Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Cardiac rehabilitation after acute myocardial infarction in Sweden – evaluation of programme characteristics and adherence to European guidelines : The Perfect Cardiac Rehabilitation (Perfect-CR) study

Ögmundsdottir Michelsen, Halldora LU orcid ; Sjölin, Ingela LU ; Schlyter, Mona ; Hagström, Emil ; Kiessling, Anna ; Henriksson, Peter ; Held, Claes ; Hag, Emma ; Nilsson, Lennart and Bäck, Maria , et al. (2020) In European Journal of Preventive Cardiology 27(1). p.18-27
Abstract

Background: While patient performance after participating in cardiac rehabilitation programmes after acute myocardial infarction is regularly reported through registry and survey data, information on cardiac rehabilitation programme characteristics is less well described. Aim: The aim of this study was to evaluate Swedish cardiac rehabilitation programme characteristics and adherence to European Guidelines on Cardiovascular Disease Prevention. Method: Cardiac rehabilitation programme characteristics at all 78 cardiac rehabilitation centres in Sweden in 2016 were surveyed using a web-based questionnaire (100% response rate). The questions were based on core components of cardiac rehabilitation as recommended by European Guidelines.... (More)

Background: While patient performance after participating in cardiac rehabilitation programmes after acute myocardial infarction is regularly reported through registry and survey data, information on cardiac rehabilitation programme characteristics is less well described. Aim: The aim of this study was to evaluate Swedish cardiac rehabilitation programme characteristics and adherence to European Guidelines on Cardiovascular Disease Prevention. Method: Cardiac rehabilitation programme characteristics at all 78 cardiac rehabilitation centres in Sweden in 2016 were surveyed using a web-based questionnaire (100% response rate). The questions were based on core components of cardiac rehabilitation as recommended by European Guidelines. Results: There was a wide variation in programme duration (2–14 months). All programmes reported offering an individual post-discharge visit with a nurse, and 90% (n = 70) did so within three weeks from discharge. Most programmes offered centre-based exercise training (n = 76, 97%) and group educational sessions (n = 61, 78%). All programmes reported to the national audit, SWEDEHEART, and 60% (n = 47) reported that performance was regularly assessed using audit data, to improve quality of care. Ninety-six per cent (n = 75) had a core team consisting of a cardiologist, a physiotherapist and a nurse and 76% (n = 59) reported having a medical director. Having other allied healthcare professionals included in the cardiac rehabilitation team varied. Forty per cent (n = 31) reported having regular team meetings where nurses, physiotherapists and cardiologist could discuss patient cases. Conclusion: The overall quality of cardiac rehabilitation programmes provided in Sweden is high. Still, there are several areas of potential improvement. Monitoring programme characteristics as well as patient outcomes might improve programme quality and patient outcomes both at a local and a national level.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; ; ; ; and , et al. (More)
; ; ; ; ; ; ; ; ; ; ; and (Less)
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cardiac rehabilitation, myocardial infarction, programme characteristics, secondary prevention
in
European Journal of Preventive Cardiology
volume
27
issue
1
pages
18 - 27
publisher
Oxford University Press
external identifiers
  • pmid:31349776
  • scopus:85070357158
ISSN
2047-4873
DOI
10.1177/2047487319865729
project
Evaluation and improvement of secondary prevention after myocardial infarction
language
English
LU publication?
yes
id
08e9dfca-6224-4f0f-b0af-8cac482fcbe5
date added to LUP
2019-08-26 14:50:17
date last changed
2024-04-16 17:16:17
@article{08e9dfca-6224-4f0f-b0af-8cac482fcbe5,
  abstract     = {{<p>Background: While patient performance after participating in cardiac rehabilitation programmes after acute myocardial infarction is regularly reported through registry and survey data, information on cardiac rehabilitation programme characteristics is less well described. Aim: The aim of this study was to evaluate Swedish cardiac rehabilitation programme characteristics and adherence to European Guidelines on Cardiovascular Disease Prevention. Method: Cardiac rehabilitation programme characteristics at all 78 cardiac rehabilitation centres in Sweden in 2016 were surveyed using a web-based questionnaire (100% response rate). The questions were based on core components of cardiac rehabilitation as recommended by European Guidelines. Results: There was a wide variation in programme duration (2–14 months). All programmes reported offering an individual post-discharge visit with a nurse, and 90% (n = 70) did so within three weeks from discharge. Most programmes offered centre-based exercise training (n = 76, 97%) and group educational sessions (n = 61, 78%). All programmes reported to the national audit, SWEDEHEART, and 60% (n = 47) reported that performance was regularly assessed using audit data, to improve quality of care. Ninety-six per cent (n = 75) had a core team consisting of a cardiologist, a physiotherapist and a nurse and 76% (n = 59) reported having a medical director. Having other allied healthcare professionals included in the cardiac rehabilitation team varied. Forty per cent (n = 31) reported having regular team meetings where nurses, physiotherapists and cardiologist could discuss patient cases. Conclusion: The overall quality of cardiac rehabilitation programmes provided in Sweden is high. Still, there are several areas of potential improvement. Monitoring programme characteristics as well as patient outcomes might improve programme quality and patient outcomes both at a local and a national level.</p>}},
  author       = {{Ögmundsdottir Michelsen, Halldora and Sjölin, Ingela and Schlyter, Mona and Hagström, Emil and Kiessling, Anna and Henriksson, Peter and Held, Claes and Hag, Emma and Nilsson, Lennart and Bäck, Maria and Schiopu, Alexandru and Zaman, M. Justin and Leosdottir, Margret}},
  issn         = {{2047-4873}},
  keywords     = {{Cardiac rehabilitation; myocardial infarction; programme characteristics; secondary prevention}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{18--27}},
  publisher    = {{Oxford University Press}},
  series       = {{European Journal of Preventive Cardiology}},
  title        = {{Cardiac rehabilitation after acute myocardial infarction in Sweden – evaluation of programme characteristics and adherence to European guidelines : The Perfect Cardiac Rehabilitation (Perfect-CR) study}},
  url          = {{http://dx.doi.org/10.1177/2047487319865729}},
  doi          = {{10.1177/2047487319865729}},
  volume       = {{27}},
  year         = {{2020}},
}