Trial reportImplementation science : IS2012
Effectiveness of inpatient and outpatient strategies in increasing referral and utilization of cardiac rehabilitation: a prospective, multi-site study.
Trial report in Implementation science : IS, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- 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
- Effectiveness of programs to promote cardiovascular health of Indigenous Australians: a systematic review.International journal for equity in health · 2018Pooled it
- Interventions to increase referral and uptake to pulmonary rehabilitation in people with COPD: a systematic review.International journal of chronic obstructive pulmonary diseasePooled it
- Trial
- Is 70% Achievable? Hospital-Level Variation in Rates of Cardiac Rehabilitation Use Among Medicare Beneficiaries.JACC. Advances · 2024Article
- Cardiac rehabilitation and its essential role in the secondary prevention of cardiovascular diseases.World journal of clinical cases · 2021Review
- Article
- Implementing Exercise in Healthcare Settings: The Potential of Implementation Science.Sports medicine (Auckland, N.Z.) · 2020Article
- Introduction, Cancellation, and Future Promise of Medicare Cardiac Episode Payment Models.Circulation. Cardiovascular quality and outcomes · 2018Article
- Cardiac Rehabilitation for Women: A Systematic Review of Barriers and Solutions.Mayo Clinic proceedings · 2017Review
- The impact of patient-healthcare provider discussions on enrollment in cardiovascular rehabilitation.Journal of rehabilitation medicine · 2014Article
- Cardiac Rehabilitation in Patients with Heart Failure.Acta Cardiologica Sinica · 2014Review
- Determinants for the effectiveness of implementing an occupational therapy intervention in routine dementia care.Implementation science : IS · 2013Article
- Cardiac rehabilitation series: Canada.Progress in cardiovascular diseasesArticle
- Availability and characteristics of cardiac rehabilitation programs in one Brazilian state: a cross-sectional study.Brazilian journal of physical therapyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundDespite the evidence of benefit, cardiac rehabilitation (CR) remains highly underutilized. The present study examined the effect of two inpatient and one outpatient strategy on CR utilization: allied healthcare provider completion of referral (a policy that had been endorsed and approved by the cardiac program leadership in advance; PRE-APPROVED); CR intake appointment booked before hospital discharge (PRE-BOOKED); and early outpatient education provided at the CR program shortly after inpatient discharge (EARLY ED).In this prospective observational study, 2,635 stable cardiac inpatients from 11 Ontario hospitals completed a sociodemographic survey, and clinical data were extracted from charts. One year later, participants were a mailed survey that assessed CR use. Participating inpatient units and CR programs to which patients were referred were coded to reflect whether each of the strategies was used (yes/no). The effect of each strategy on participants' CR referral and enrollment was examined using generalized estimating equations.
resultsA total of 1,809 participants completed the post-test survey. Adjusted analyses revealed that the implementation of one of the inpatient strategies was significantly related to greater referral and enrollment (PRE-APPROVED: OR = 1.96, 95%CI = 1.26 to 3.05, and OR = 2.91, 95%CI = 2.20 to 3.85, respectively). EARLY ED also resulted in significantly greater enrollment (OR = 4.85, 95%CI = 2.96 to 7.95).
conclusionsThese readily-implementable strategies could significantly increase access to and enrollment in CR for the cardiac population. The impact of these strategies on wait times warrants exploration.
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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.