ArticleJournal of the American College of Cardiology2009
Predictors of cardiac rehabilitation referral in coronary artery disease patients: findings from the American Heart Association's Get With The Guidelines Program.
Article in Journal of the American College of Cardiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
93 citing papers in PubMed, 3 syntheses or guidelines pooled it, 280 citations in OpenAlex.
- A systematic review of provider-and system-level factors influencing the delivery of cardiac rehabilitation for heart failure.BMC health services research · 2021Pooled it
- Holistic services for people with advanced disease and chronic breathlessness: a systematic review and meta-analysis.Thorax · 2019Pooled it
- Disparities in Cardiac Rehabilitation Among Individuals from Racial and Ethnic Groups and Rural Communities-A Systematic Review.Journal of racial and ethnic health disparities · 2019Pooled it
- Goal setting among older adults starting mobile health cardiac rehabilitation in the RESILIENT trial.Journal of the American Geriatrics Society · 2024Trial
- Successful Implementation and Development of a Phase II Cardiac Rehabilitation Program: A China-Wide Cross-Sectional Study Tracking In-service Training Clinical Staff.Frontiers in public health · 2021Trial
- The effect of an educational intervention on coronary artery bypass graft surgery patients' participation rate in cardiac rehabilitation programs: a controlled health care trial.BMC cardiovascular disorders · 2011Trial
- Examining the effect of a patient navigation intervention on outpatient cardiac rehabilitation awareness and enrollment.Journal of cardiopulmonary rehabilitation and preventionTrial
- Sequential pattern transformer (SPT): a generative and interpretable framework for predicting disease trajectories.Neural computing & applications · 2026Article
- Exercise prescriptions for ischemic cardiomyopathy: a scoping review.Heart failure reviews · 2025Article
- Cardiac Rehabilitation in the Modern Era: Evidence, Equity, and Evolving Delivery Models Across the Cardiovascular Spectrum.Journal of clinical medicine · 2025Review
- Implementation of a Clinical Decision Support Tool to Improve Cardiac Rehabilitation Referral.Journal of cardiopulmonary rehabilitation and prevention · 2025Article
- Retrospective Comparison of Outcomes and Cost of Virtual Versus Center-Based Cardiac Rehabilitation Programs.Journal of the American Heart Association · 2024Article
- A Qualitative Study of Barriers and Facilitators to the Uptake of Cardiac Rehabilitation in Octogenarians.Geriatrics (Basel, Switzerland) · 2024Article
- Multimorbidity impacts cardiovascular disease risk following percutaneous coronary intervention: latent class analysis of the Melbourne Interventional Group (MIG) registry.BMC cardiovascular disorders · 2024Article
- Secondary Prevention and Extreme Cardiovascular Risk Evaluation (SEVERE-1), Focus on Prevalence and Associated Risk Factors: The Study Protocol.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2023Article
- Adherence of Older Cardiac Patients to a Home-Based Cardiac Rehabilitation Program.Geriatrics (Basel, Switzerland) · 2023Article
- Unmet Needs for Cardiac Rehabilitation in Africa: A Perennial Gap in the Management of Individuals with Cardiac Diseases.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2023Review
- A New Era in Cardiac Rehabilitation Delivery: Research Gaps, Questions, Strategies, and Priorities.Circulation · 2023Review
- Cardiac Rehabilitation in Abu Dhabi: A Retrospective Investigation of Program Delivery, Participants, and Factors Associated with Program Completion Utilizing a Hospital Registry.Journal of the Saudi Heart Association · 2023Article
- The Effect and Possible Mechanism of Cardiac Rehabilitation in Partial Revascularization Performed on Multiple Coronary Artery Lesions.Clinical interventions in aging · 2023Article
33 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
11 authors at 6 institutions in 1 country.
Funding
Abstract
objectivesOur purpose was to determine factors independently associated with cardiac rehabilitation referral, which are currently not well described at a national level.
backgroundSubstantial numbers of eligible patients are not referred to cardiac rehabilitation at hospital discharge despite proven reductions in mortality and national guideline recommendations.
methodsWe used data from the American Heart Association's Get With The Guidelines program, analyzing 72,817 patients discharged alive after a myocardial infarction, percutaneous coronary intervention, or coronary artery bypass graft surgery between January 2000 and September 2007 from 156 hospitals. We identified factors associated with cardiac rehabilitation referral at discharge and performed multivariable logistic regression, adjusted for clustering, to identify which factors were independently associated with cardiac rehabilitation referral.
resultsMean age was 64.1 +/- 13.0 years, 68% were men, 79% were white, and 30% had diabetes, 66% hypertension, and 52% dyslipidemia; mean body mass index was 29.1 +/- 6.3 kg/m(2), and mean ejection fraction 49.0 +/- 13.6%. All patients were admitted for coronary artery disease (CAD), with 71% admitted for myocardial infarction. Overall, only 40,974 (56%) were referred to cardiac rehabilitation at discharge, ranging from 53% for myocardial infarction to 58% for percutaneous coronary intervention and to 74% for coronary artery bypass graft patients. Older age, non-ST-segment elevation myocardial infarction, and the presence of most comorbidities were associated with decreased odds of cardiac rehabilitation referral.
conclusionsDespite strong evidence for benefit, only 56% of eligible CAD patients discharged from these hospitals were referred to cardiac rehabilitation. Increased physician awareness about the benefits of cardiac rehabilitation and initiatives to overcome barriers to referral are critical to improve the quality of care of patients with CAD.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.