Fell, Jenny orcid.org/0000-0002-2200-3275, Dale, Veronica orcid.org/0000-0003-3783-2030 and Doherty, Patrick orcid.org/0000-0002-1887-0237 (2016) Does the timing of cardiac rehabilitation impact fitness outcomes?:An observational analysis. Open Heart. e000369. ISSN 2053-3624
Abstract
OBJECTIVES: To ascertain the characteristics associated with delayed cardiac rehabilitation (CR) and determine if an association between CR timing and fitness outcomes exists in patients receiving routine care. METHODS: The study used data from the UK National Audit of Cardiac Rehabilitation, a data set which captures information on routine CR practice and patient outcomes. Data from 1 January 2012 to 8 September 2015 were included. Logistic regression models were used to explore the relationship between timing of CR and fitness-related outcomes as measured by patient-reported exercise level (150 min/week: yes/no), Dartmouth quality of life physical fitness scale and the incremental shuttle-walk test. RESULTS: Based on UK data current CR practice shows that programmes do not always adhere to recommendations on the start of prompt CR, that is, start CR within 28 days of referral (42 days for coronary artery bypass graft (CABG)). Wait time exceeded recommendations in postmyocardial infarction (post-MI), elective percutaneous coronary intervention (PCI), MI-PCI and post-CABG surgery patients. This was particularly pronounced in the medically managed post-MI group, median wait time 40 days. Furthermore, statistical analysis revealed that delayed CR significantly impacts fitness outcomes. For every 1-day increase in CR wait time, patients were 1% less likely to improve across all fitness-related measures (p<0.05). CONCLUSIONS: With the potential for suboptimal patient outcome if starting CR is delayed, efforts should be made to identify and overcome barriers to timely CR provision.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | This content is made available by the publisher under a Creative Commons Attribution Licence. This means that a user may copy, distribute and display the resource providing that they give credit. Users must adhere to the terms of the licence. |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Funding Information: | Funder Grant number BRITISH HEART FOUNDATION UNSPECIFIED |
Depositing User: | Pure (York) |
Date Deposited: | 25 Feb 2016 14:45 |
Last Modified: | 21 Jan 2025 17:19 |
Published Version: | https://doi.org/10.1136/openhrt-2015-000369 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1136/openhrt-2015-000369 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:95424 |
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Filename: Early_CR_Open_Heart_2016_Fell_Harrison_Doherty.pdf
Description: Early CR Open Heart-2016-Fell Harrison Doherty