Gadager, Birgitte Bitsch, Tang, Lars Hermann, Doherty, Patrick orcid.org/0000-0002-1887-0237 et al. (4 more authors) (2024) Are cardiac rehabilitation pathways influenced by diabetes:A cohort study. International Journal of Cardiology. 132275. ISSN 0167-5273
Abstract
BACKGROUND: Cardiac rehabilitation (CR) is recommended following acute coronary syndrome (ACS). Diabetes is a common long-term condition associated with ACS, and the inclusion of these patients in CR has been less studied. This study examines the referral, uptake, and completion rates in the CR pathway for ACS patients with and without diabetes to identify potential barriers in the CR pathway. METHODS: The study included patients aged 18 or above who were discharged after a diagnosis of ACS in the Central Denmark Region between 1 September 2017 and 31 August 2018. Diabetes information was obtained from three sources. Logistic regression models were used to examine the associations between having diabetes and the three outcomes: non-referral, non-uptake and non-completion. Results were reported as odds ratios (OR) with 95% confidence intervals (CI). RESULTS: A total of 2447 patients were eligible for the study, of which 457 (18.7%) had diabetes. Only non-uptake was found to be significantly associated with diabetes after adjustment for prespecified variables (OR = 1.38, 95% CI 1.01-1.90). Associations for non-referral (OR = 1.11, 95% CI 0.87-1.41) and non-completion (OR = 1.06, 95 %CI 0.73-1.53) were not found to be statistically significant between ACS patients with diabetes and those without diabetes. CONCLUSION: This study highlights a significant disparity in the uptake of CR between patients with and without diabetes following ACS, demonstrating that patients with diabetes require early promotion and increased assistance to enrol in CR.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved. |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Depositing User: | Pure (York) |
Date Deposited: | 11 Jul 2024 11:20 |
Last Modified: | 16 Oct 2024 20:01 |
Published Version: | https://doi.org/10.1016/j.ijcard.2024.132275 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1016/j.ijcard.2024.132275 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:214649 |
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