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Title: Cardiac rehabilitation in Europe: results from the European Cardiac Rehabilitation Inventory Survey
Authors: Bjarnason-Wehrens, Birna
McGee, Hannah
Zwisler, Ann-Dorthe
Piepoli, Massimo F.
Benzer, Werner
Schmid, Jean-Paul
Pogosova, Nana-Goar V.
Zdrenghea, Dumitru
Niebauer, Josef
Mendes, Miguel
Issue Date: 2010
Abstract: Background Cardiac rehabilitation (CR) programmes support patients to achieve professionally recommended cardiovascular prevention targets and thus good clinical status and improved quality of life and prognosis. Information on CR service delivery in Europe is sketchy. Design Postal survey of national CR-related organizations in European countries. Methods The European Cardiac Rehabilitation Inventory Survey assessed topics including national guidelines, legislation and funding mechanisms, phases of CR provided and characteristic of included patients. Results Responses were available for 28 of 39 (72%) countries; 61% had national CR associations; 57% national professional guidelines. Most countries (86%) had phase I (acute inhospital) CR, but with differing service availability. Only 29% reported provision to more than 80% patients. Phase II was also available, but 15 countries reported provision levels below 30%. Almost half (46%) had national legislation regarding phase II CR; three-quarters had government funding. Phase III was less supported: although available in most countries, 11 could not provide estimates of numbers participating. Thirteen reported that all costs were met by patients. Conclusion Fewer than half of eligible cardiovascular patients benefit from CR in most European countries. Deficits include absent or inadequate legislation, funding, professional guidelines and information systems in many countries. Priorities for improvement include promoting national laws and guidelines specific for CR and increasing both CR programme participation rates and CR infrastructure. The European Association of Cardiovascular Prevention and Rehabilitation can have an important coordinating role in sharing expertise among national CR-related agencies. Ultimately, such cooperation can accelerate CR delivery to the benefit of cardiac patients across Europe. Eur J Cardiovasc Prev Rehabil 17:410-418 (C) 2010 The European Society of Cardiology
Notes: [Bjarnason-Wehrens, Birna] German Sport Univ Cologne, Inst Cardiol & Sports Med, D-50933 Cologne, Germany. [McGee, Hannah] Royal Coll Surgeons Ireland, Dublin 2, Ireland. [Zwisler, Ann-Dorthe] Rigshosp, Dept Cardiol, DK-2100 Copenhagen, Denmark. [Piepoli, Massimo F.] G da Saliceto Polichirurg Hosp, Dept Cardiol, Heart Failure Unit, Piacenza, Italy. [Schmid, Jean-Paul] Univ Hosp Bern, Swiss Cardiovasc Ctr Bern, CH-3010 Bern, Switzerland. [Benzer, Werner] Landeskrankenhaus, Dept Intervent Cardiol, Feldkirch, Austria. [Dendale, Paul] Hartctr Hasselt, Hasselt, Belgium. [Dendale, Paul] Univ Hasselt, Hasselt, Belgium. [Pogosova, Nana-Goar V.] Natl Res Ctr Prevent Med, Moscow, Russia. [Zdrenghea, Dumitru] Univ Med & Pharm, Cluj Napoca, Romania. [Niebauer, Josef] Paracelsus Private Med Univ Salzburg, Univ Inst Sports Med Prevent & Rehabil, Salzburg, Austria. [Mendes, Miguel] Inst Coracao, Carnaxide, Portugal.
Keywords: cardiac rehabilitation; cardiovascular disease; Europe; inpatient rehabilitation; outpatient rehabilitation;cardiac rehabilitation; cardiovascular disease; Europe; inpatient rehabilitation; outpatient rehabilitation
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ISSN: 1741-8267
DOI: 10.1097/HJR.0b013e328334f42d
ISI #: 000280550200006
Category: A1
Type: Journal Contribution
Validations: ecoom 2011
Appears in Collections:Research publications

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