Factors associated with non-Attendance at exercise-based cardiac rehabilitation
(2019) In BMC Sports Science, Medicine and Rehabilitation 11(1).- Abstract
Background: Despite its well-established positive effects, exercise-based cardiac rehabilitation (exCR) is underused in patients following an acute myocardial infarction (AMI). The aim of the study was to identify factors associated with non-Attendance at exCR in patients post-AMI in a large Swedish cohort. Methods: A total of 31,297 patients who have suffered an AMI, mean age 62.4 ± 4 years, were included from the SWEDEHEART registry during the years 2010-2016. Comparisons between attenders and non-Attenders at exCR were done at baseline for the following variables: Age, sex, body mass index, occupational status, smoking, previous diseases, type of index cardiac event and intervention, and left ventricular function. Distance of... (More)
Background: Despite its well-established positive effects, exercise-based cardiac rehabilitation (exCR) is underused in patients following an acute myocardial infarction (AMI). The aim of the study was to identify factors associated with non-Attendance at exCR in patients post-AMI in a large Swedish cohort. Methods: A total of 31,297 patients who have suffered an AMI, mean age 62.4 ± 4 years, were included from the SWEDEHEART registry during the years 2010-2016. Comparisons between attenders and non-Attenders at exCR were done at baseline for the following variables: Age, sex, body mass index, occupational status, smoking, previous diseases, type of index cardiac event and intervention, and left ventricular function. Distance of residence from the hospital and type of hospital were added as structural variables in logistic regression analyses, with non-Attendance at exCR at one-year follow-up as dependent, and with individual and structural variables as independent variables. Results: In total, 16,214 (52%) of the patients did not attend exCR. The strongest predictor for non-Attendance was distance to the exCR centre (OR 1.75 [95% CI: 1.64-1.86]). Other predictors for non-Attendance included smoking, history of stroke, percutaneous coronary intervention (PCI), coronary artery bypass grafting (CABG), AMI or diabetes, male sex, being retired vs. being employed, and being followed-up at a county hospital. Patients with ST-elevation myocardial infarction (STEMI) and those intervened with PCI or CABG were more likely to attend exCR. Conclusions: A distance greater than 16 km was associated with increased probability of non-Attendance at exCR, as were smoking, a higher burden of comorbidities, and male sex. A better understanding of individual and structural factors can support the development of future rehabilitation services.
(Less)
- author
- Borg, Sabina ; Öberg, Birgitta ; Leosdottir, Margret LU ; Lindolm, Daniel ; Nilsson, Lennart and Bäck, Maria
- organization
- publishing date
- 2019-07-26
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Acute myocardial infarction, Coronary artery disease, Exercise-based cardiac rehabilitation, Non-Attendance, Physiotherapy, Secondary prevention
- in
- BMC Sports Science, Medicine and Rehabilitation
- volume
- 11
- issue
- 1
- article number
- 13
- publisher
- BioMed Central (BMC)
- external identifiers
-
- pmid:31372231
- scopus:85069955100
- ISSN
- 2052-1847
- DOI
- 10.1186/s13102-019-0125-9
- language
- English
- LU publication?
- yes
- id
- f5245688-cbce-4875-9646-66751929f5ce
- date added to LUP
- 2019-08-28 16:46:06
- date last changed
- 2024-04-16 18:12:09
@article{f5245688-cbce-4875-9646-66751929f5ce,
abstract = {{<p>Background: Despite its well-established positive effects, exercise-based cardiac rehabilitation (exCR) is underused in patients following an acute myocardial infarction (AMI). The aim of the study was to identify factors associated with non-Attendance at exCR in patients post-AMI in a large Swedish cohort. Methods: A total of 31,297 patients who have suffered an AMI, mean age 62.4 ± 4 years, were included from the SWEDEHEART registry during the years 2010-2016. Comparisons between attenders and non-Attenders at exCR were done at baseline for the following variables: Age, sex, body mass index, occupational status, smoking, previous diseases, type of index cardiac event and intervention, and left ventricular function. Distance of residence from the hospital and type of hospital were added as structural variables in logistic regression analyses, with non-Attendance at exCR at one-year follow-up as dependent, and with individual and structural variables as independent variables. Results: In total, 16,214 (52%) of the patients did not attend exCR. The strongest predictor for non-Attendance was distance to the exCR centre (OR 1.75 [95% CI: 1.64-1.86]). Other predictors for non-Attendance included smoking, history of stroke, percutaneous coronary intervention (PCI), coronary artery bypass grafting (CABG), AMI or diabetes, male sex, being retired vs. being employed, and being followed-up at a county hospital. Patients with ST-elevation myocardial infarction (STEMI) and those intervened with PCI or CABG were more likely to attend exCR. Conclusions: A distance greater than 16 km was associated with increased probability of non-Attendance at exCR, as were smoking, a higher burden of comorbidities, and male sex. A better understanding of individual and structural factors can support the development of future rehabilitation services.</p>}},
author = {{Borg, Sabina and Öberg, Birgitta and Leosdottir, Margret and Lindolm, Daniel and Nilsson, Lennart and Bäck, Maria}},
issn = {{2052-1847}},
keywords = {{Acute myocardial infarction; Coronary artery disease; Exercise-based cardiac rehabilitation; Non-Attendance; Physiotherapy; Secondary prevention}},
language = {{eng}},
month = {{07}},
number = {{1}},
publisher = {{BioMed Central (BMC)}},
series = {{BMC Sports Science, Medicine and Rehabilitation}},
title = {{Factors associated with non-Attendance at exercise-based cardiac rehabilitation}},
url = {{http://dx.doi.org/10.1186/s13102-019-0125-9}},
doi = {{10.1186/s13102-019-0125-9}},
volume = {{11}},
year = {{2019}},
}