Trial reportJournal of rehabilitation medicine2007
A prospective comparison of cardiac rehabilitation enrollment following automatic vs usual referral.
Trial report in Journal of rehabilitation medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed.
- Outpatients' cardiac rehabilitation: the long-term experience of the Niguarda Hospital.International journal of cardiology. Cardiovascular risk and prevention · 2026Article
- Effectiveness of Cardiopulmonary Exercise Testing as an Incentive to Enhance Outpatient Cardiac Rehabilitation Participation in Acute Coronary Syndrome Survivors: A Study Protocol for a Randomized Controlled Trial with Determinant Analysis.Journal of clinical medicine · 2026Article
- Disparities in Geographic Access to Cardiac Rehabilitation Among Socially Vulnerable Communities.Journal of the American Heart Association · 2025Article
- Improved Cardiac Rehabilitation Referral Rate Utilizing a Multidisciplinary Quality Improvement Team.Cureus · 2024Article
- Trends in cardiac rehabilitation enrollment post-coronary artery bypass grafting upon implementation of automatic referral in Southeast Asia: A retrospective cohort study.Journal of cardiovascular and thoracic research · 2022Article
- Brazilian Cardiovascular Rehabilitation Guideline - 2020.Arquivos brasileiros de cardiologia · 2020Article
- Cardiac Rehabilitation for Women: A Systematic Review of Barriers and Solutions.Mayo Clinic proceedings · 2017Review
- Cardiac Rehabilitation for Patients With Coronary Artery Disease: A Practical Guide to Enhance Patient Outcomes Through Continuity of Care.Clinical Medicine Insights. Cardiology · 2017Article
- Smoking and cardiac rehabilitation participation: Associations with referral, attendance and adherence.Preventive medicine · 2015Review
- How do hospital administrators perceive cardiac rehabilitation in a publicly-funded health care system?BMC health services research · 2013Article
- Perceptions of cardiac rehabilitation patients, specialists and rehabilitation programs regarding cardiac rehabilitation wait times.BMC health services research · 2012Article
- Physician-related factors affecting cardiac rehabilitation referral.The journal of Tehran Heart Center · 2011Article
- Effects of cardiac rehabilitation referral strategies on referral and enrollment rates.Nature reviews. Cardiology · 2010Review
- Predictors of cardiac rehabilitation referral in coronary artery disease patients: findings from the American Heart Association's Get With The Guidelines Program.Journal of the American College of Cardiology · 2009Article
- Concordance of self- and program-reported rates of cardiac rehabilitation referral, enrollment and participation.The Canadian journal of cardiology · 2009Article
- A multisite examination of sex differences in cardiac rehabilitation barriers by participation status.Journal of women's health (2002) · 2009Article
- Contribution of patient and physician factors to cardiac rehabilitation enrollment: a prospective multilevel study.European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology · 2008Article
- Contribution of patient and physician factors to cardiac rehabilitation referral: a prospective multilevel study.Nature clinical practice. Cardiovascular medicine · 2008Article
- A prospective, controlled multisite study of psychosocial and behavioral change following women's cardiac rehabilitation participation.Journal of women's health (2002) · 2008Article
- A prospective examination of patterns and correlates of exercise maintenance in coronary artery disease patients.Journal of behavioral medicine · 2007Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
objectiveCardiac rehabilitation remains grossly under-utilized despite its proven benefits. This study prospectively compared verified cardiac rehabilitation enrollment following automatic vs usual referral, postulating that automatic referral would result in significantly greater enrollment for cardiac rehabilitation.
designProspective controlled multi-center study. PATIENTS AND
methodsA consecutive sample of 661 patients with acute coronary syndrome treated at 2 acute care centers (75% response rate) were recruited, one site with automatic referral via a computerized prompt and the other with a usual referral strategy at the physician's discretion. Cardiac rehabilitation referral was discerned in a mailed survey 9 months later (n = 506; 84% retention), and verified with 24 cardiac rehabilitation sites to which participants were referred.
resultsA total of 124 (52%) participants enrolled in cardiac rehabilitation following automatic referral, vs 84 (32%) following usual referral (p < 0.001). Automatically referred participants were more likely to be referred from an in- patient unit (p < 0.01), and to be referred in a shorter time period (p < 0.001). Logistic regression analyses revealed that, after controlling for sociodemographic characteristics and case-mix, automatically referred participants were significantly more likely to enroll in cardiac rehabilitation (odds ratio = 2.1; 95% confidence interval 1.4-3.3) than controls.
conclusionAutomatic referral resulted in over 50% verified cardiac rehabilitation enrollment; 2 times more than usual referral. It also significantly reduced utilization delays to less than one month.
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