Cardiac Rehabilitation Component Attendance and Impact of Intervening Clinical Events, as Well as Disease Severity and Risk Factor Burden

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dc.contributor.authorGrace, Sherry
dc.contributor.authorPrior, Peter
dc.contributor.authorMamataz, Taslima
dc.contributor.authorHartley, Tim
dc.contributor.authorOh, Paul
dc.contributor.authorsuskin, neville
dc.date.accessioned2022-02-16T21:37:24Z
dc.date.available2022-02-16T21:37:24Z
dc.date.issued2021-01
dc.description.abstractPurpose: To examine: (1) the rate of clinical events precluding cardiac rehabilitation (CR) continuation, (2) CR attendance by component in those without events, and (3) the association between disease severity (eg, tobacco use, diabetes, and depression) and component attendance (eg, exercise, diet, stress management, and tobacco cessation). Methods: Retrospective analysis of electronic records of the CR program in London, Ontario, from 1999 to 2017. Patients in the supervised program are offered exercise sessions 2 times/wk with a minimum of 48 prescribed sessions tailored to patient need. Patients attending ≥1 session without major factors that would limit their exercise ability were included. Intervening events were recorded, as was component attendance. Results: Of 5508 enrolled, supervised patients, 3696 did not have a condition that could preclude exercise. Of those enrolled, one-sixth (n = 912) had an intervening event; these patients were less likely to work, more likely to have medical risk factors, had more severe angina and depression, and lower functional capacity. The remaining cohort attended a mean of 26.5 ± 21.3 sessions overall (median = 27; 19% attending ≥48 sessions), including 20.5 ± 17.4 exercise sessions (median = 21). After exercise, the most common components attended were individual dietary and psychological counseling. Patients with more severe angina and depressive symptoms as well as tobacco users attended significantly fewer total sessions, but more of some specific components. Conclusions: In one-sixth of patients, CR attendance and completion are impacted by clinical factors beyond their control. Many patients are taking advantage of components specific to their risk factors, buttressing the value of individually tailored, menu-based programming.en_US
dc.description.sponsorshipDr. Suskin receives support from Western University’s Department of Medicine’s Program of Experimental Medicine. Dr. Prior receives salary support as an associate scientist from the Lawson Health Research Institute.en_US
dc.identifier.citationGrace, S. L., Prior, P. L., Mamataz, T., Hartley, T., Oh, P., & Suskin, N. (2021). Cardiac rehabilitation component attendance and impact of intervening clinical events, as well as disease severity and risk factor burden. Journal of Cardiopulmonary Rehabilitation and Prevention, 41(1), 40–45. https://doi.org/10.1097/HCR.0000000000000571en_US
dc.identifier.issn1932-751x
dc.identifier.issn1932-7501
dc.identifier.uridoi: 10.1097/HCR.0000000000000571en_US
dc.identifier.urihttp://hdl.handle.net/10315/38988
dc.language.isoenen_US
dc.publisherJournal of Cardiopulmonary Rehabilitation and Preventionen_US
dc.rightsThis is a non-final version of an article published in final form in Grace, S. L., Prior, P. L., Mamataz, T., Hartley, T., Oh, P., & Suskin, N. (2021). Cardiac rehabilitation component attendance and impact of intervening clinical events, as well as disease severity and risk factor burden. Journal of Cardiopulmonary Rehabilitation and Prevention, 41(1), 40–45. https://doi.org/10.1097/HCR.0000000000000571 https://cdn-tp2.mozu.com/16833-m1/cms/files/Author-Document.pdf?_mzts=636519775710000000en_US
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rights.articlehttps://doi.org/10.1097/HCR.0000000000000571en_US
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectCardiac rehabilitationen_US
dc.subjectAttendanceen_US
dc.subjectClinical eventsen_US
dc.subjectSmokeren_US
dc.subjectHeart failureen_US
dc.subjectExerciseen_US
dc.titleCardiac Rehabilitation Component Attendance and Impact of Intervening Clinical Events, as Well as Disease Severity and Risk Factor Burdenen_US
dc.title.alternativeCR Component Attendance & Risk Factorsen_US
dc.typeArticleen_US

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