Document Type : Original Article
Authors
- Masoumeh Sadeghi 1
- Mohammad Rafatifard 1, 2
- Mohammad Mahdi Hadavi 3
- Neda Dorostkar 4
- Mitra Naderi 1
- Sara Zamani 5
- Safoura Yazdekhasti 1
- Elham Azizi 6
- Habib Rahban 7
- Hamidreza Roohafza 3
- Kasra Shokri 4
1 Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
2 Health Science/ Exercise Physiology, Clinical Research Development Unit, Hajar Hospital, Shahrekord University of Medical Sciences, Shahrekord, Iran
3 Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
4 Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
5 Department of Cardiology, Chamran Cardiovascular and Medical Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
6 Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Science, Isfahan, Iran
7 Physician Research Associate, Cardiovascular Research Foundation of Southern California, Southern California Medical Education Consortium, Universal Health System, Isfahan, Iran
Abstract
INTRODUCTION: The collected information includes demographic profile, medical history, physical examination, patient risk factors, anthropometric evaluation, medications, echocardiographic results, and exercise testing of all patients who participated in the outpatient cardiac rehabilitation program in Cardiac Rehabilitation Department since 1996 until now. Each patient was assigned an electronic code by which the patient's information could be identified. Subsequently, standard questionnaires were used, such as International physical activity questionnaire (IPAQ) to assess physical activity, MAC NEW to assess the quality of life, Spielberg to measure anxiety, Beck to assess depression, and nutritional questionnaires.
RESULTS: The findings were recorded, and the data were analyzed by the web and SPSS software. For all patients, the forms were filled based on a number of variables including backgrounds, registration components, type of referral, diagnosis of underlying heart disease, methods of data collection and entry, details of the educational program, return to work, psychiatric condition, drug regimen, clinical condition, echocardiography findings, functional capacity and exercise test response, smoking status, nutritional habits, and finally their 5-year follow-up for events and re-hospitalization.
CONCLUSION: It is necessary for the authors to establish a cardiac rehabilitation registration that can properly display care quality indicators and collect and report standard data from different nations to improve the quality of cardiac rehabilitation services and identify weaknesses.
Keywords
2. Turk-Adawi K, Sarrafzadegan N, Grace SL. Global availability of cardiac rehabilitation. Nat Rev Cardiol 2014; 11(10): 586-96. https://doi.org/10.1038/nrcardio.2014.98
3. Gaziano TA, Pagidipati NJ. Scaling up chronic disease prevention interventions in lower-and middle-income countries. Annu Rev Public Health 2013; 34: 317-35. https://doi.org/10.1146/annurev-publhealth-031912-114402
4. Collins JL, Koplan JP, Marks JS. Chronic disease prevention and control: coming of age at the Centers for Disease Control and Prevention. Prev Chronic Dis 2009; 6(3): A81.
5. Grace SL, Parsons TL, Heise K, Bacon SL. The Canadian Cardiac Rehabilitation Registry: inaugural report on the status of cardiac rehabilitation in Canada. Rehabil Res Pract 2015; 2015. https://doi.org/10.1155/2015/278979
6. Heran BS, Chen JM, Ebrahim S, Moxham T, Oldridge N, Rees K, et al. Exercise‐based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev 2011; (7). https://doi.org/10.1002/14651858.CD001800.pub2
7. Taylor RS, Walker S, Smart NA, Piepoli MF, Warren FC, Ciani O, et al. Impact of exercise‐based cardiac rehabilitation in patients with heart failure (ExTraMATCH II) on mortality and hospitalisation: an individual patient data meta‐analysis of randomised trials. Eur J Heart Fail 2018; 20(12): 1735-43. https://doi.org/10.1002/ejhf.1311
8. Redfern J, Hyun K, Chew DP, Astley C, Chow C, Aliprandi-Costa B, et al. Prescription of secondary prevention medications, lifestyle advice, and referral to rehabilitation among acute coronary syndrome inpatients: results from a large prospective audit in Australia and New Zealand. Heart 2014; 100(16): 1281-8.https://doi.org/10.1136/heartjnl-2013-305296
9. Sumner J, Grace SL, Doherty P. Predictors of cardiac rehabilitation utilization in England: results from the national audit. J Am Heart Assoc 2016; 5(10): e003903.https://doi.org/10.1161/JAHA.116.003903
10. Piepoli MF, Corra U, Benzer W, Bjarnason-Wehrens B, Dendale P, Gaita D, et al. Secondary prevention through cardiac rehabilitation: from knowledge to implementation. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil 2010; 17(1): 1-17. https://doi.org/10.1097/HJR.0b013e3283313592
11. Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, et al. Guidelines: Editor’s choice: 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur Heart J 2016; 37(29): 2315.https://doi.org/10.1093/eurheartj/ehw106
12. Thomas RJ, King M, Lui K, Oldridge N, Pina I, Spertus J, et al. Performance measures on cardiac rehabilitation for referral to and delivery of cardiac rehabilitation/secondary prevention services. J Cardiopulm Rehabil Prev 2007; 27: 260-90. https://doi.org/10.1097/01.HCR.0000291295.24776.7b
13. Ahmadi A, Soori H, Mehrabi Y, Etemad K, Samavat T, Khaledifar A. Incidence of acute myocardial infarction in Islamic Republic of Iran: a study using national registry data in 2012. East Mediterr Health J 2015; 21(1): 5-12. https://doi.org/10.26719/2015.21.1.5
14. National Heart Foundation of Australia ACRA. Recommended framework for cardiac rehabilitation ‘04. Canberra: National Heart Foundation of Australia ACRA; 2004.
15. Piepoli MF, Corrà U, Adamopoulos S, Benzer W, Bjarnason-Wehrens B, Cupples M, et al. Secondary prevention in the clinical management of patients with cardiovascular diseases. Core components, standards and outcome measures for referral and delivery: a policy statement from the cardiac rehabilitation section of the European Association for Cardiovascular Prevention & Rehabilitation. Endorsed by the Committee for Practice Guidelines of the European Society of Cardiology. Eur J Prev Cardiol 2014; 21(6): 664-81.https://doi.org/10.1177/2047487312449597
16. Members WC, Bhatt DL, Drozda Jr JP, Shahian DM, Chan PS, Fonarow GC, et al. ACC/AHA/STS statement on the future of registries and the performance measurement enterprise: a report of the American College of Cardiology/American Heart Association Task Force on Performance Measures and The Society of Thoracic Surgeons. J Am Coll Cardiol 2015; 8(6): 634-48. https://doi.org/10.1161/HCQ.0000000000000013
17. Life Systems International (LSI). National Cardiac Rehabilitation Registry to Launch in 2012. New Jersey: Life Systems International (LSI); 2011.
18. Fox KA, Eagle KA, Gore JM, Steg PG, Anderson F, GRACE, et al. The global registry of acute coronary events, 1999 to 2009-GRACE. Heart 2010; 96(14): 1095-101. https://doi.org/10.1136/hrt.2009.190827
19. Bebb O, Hall M, Fox KA, Dondo TB, Timmis A, Bueno H, et al. Performance of hospitals according to the ESC ACCA quality indicators and 30-day mortality for acute myocardial infarction: national cohort study using the United Kingdom Myocardial Ischaemia National Audit Project (MINAP) register. Eur Heart J 2017; 38(13): 974-82. https://doi.org/10.1093/eurheartj/ehx008
20. Members ATF, Perk J, De Backer G, Gohlke H, Graham I, Reiner Ž, et al. European Guidelines on cardiovascular disease prevention in clinical practice (version 2012) The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur Heart J 2012; 33(13): 1635-701.https://doi.org/10.1093/eurheartj/ehs092
21. Díaz-Buschmann I, Jaureguizar KV, Calero MJ, Aquino RS. Programming exercise intensity in patients on beta-blocker treatment: the importance of choosing an appropriate method. Eur J Prev Cardiol 2014; 21(12): 1474-80. https://doi.org/10.1177/2047487313500214
22. Taylor RS, Brown A, Ebrahim S, Jolliffe J, Noorani H, Rees K, et al. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. Am J Med 2004; 116(10): 682-92. https://doi.org/10.1016/j.amjmed.2004.01.009
23. Niebauer J, Mayr K, Tschentscher M, Pokan R, Benzer W. Outpatient cardiac rehabilitation: the Austrian model. Eur J Prev Cardiol 2013; 20(3): 468-79.https://doi.org/10.1177/2047487312446137
24. Pescatello LS, Riebe D, Thompson PD. ACSM’s guidelines for exercise testing and prescription: Lippincott Williams & Wilkins; 2014.
25. Zwisler A-D, Rossau HK, Nakano A, Foghmar S, Eichhorst R, Prescott E, et al. The Danish cardiac rehabilitation database. Clin Epidemiol 2016; 8 :451.https://doi.org/10.2147/CLEP.S99502
26. Ferguson Jr TB, Dziuban Jr SW, Edwards FH, Eiken MC, Shroyer ALW, Pairolero PC, et al. The STS National Database: current changes and challenges for the new millennium. Ann Thorac Surg 2000; 69(3): 680-91. https://doi.org/10.1016/S0003-4975(99)01538-6
27. Reid CM, Rockell M, Skillington PD, Shardey GC, Smith JA, Yii M, et al. Initial twelve months experience and analysis for 2001-2002 from the Australasian Society of Cardiac and Thoracic Surgeons-Victorian database project. Heart Lung Circ 2004; 13(3): 291-7.https://doi.org/10.1016/j.hlc.2004.05.006
28. Zwisler A-D, Bjarnason-Wehrens B, McGee H, Piepoli MF, Benzer W, Schmid J-P, et al. Can level of education, accreditation and use of databases in cardiac rehabilitation be improved? Results from the European Cardiac Rehabilitation Inventory Survey. Eur J Prev Cardiol 2012; 19(2): 143-50. https://doi.org/10.1177/1741826711398847
29. Aliprandi-Costa B, Ranasinghe I, Turnbull F, Brown A, Kritharides L, Patel A, et al. The design and rationale of the Australian cooperative National Registry of acute coronary care, guideline adherence and clinical events (CONCORDANCE). Heart Lung Circ 2013; 22(7): 533-41. https://doi.org/10.1016/j.hlc.2012.12.013
30. Eccleston D, Horrigan M, Rafter T, Holt G, Worthley SG, Sage P, et al. Improving guideline compliance in australia with a national percutaneous coronary intervention outcomes registry. Heart Lung Circ 2017; 26(12): 1303-9. https://doi.org/10.1016/j.hlc.2017.01.008
31. Thomas E, Astley C, Gallagher R, Foreman R, Mitchell JA, Grace SL, et al. Improving the monitoring of cardiac rehabilitation delivery and quality: a call to action for Australia. Heart Lung Circ 2020; 29(1): 1-4.https://doi.org/10.1016/j.hlc.2019.07.013
32. Safety ACo, Care QiH. Prioritised List of Clinical Domains for Clinical Quality Registry Development. ACSQHC Sydney; 2016.
)