Abstract 17894: Factors Associated with Cardiac Rehabilitation Attendance in Patients with Coronary Heart Disease in Europe: Results from EUROASPIRE III Survey
Objective: To describe patient characteristics and lifestyle and risk factor management in coronary patients participating in cardiac rehabilitation programme (CRP) compared to those who do not.
Methods: The EUROASPIRE III survey was conducted in 2006-2007 in 76 centres from 22 European countries. Consecutive patients aged ≤ 80 years with the following diagnoses - coronary artery bypass grafting (CABG), percutaneous coronary intervention (PCI), acute myocardial infarction, and acute myocardial ischaemia- were identified from hospital records and interviewed and examined at least 6 months after their coronary event.
Results: A total of 13,935 medical records were reviewed and 8,966 patients interviewed (participation rate 73%). Overall, 44.8% of patients were advised to participate in a CRP and 81.4% of these patients attended at least one session; (36.5% of the whole study population). There were wide variations between countries and diagnostic categories, ranging from 0% in Greece to 85.4% in Lithuania, and from 15.9% in the Ischaemia group to 68.1% in the CABG group. Characteristics associated with participation in a CRP included younger age, male sex, higher educational level, CABG as a recruiting index event and a history of previous PCI or angina pectoris. Those who were smokers at the time of their coronary event were less likely to attend a CRP. Patients participated in a CRP had significantly lower prevalence of smoking, better control of total cholesterol and LDL-cholesterol and higher use of beta-blockers, ACE inhibitors/ARBs and lipid-lowering drugs. There was no association between participation in a CRP, the prevalence of obesity and glucose and blood pressure control.
Conclusions: Only one third of all coronary patients reported attending a CRP. Although the control of smoking, cholesterol and the use of cardioprotective medication was better in those who attended a CPR many patients had not achieved the lifestyle and risk factor targets. There is an urgent need of comprehensive, multidisciplinary rehabilitation programmes addressing all aspects of the lifestyle, other risk factors and therapeutic management and a health care system which invests in prevention.
- Cardiac rehabilitation
- Coronary heart disease
- Cardiovascular disease prevention
- Risk factors
- Disease management
- © 2011 by American Heart Association, Inc.