinical trials have been realised in the community. Design: Cohort study based on data linkage. Participants: All patients admitted for acute myocardial infarcti...
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| Veröffentlicht in: | Medical journal of Australia 2004-03, Vol.180 (6), p.268-271 |
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| creator | Sundararajan, Vijaya Begg, Stephen Marshall, Ric Bunker, Stephen J McBurney, Helen |
| description | Objective: To describe the patterns of use of cardiac rehabilitation in Victoria and to assess whether the survival benefits predicted in clinical trials have been realised in the community.
Design: Cohort study based on data linkage.
Participants: All patients admitted for acute myocardial infarction (AMI), coronary artery bypass grafting (CABG) or percutaneous transluminal coronary angioplasty (PTCA) in Victoria in 1998 (n = 12 821).
Interventions: Attendance at one of 66 participating outpatient cardiac rehabilitation centres in Victoria.
Main outcome measures: Rates of attendance at rehabilitation based on key factors such as diagnosis, age, sex, and comorbidity. Five‐year survival for attendees compared with non‐attendees.
Results: Rates of participation in rehabilitation were 15% for AMI, 37% for CABG, and 14% for PTCA. Rehabilitation attendance rates dropped sharply after 70 years of age. Attendees had a 35% improvement in 5‐year survival (hazard ratio for death associated with rehabilitation attendance, 0.65 [95% CI, 0.56–0.75]).
Conclusions: Attendance rates at cardiac rehabilitation are suboptimal, even though attendance confers a clinically significant difference in 5‐year survival. The elderly, women, and those with comorbid conditions may benefit measurably from increased rates of attendance. |
| doi_str_mv | 10.5694/j.1326-5377.2004.tb05923.x |
| format | Article |
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Design: Cohort study based on data linkage.
Participants: All patients admitted for acute myocardial infarction (AMI), coronary artery bypass grafting (CABG) or percutaneous transluminal coronary angioplasty (PTCA) in Victoria in 1998 (n = 12 821).
Interventions: Attendance at one of 66 participating outpatient cardiac rehabilitation centres in Victoria.
Main outcome measures: Rates of attendance at rehabilitation based on key factors such as diagnosis, age, sex, and comorbidity. Five‐year survival for attendees compared with non‐attendees.
Results: Rates of participation in rehabilitation were 15% for AMI, 37% for CABG, and 14% for PTCA. Rehabilitation attendance rates dropped sharply after 70 years of age. Attendees had a 35% improvement in 5‐year survival (hazard ratio for death associated with rehabilitation attendance, 0.65 [95% CI, 0.56–0.75]).
Conclusions: Attendance rates at cardiac rehabilitation are suboptimal, even though attendance confers a clinically significant difference in 5‐year survival. The elderly, women, and those with comorbid conditions may benefit measurably from increased rates of attendance.</description><identifier>ISSN: 0025-729X</identifier><identifier>EISSN: 1326-5377</identifier><identifier>DOI: 10.5694/j.1326-5377.2004.tb05923.x</identifier><identifier>PMID: 15012563</identifier><identifier>CODEN: MJAUAJ</identifier><language>eng</language><publisher>Sydney: Australasian Medical Publishing Company</publisher><subject>Adult ; Age ; Aged ; Aged, 80 and over ; Angioplasty ; Angioplasty, Balloon, Coronary - mortality ; Angioplasty, Balloon, Coronary - rehabilitation ; Biological and medical sciences ; Cardiovascular diseases ; Coronary Artery Bypass - mortality ; Coronary Artery Bypass - rehabilitation ; Coronary Disease - mortality ; Coronary Disease - rehabilitation ; Coronary Disease - surgery ; Datasets ; Exercise ; Female ; General aspects ; Health surveillance ; Heart attacks ; Hospitals ; Humans ; Logistic Models ; Male ; Medical Record Linkage ; Medical sciences ; Middle Aged ; Multivariate Analysis ; Myocardial Infarction - mortality ; Myocardial Infarction - rehabilitation ; Patient Acceptance of Health Care ; Proportional Hazards Models ; Prospective Studies ; Regression analysis ; Rehabilitation ; Survival Rate ; Victoria - epidemiology</subject><ispartof>Medical journal of Australia, 2004-03, Vol.180 (6), p.268-271</ispartof><rights>2004 AMPCo Pty Ltd. All rights reserved</rights><rights>2004 INIST-CNRS</rights><rights>Copyright 2004 The Medical Journal of Australia</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4303-34b3ddb3bb43ec99e034a6e1703d1d367a27176ba33a0a87784c791ab7a233ba3</citedby><cites>FETCH-LOGICAL-c4303-34b3ddb3bb43ec99e034a6e1703d1d367a27176ba33a0a87784c791ab7a233ba3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.5694%2Fj.1326-5377.2004.tb05923.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.5694%2Fj.1326-5377.2004.tb05923.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15573651$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15012563$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sundararajan, Vijaya</creatorcontrib><creatorcontrib>Begg, Stephen</creatorcontrib><creatorcontrib>Marshall, Ric</creatorcontrib><creatorcontrib>Bunker, Stephen J</creatorcontrib><creatorcontrib>McBurney, Helen</creatorcontrib><title>Attendance rates and outcomes of cardiac rehabilitation in Victoria, 1998</title><title>Medical journal of Australia</title><addtitle>Med J Aust</addtitle><description>Objective: To describe the patterns of use of cardiac rehabilitation in Victoria and to assess whether the survival benefits predicted in clinical trials have been realised in the community.
Design: Cohort study based on data linkage.
Participants: All patients admitted for acute myocardial infarction (AMI), coronary artery bypass grafting (CABG) or percutaneous transluminal coronary angioplasty (PTCA) in Victoria in 1998 (n = 12 821).
Interventions: Attendance at one of 66 participating outpatient cardiac rehabilitation centres in Victoria.
Main outcome measures: Rates of attendance at rehabilitation based on key factors such as diagnosis, age, sex, and comorbidity. Five‐year survival for attendees compared with non‐attendees.
Results: Rates of participation in rehabilitation were 15% for AMI, 37% for CABG, and 14% for PTCA. Rehabilitation attendance rates dropped sharply after 70 years of age. Attendees had a 35% improvement in 5‐year survival (hazard ratio for death associated with rehabilitation attendance, 0.65 [95% CI, 0.56–0.75]).
Conclusions: Attendance rates at cardiac rehabilitation are suboptimal, even though attendance confers a clinically significant difference in 5‐year survival. The elderly, women, and those with comorbid conditions may benefit measurably from increased rates of attendance.</description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angioplasty</subject><subject>Angioplasty, Balloon, Coronary - mortality</subject><subject>Angioplasty, Balloon, Coronary - rehabilitation</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular diseases</subject><subject>Coronary Artery Bypass - mortality</subject><subject>Coronary Artery Bypass - rehabilitation</subject><subject>Coronary Disease - mortality</subject><subject>Coronary Disease - rehabilitation</subject><subject>Coronary Disease - surgery</subject><subject>Datasets</subject><subject>Exercise</subject><subject>Female</subject><subject>General aspects</subject><subject>Health surveillance</subject><subject>Heart attacks</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical Record Linkage</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Myocardial Infarction - mortality</subject><subject>Myocardial Infarction - rehabilitation</subject><subject>Patient Acceptance of Health Care</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>Regression analysis</subject><subject>Rehabilitation</subject><subject>Survival Rate</subject><subject>Victoria - epidemiology</subject><issn>0025-729X</issn><issn>1326-5377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkMFu1DAQhi0EokvhFaqoEpxIanvieM1tVbXQqlUvgLhZY8erepWNi-2I9u3xshGteuvJHs_3j0cfIceMNqJT7cmmYcC7WoCUDae0bbKhQnFo7l-Rxf_Wa7KglItacvXrgLxLaVNKJrh8Sw6YoIyLDhbkYpWzG3scrasiZpcqHPsqTNmGbSnCurIYe4-2iu4WjR98xuzDWPmx-ultDtHj54optXxP3qxxSO7DfB6SH-dn30-_1Vc3Xy9OV1e1bYFCDa2BvjdgTAvOKuUotNg5Jin0rIdOIpdMdgYBkOJSymVrpWJoSgOgPB-ST_u5dzH8nlzKeuuTdcOAowtT0iXNOVVdAY-fgZswxbHspjkUkUDlskBf9pCNIaXo1vou-i3GB82o3tnWG71TqndK9c62nm3r-xI-mn-YzNb1j9FZbwE-zgAmi8M6Fs8-PeGEhE6wwq323B8_uIcXrKCvL1f83x3-ApH8muQ</recordid><startdate>20040315</startdate><enddate>20040315</enddate><creator>Sundararajan, Vijaya</creator><creator>Begg, Stephen</creator><creator>Marshall, Ric</creator><creator>Bunker, Stephen J</creator><creator>McBurney, Helen</creator><general>Australasian Medical Publishing Company</general><general>Australasian Medical Publishing Company Proprietary, Ltd</general><scope>IQODW</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>7X8</scope></search><sort><creationdate>20040315</creationdate><title>Attendance rates and outcomes of cardiac rehabilitation in Victoria, 1998</title><author>Sundararajan, Vijaya ; Begg, Stephen ; Marshall, Ric ; Bunker, Stephen J ; McBurney, Helen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4303-34b3ddb3bb43ec99e034a6e1703d1d367a27176ba33a0a87784c791ab7a233ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angioplasty</topic><topic>Angioplasty, Balloon, Coronary - mortality</topic><topic>Angioplasty, Balloon, Coronary - rehabilitation</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular diseases</topic><topic>Coronary Artery Bypass - mortality</topic><topic>Coronary Artery Bypass - rehabilitation</topic><topic>Coronary Disease - mortality</topic><topic>Coronary Disease - rehabilitation</topic><topic>Coronary Disease - surgery</topic><topic>Datasets</topic><topic>Exercise</topic><topic>Female</topic><topic>General aspects</topic><topic>Health surveillance</topic><topic>Heart attacks</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical Record Linkage</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Myocardial Infarction - mortality</topic><topic>Myocardial Infarction - rehabilitation</topic><topic>Patient Acceptance of Health Care</topic><topic>Proportional Hazards Models</topic><topic>Prospective Studies</topic><topic>Regression analysis</topic><topic>Rehabilitation</topic><topic>Survival Rate</topic><topic>Victoria - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sundararajan, Vijaya</creatorcontrib><creatorcontrib>Begg, Stephen</creatorcontrib><creatorcontrib>Marshall, Ric</creatorcontrib><creatorcontrib>Bunker, Stephen J</creatorcontrib><creatorcontrib>McBurney, Helen</creatorcontrib><collection>Pascal-Francis</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>MEDLINE - Academic</collection><jtitle>Medical journal of Australia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sundararajan, Vijaya</au><au>Begg, Stephen</au><au>Marshall, Ric</au><au>Bunker, Stephen J</au><au>McBurney, Helen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Attendance rates and outcomes of cardiac rehabilitation in Victoria, 1998</atitle><jtitle>Medical journal of Australia</jtitle><addtitle>Med J Aust</addtitle><date>2004-03-15</date><risdate>2004</risdate><volume>180</volume><issue>6</issue><spage>268</spage><epage>271</epage><pages>268-271</pages><issn>0025-729X</issn><eissn>1326-5377</eissn><coden>MJAUAJ</coden><abstract>Objective: To describe the patterns of use of cardiac rehabilitation in Victoria and to assess whether the survival benefits predicted in clinical trials have been realised in the community.
Design: Cohort study based on data linkage.
Participants: All patients admitted for acute myocardial infarction (AMI), coronary artery bypass grafting (CABG) or percutaneous transluminal coronary angioplasty (PTCA) in Victoria in 1998 (n = 12 821).
Interventions: Attendance at one of 66 participating outpatient cardiac rehabilitation centres in Victoria.
Main outcome measures: Rates of attendance at rehabilitation based on key factors such as diagnosis, age, sex, and comorbidity. Five‐year survival for attendees compared with non‐attendees.
Results: Rates of participation in rehabilitation were 15% for AMI, 37% for CABG, and 14% for PTCA. Rehabilitation attendance rates dropped sharply after 70 years of age. Attendees had a 35% improvement in 5‐year survival (hazard ratio for death associated with rehabilitation attendance, 0.65 [95% CI, 0.56–0.75]).
Conclusions: Attendance rates at cardiac rehabilitation are suboptimal, even though attendance confers a clinically significant difference in 5‐year survival. The elderly, women, and those with comorbid conditions may benefit measurably from increased rates of attendance.</abstract><cop>Sydney</cop><pub>Australasian Medical Publishing Company</pub><pmid>15012563</pmid><doi>10.5694/j.1326-5377.2004.tb05923.x</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Age Aged Aged, 80 and over Angioplasty Angioplasty, Balloon, Coronary - mortality Angioplasty, Balloon, Coronary - rehabilitation Biological and medical sciences Cardiovascular diseases Coronary Artery Bypass - mortality Coronary Artery Bypass - rehabilitation Coronary Disease - mortality Coronary Disease - rehabilitation Coronary Disease - surgery Datasets Exercise Female General aspects Health surveillance Heart attacks Hospitals Humans Logistic Models Male Medical Record Linkage Medical sciences Middle Aged Multivariate Analysis Myocardial Infarction - mortality Myocardial Infarction - rehabilitation Patient Acceptance of Health Care Proportional Hazards Models Prospective Studies Regression analysis Rehabilitation Survival Rate Victoria - epidemiology |
| title | Attendance rates and outcomes of cardiac rehabilitation in Victoria, 1998 |
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