东南亚实施自动转诊的冠状动脉旁路移植术后心脏康复登记的趋势:一项回顾性队列研究。

IF 1.2 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Karen V Miralles-Resurreccion, Sherry L Grace, Lucky R Cuenza
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引用次数: 2

摘要

心脏康复(CR)是一种有效但未被充分利用的干预措施。已经确定了增加其使用的战略,但缺乏在资源匮乏环境中测试这些战略的数据。我们试图确定冠状动脉旁路移植术(CABG)后自动转诊对CR登记的影响。方法:这是一项回顾性队列研究,评估2013年至2019年在东南亚三级中心转诊的CR心脏病患者。纸质途径于2012年底引入。术后第三天自动转介CR的检查表促使护士对患者进行CR教育,启动第一阶段,并鼓励患者进入第二阶段。由于行政或临床原因不符合该途径资格的患者由主治医生酌情转诊(即常规护理)。入组定义为≥1次CR就诊的出勤率。结果:在研究期间的4792例转诊患者中,394例入组CR。与常规治疗相比,更多的患者自动入组(225例[11.8%]对169例[5.8%];OR=2.2, 95% CI=1.8-2.7), 2014年的入学率增加了23.4%(常规转诊下的平均入学率为5.9%)。结论:在资源较低的东南亚地区,自动转诊与2期CR入组人数增加两倍以上相关,尽管需要努力保持这种效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Trends in cardiac rehabilitation enrollment post-coronary artery bypass grafting upon implementation of automatic referral in Southeast Asia: A retrospective cohort study.

Trends in cardiac rehabilitation enrollment post-coronary artery bypass grafting upon implementation of automatic referral in Southeast Asia: A retrospective cohort study.

Introduction: Cardiac rehabilitation (CR) is an effective but underutilized intervention. Strategies have been identified to increase its use, but there is paucity of data testing them in low-resource settings. We sought to determine the effect of automatic referral post-coronary artery bypass graft (CABG) surgery on CR enrollment. Methods: This is a retrospective cohort study assessing cardiac patients referred to CR at a tertiary center in Southeast Asia from 2013 to 2019. The paper-based pathway was introduced at the end of 2012. The checklist with automatic CR referral on the third day post-operation prompted a nurse to educate the patient about CR, initiate phase 1 and encourage enrollment in phase 2. Patients who were not eligible for the pathway for administrative or clinical reasons were referred at the discretion of the attending physician (i.e., usual care). Enrollment was defined as attendance at≥1 CR visit. Results: Of 4792 patients referred during the study period, 394 enrolled in CR. Significantly more patients referred automatically enrolled compared to usual care (225 [11.8%] vs. 169 [5.8%]; OR=2.2, 95% CI=1.8-2.7), with increases up to 23.4% enrollment in 2014 (vs. average enrollment rate of 5.9% under usual referral). Patients who enrolled following automatic referral were significantly younger and more often employed (both P<0.001); no other differences were observed. Conclusion: In a lower-resource, Southeast Asian setting, automatic CR referral is associated with over two times greater enrollment in phase 2 CR, although efforts to maintain this effect are required.

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来源期刊
Journal of Cardiovascular and Thoracic Research
Journal of Cardiovascular and Thoracic Research CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.00
自引率
0.00%
发文量
22
审稿时长
7 weeks
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