학술논문
Cardiac Rehabilitation Availability and Density around the Globe
Document Type
article
Author
Karam Turk-Adawi; Marta Supervia; Francisco Lopez-Jimenez; Ella Pesah; Rongjing Ding; Raquel R. Britto; Birna Bjarnason-Wehrens; Wayne Derman; Ana Abreu; Abraham S. Babu; Claudia Anchique Santos; Seng Khiong Jong; Lucky Cuenza; Tee Joo Yeo; Dawn Scantlebury; Karl Andersen; Graciela Gonzalez; Vojislav Giga; Dusko Vulic; Eleonora Vataman; Jacqueline Cliff; Evangelia Kouidi; Ilker Yagci; Chul Kim; Briseida Benaim; Eduardo Rivas Estany; Rosalia Fernandez; Basuni Radi; Dan Gaita; Attila Simon; Ssu-Yuan Chen; Brendon Roxburgh; Juan Castillo Martin; Lela Maskhulia; Gerard Burdiat; Richard Salmon; Hermes Lomelí; Masoumeh Sadeghi; Eliska Sovova; Arto Hautala; Egle Tamuleviciute-Prasciene; Marco Ambrosetti; Lis Neubeck; Elad Asher; Hareld Kemps; Zbigniew Eysymontt; Stefan Farsky; Jo Hayward; Eva Prescott; Susan Dawkes; Claudio Santibanez; Cecilia Zeballos; Bruno Pavy; Anna Kiessling; Nizal Sarrafzadegan; Carolyn Baer; Randal Thomas; Dayi Hu; Sherry L. Grace
Source
EClinicalMedicine, Vol 13, Iss , Pp 31-45 (2019)
Subject
Language
English
ISSN
2589-5370
Abstract
Background: Despite the epidemic of cardiovascular disease and the benefits of cardiac rehabilitation (CR), availability is known to be insufficient, although this is not quantified. This study ascertained CR availability, volumes and its drivers, and density. Methods: A survey was administered to CR programs globally. Cardiac associations and local champions facilitated program identification. Factors associated with volumes were assessed using generalized linear mixed models, and compared by World Health Organization region. Density (i.e. annual ischemic heart disease [IHD] incidence estimate from Global Burden of Disease study divided by national CR capacity) was computed. Findings: CR was available in 111/203 (54.7%) countries; data were collected in 93 (83.8% country response; N = 1082 surveys, 32.1% program response rate). Availability by region ranged from 80.7% of countries in Europe, to 17.0% in Africa (p