Factors associated with non-attendance at exercise-based cardiac rehabilitation

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Borg, SabinaLinköpings universitet,Linköping University,Linkoping Univ, Div Physiotherapy, Dept Med & Hlth Sci, SE-58183 Linkoping, Sweden;Linkoping Univ, Dept Cardiol, Linkoping, Sweden;Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden,Avdelningen för fysioterapi,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US (author)

Factors associated with non-attendance at exercise-based cardiac rehabilitation

Article/chapterEnglish2019

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2019-07-26
BMC,2019
electronicrdacarrier

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LIBRIS-ID:oai:DiVA.org:uu-391361
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-391361URI
https://doi.org/10.1186/s13102-019-0125-9DOI
https://lup.lub.lu.se/record/f5245688-cbce-4875-9646-66751929f5ceURI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-159571URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Correction in: BMC SPORTS SCIENCE MEDICINE AND REHABILITATION, Volume: 11, Issue: 1, Article Number: 24, DOI: 10.1186/s13102-019-0135-7
Funding Agencies|Swedish Heart and Lung Association; Swedish Society for Medical Research
BackgroundDespite its well-established positive effects, exercise-based cardiac rehabilitation (exCR) is underused in patients following an acute myocardial infarction (AMI). The aim of the study was to identify factors associated with non-attendance at exCR in patients post-AMI in a large Swedish cohort.MethodsA total of 31,297 patients who have suffered an AMI, mean age 62.4 ± 4 years, were included from the SWEDEHEART registry during the years 2010–2016. Comparisons between attenders and non-attenders at exCR were done at baseline for the following variables: age, sex, body mass index, occupational status, smoking, previous diseases, type of index cardiac event and intervention, and left ventricular function. Distance of residence from the hospital and type of hospital were added as structural variables in logistic regression analyses, with non-attendance at exCR at one-year follow-up as dependent, and with individual and structural variables as independent variables.ResultsIn total, 16,214 (52%) of the patients did not attend exCR. The strongest predictor for non-attendance was distance to the exCR centre (OR 1.75 [95% CI: 1.64–1.86]). Other predictors for non-attendance included smoking, history of stroke, percutaneous coronary intervention (PCI), coronary artery bypass grafting (CABG), AMI or diabetes, male sex, being retired vs. being employed, and being followed-up at a county hospital. Patients with ST-elevation myocardial infarction (STEMI) and those intervened with PCI or CABG were more likely to attend exCR.ConclusionsA distance greater than 16 km was associated with increased probability of non-attendance at exCR, as were smoking, a higher burden of comorbidities, and male sex. A better understanding of individual and structural factors can support the development of future rehabilitation services.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Ortopedi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Orthopaedics hsv//eng
Acute myocardial infarction
Coronary artery disease
Exercise-based cardiac rehabilitation
Non-attendance
Physiotherapy
Secondary prevention
Acute myocardial infarction
Coronary artery disease
Exercise-based cardiac rehabilitation
Non-Attendance
Physiotherapy
Secondary prevention

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Öberg, BirgittaLinköpings universitet,Linköping University,Linkoping Univ, Div Physiotherapy, Dept Med & Hlth Sci, SE-58183 Linkoping, Sweden,Avdelningen för fysioterapi,Medicinska fakulteten(Swepub:liu)birob80 (author)
Leosdottir, MargretLund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups,Skåne University Hospital,Lund Univ, Dept Clin Sci Malmo, Fac Med, Malmo, Sweden;Skane Univ Hosp, Dept Cardiol, Malmo, Sweden(Swepub:lu)medf-mle (author)
Lindholm, Daniel,1982-Uppsala University,Uppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR),Uppsala Univ, Sweden; Uppsala Clin Res Ctr, Sweden(Swepub:uu)danli945 (author)
Nilsson, LennartLinköpings universitet,Linköping University,Linkoping Univ, Div Cardiovasc Med, Dept Med & Hlth Sci, Linkoping, Sweden,Avdelningen för kardiovaskulär medicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)lenni29 (author)
Bäck, MariaLinköpings universitet,Linköping University,Sahlgrenska University Hospital,Linkoping Univ, Div Physiotherapy, Dept Med & Hlth Sci, SE-58183 Linkoping, Sweden;Sahlgrens Univ Hosp, Dept Occupat Therapy & Physiotherapy, Gothenburg, Sweden,Avdelningen för fysioterapi,Medicinska fakulteten(Swepub:liu)marba28 (author)
Linköping UniversityLinkoping Univ, Div Physiotherapy, Dept Med & Hlth Sci, SE-58183 Linkoping, Sweden;Linkoping Univ, Dept Cardiol, Linkoping, Sweden;Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden (creator_code:org_t)

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