ArticleHeart (British Cardiac Society)1999
Cardiac rehabilitation: socially deprived patients are less likely to attend but patients ineligible for thrombolysis are less likely to be invited.
Article in Heart (British Cardiac Society), 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.
- A systematic review of patient reported factors associated with uptake and completion of cardiovascular lifestyle behaviour change.BMC cardiovascular disorders · 2012Pooled it
- Prognostic Value of Serial N-Terminal Pro-Brain Natriuretic Peptide Testing in Patients With Acute Myocardial Infarction.The American journal of cardiology · 2017Article
- Predictors of Cardiac Rehabilitation Utilization in England: Results From the National Audit.Journal of the American Heart Association · 2016Article
- The impact of social deprivation on mortality following acute myocardial infarction, stroke or subarachnoid haemorrhage: a record linkage study.BMC cardiovascular disorders · 2015Article
- Long-term survival among older patients with myocardial infarction differs by educational level: results from the MONICA/KORA myocardial infarction registry.International journal for equity in health · 2014Article
- Low-educated women with chronic pain were less often selected to multidisciplinary rehabilitation programs.PloS one · 2014Article
- Geographic issues in cardiac rehabilitation utilization: a narrative review.Health & place · 2010Article
- Drive time to cardiac rehabilitation: at what point does it affect utilization?International journal of health geographics · 2010Article
- Contribution of patient and physician factors to cardiac rehabilitation referral: a prospective multilevel study.Nature clinical practice. Cardiovascular medicine · 2008Article
- Neighborhood income and individual education: effect on survival after myocardial infarction.Mayo Clinic proceedings · 2008Article
- Ethnicity and cardiovascular disease prevention in the United Kingdom: a practical approach to management.Journal of human hypertension · 2007Review
- Improving evidence based cardiac care and policy implementation over the patient journey: the potential of coronary heart disease registers.Heart (British Cardiac Society) · 2005Article
- Unmet health needs in patients with coronary heart disease: implications and potential for improvement in caring services.Health and quality of life outcomes · 2003Article
- Use of cardiac rehabilitation among patients following coronary artery bypass surgery.Heart (British Cardiac Society) · 2001Article
- Elevated concentrations of macrophage colony stimulating factor predict worse in-hospital prognosis in unstable angina.Heart (British Cardiac Society) · 2001Article
- Symptom expectations and delay in acute myocardial infarction patients.Heart (British Cardiac Society) · 2001Article
- Capacity and equity in cardiac rehabilitation in the eastern region: good and bad news.Irish journal of medical scienceArticle
- Effect of Socioeconomic Status on Propensity to Change Risk Behaviors Following Myocardial Infarction: Implications for Healthy Lifestyle Medicine.Progress in cardiovascular diseasesReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify factors associated with the uptake of cardiac rehabilitation following acute myocardial infarction.
designRetrospective analysis using multivariate logistic regression modelling.
settingTwo large teaching hospitals in Nottingham. PATIENTS: Cohorts of patients admitted with acute myocardial infarction in 1992 and 1996.
interventionsNone.
main outcome measuresFactors in multivariate analysis found to be associated with attendance at cardiac rehabilitation. Use of secondary prevention in those who were and were not invited and those who did and did not attend cardiac rehabilitation.
results58% of all patients were offered cardiac rehabilitation. Attendance rates were 60% in 1992 and 74% in 1996. Invitations were more likely to be offered to younger patients, those who had received thrombolysis, and to patients admitted to one of the two Nottingham hospitals. Use of secondary prevention was only 48% in 1992 but this increased to 80% in 1996. Patients not receiving secondary prevention were less likely to be invited to cardiac rehabilitation. Social deprivation was the only factor significantly associated with poor uptake of cardiac rehabilitation in both years. There was no difference in the use of secondary prevention between those who did and did not attend cardiac rehabilitation.
conclusionThose invited to attend a cardiac rehabilitation programme are likely to be in a good prognosis group, comprising those who are young and have received thrombolysis. Those at greatest risk, particularly patients from socially deprived areas, seem to be missing out on the potential benefits of cardiac rehabilitation. High risk patients should be specifically targeted to ensure that they are invited to, and encouraged to, attend a programme of cardiac rehabilitation.
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Registered trials
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