Evidence map›Paper›PMID 36646580›Full record

ArticleHeart, lung & circulation2023

Impact of Early COVID-19 Waves on Cardiac Rehabilitation Delivery in Australia: A National Survey.

Susie Cartledge, Emma E Thomas, Barbara Murphy, Bridget Abell, Christian Verdicchio, Robert Zecchin, Jan Cameron, Robyn Gallagher, Carolyn Astley, ACRA and 1 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Heart, lung & circulation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 9 institutions in 1 country.

Susie CartledgeSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Vic, Australia; Susan Wakil School of Nursing and Midwifery, The University of Sydney, Sydney, NSW, Australia. Electronic address: susie.cartledge@monash.edu.
Emma E ThomasCentre for Online Health, Centre for Health Services Research, The University of Queensland, Brisbane, Qld, Australia.
Barbara MurphyAustralian Centre for Heart Health, Melbourne, Vic, Australia; Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Vic, Australia.
Bridget AbellAustralian Centre for Health Services Innovation (AusHSI) and Centre for Healthcare Transformation, School of Public Health and Social Work, Queensland University of Technology (QUT), Brisbane, Qld, Australia.
Christian VerdicchioFaculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia; Centre for Heart Rhythm Disorders, University of Adelaide, South Australian Health, Adelaide, SA, Australia; South Australian Health and Medical Research Institute, Adelaide, SA, Australia; Macquarie Health Corporation, Sydney, NSW, Australia.
Robert ZecchinSusan Wakil School of Nursing and Midwifery, The University of Sydney, Sydney, NSW, Australia; Western Sydney Local Health District, Sydney, NSW, Australia.
Jan CameronAustralian Centre for Heart Health, Melbourne, Vic, Australia; School of Clinical Sciences at Monash Health, Department of Medicine, Monash University, Melbourne, Vic, Australia.
Robyn GallagherSusan Wakil School of Nursing and Midwifery, The University of Sydney, Sydney, NSW, Australia.
Carolyn AstleyCollege of Nursing and Health Science, Flinders University, Adelaide, SA, Australia.
ACRA
COVID working group
Australian Centre for Heart Health · AUFlinders University · AUMonash Health · AUMonash University · AUQueensland University of Technology · AUSouth Australian Health and Medical Research Institute · AUSydney Local Health District · AUThe University of Queensland · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe novel coronavirus disease of 2019 (COVID-19) pandemic significantly disrupted health care, especially outpatient services such as cardiac rehabilitation (CR). We investigated the impact of early COVID-19 waves on the delivery of Australian CR programs, comparing this time period with usual practice prior to the pandemic (2019) and current practice (2021) once the early waves had subsided. Specifically, we aimed to understand how the delivery of programs during COVID-19 compared to usual practice.

methodsAn anonymous online cross-sectional survey of Australian CR program staff was conducted, comprising three sections: program and respondent characteristics, COVID-19 impact on program delivery, and barriers to, and enablers of, program delivery. Respondents were asked to consider three key timepoints: 1) Pre-COVID-19 (i.e. usual practice in 2019), 2) Early COVID-19 waves (March-December 2020), and 3) Currently, at time of survey completion post early COVID-19 waves (May-July 2021).

resultsOf the 314 Australian CR programs, 115 responses were received, of which 105 had complete data, representing a 33% response rate. All states and territories were represented. During early COVID-19 waves programs had periods of closure (40%) or reduced delivery (70%). The majority of programs reported decreased CR referrals (51.5%) and decreased participation (77.5%). The two core components of CR-exercise and education-were significantly impacted during early COVID-19 waves, affecting both the number and duration of sessions provided. Exercise session duration did not return to pre-pandemic levels (53.5 min compared to 57.7 min, p=0.02). The majority of respondents (77%) reported their CR program was inferior in quality to pre-pandemic and more organisational support was required across information technology, staffing, administration and staff emotional and social support.

conclusionAustralian CR programs underwent significant change during the early COVID-19 waves, consistent with international CR reports. Fewer patients were referred and attended CR and those who did attend received a lower dose of exercise and education. It will be important to continue to monitor the long-term impacts of the COVID-19 pandemic to ensure CR programs return to pre-pandemic functioning and continue to deliver services in line with best practice and evidence-based recommendations.

Indexed as

Cardiac RehabilitationCOVID-19AustraliaCross-Sectional StudiesHumansPandemicsCardiac rehabilitationCOVID-19Health services researchSecondary preventionTelehealth

Identifiers

PMID36646580
PMCPMC9840063
OpenAlexW4316097081

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.