Navigation Links
Heart patients should be referred to Cardiac Rehabilitation before leaving hospital
Date:2/14/2011

Healthcare practitioners can increase the number of patients with heart disease referred to a cardiac rehabilitation program by 40 per cent, helping them to reduce their risk of dying and improve their quality of life, say researchers at the Peter Munk Cardiac Centre.

Previous studies, including one by Taylor in 2004, indicate that participating in cardiac rehab after a cardiac illness, such as a heart attack, can reduce the risk of death by approximately 25 per cent, a reduction similar to that of other standard therapies such as cholesterol-lowering medications (statins) and aspirin. In spite of this evidence, only 20 to 30 per cent of patients are referred to a cardiac rehabilitation program after hospital discharge, a phenomenon observed in many countries.

Researchers at the Peter Munk Cardiac Centre explored multiple strategies to increase referrals to cardiac rehabilitation programs at 11 hospitals across Ontario, including using a discharge checklist for doctors and allied health professionals, electronic referral in medical records and talking with patients at the bedside.

According to the study, "Effect of Cardiac Rehabilitation Referral Strategies on Utilization Rates," published in the February 14 edition of the Journal Archives of Internal Medicine, a combined approach a checklist or electronic referral and talking with patients can increase referrals by 45 per cent. By targeting both healthcare providers and patients, over 70 per cent of eligible patients enroll in cardiac rehab.

"Every patient discharged from the hospital with a heart condition should be referred to a cardiac rehab program," says Dr. Sherry Grace, principal investigator and Director of Research for the Cardiovascular Rehabilitation and Prevention Program at the Peter Munk Cardiac Centre, University Health Network.

"Cardiac rehab is a key component of the continuum of cardiac care. We shouldn't just discharge patients from the hospital without ensuring there is a link to these proven rehab services to support patients in their recovery," says Dr. Grace, who is also an associate professor in the School of Kinesiology & Health Science at York University.

Cardiac rehabilitation offers a comprehensive approach to health by combining medical treatments and lifestyle modification. Patients are able to benefit from a variety of services, including: education sessions, nutritional assessment with a dietician, risk factor treatment (hypertension, cholesterol and smoking cessation) by physicians and nurse practitioners, medication review with a pharmacist, targeted exercise prescription by an exercise physiologist, nurse or kinesiologist and supervised exercise.

Joe Walters, a 55 year old supervisor, lost 30 pounds through the Centre's Cardiac Rehabilitation Program at Toronto Western Hospital (TWH) after having being diagnosed with an irregular heart beat in August 2009.

"The cardiac rehab program was truly motivational. It opened my eyes to the number of people who have heart problems like me, and it was refreshing to know it came with a built-in support network," says Joe who notes work-related stress contributed to his weight gain and heart trouble. "I highly recommend a cardiac rehab program for anyone with a heart condition."

Joe graduated from the program in April 2010, but continues to attend classes to keep the weight off.

Dr. Caroline Chessex, Clinical Director of the Cardiovascular Rehabilitation and Prevention Program at the Peter Munk Cardiac Centre, is part of a multidisciplinary team who treats patients like Joe by developing a personalized exercise program tailored to each patient's cardiac risk profile.

"Our goal is to develop strategies for patients to reduce or eliminate their risk of coronary artery disease, prevent or minimize hospitalization, decrease mortality and improve quality of life," says Dr. Chessex, noting that patients can prolong their life and reduce their risk of having a second heart attack, or needing a second heart surgery.

Beyond the physical and psychological benefits, cardiac rehabilitation saves money. Cardiac bypass surgery, the most common type of open-heart surgery, costs approximately $23,000 for each patient, but rehabilitation costs $1,000-1,500 per patient.

"The return on investment is obvious. Focusing on expensive cardiac interventions and then discharging patients without a systematic approach for support just doesn't make sense," says Dr. Grace. "Cardiac rehab is the right step towards prevention and it saves money."


'/>"/>

Contact: Nicole Bodnar
nicole.bodnar@uhn.on.ca
416-340-4636
University Health Network
Source:Eurekalert

Related medicine news :

1. Too Few Heart Patients Go to Cardiac Rehab
2. New Guidelines OK Pradaxa Blood Thinner as Option for Irregular Heartbeat
3. Early signs of heart disease in preadolescent children with type 1 diabetes
4. Study finds that electronic fetal heart rate monitoring greatly reduces infant mortality
5. New Drug May Help Patients With Irregular Heartbeat Avoid Stroke
6. Stars Strut on the Runway for Womens Heart Health
7. Wireless Device Can Cut Heart Failure-Related Hospitalizations
8. Too Little Sleep, Too Often, May Harm Your Heart
9. Apica Cardiovascular receives $5.1 million investment for improved heart surgery system
10. Getting to the scientific heart of what makes romantic relationships succeed or fail
11. Heart Enzymes May Predict Outcome After Bypass Surgery
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 26, 2016 , ... Brent Kasmer, a legally blind and certified personal trainer ... through a fitness app. The fitness app plans to fix the two major problems leading ... a one size fits all type program , They don’t eliminate all the ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... Austin residents ... the American College of Mohs Surgery and to Dr. Russell Peckham for medical and ... highly effective treatment for skin cancer. The selective fellowship in Mohs Micrographic Surgery completed ...
(Date:6/25/2016)... ... June 25, 2016 , ... First Choice Emergency Room , ... Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell Farm facility. , ... our new Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical Director of First ...
(Date:6/25/2016)... ... ... On Friday, June 10, Van Mitchell, Secretary of the Maryland Department of Health ... of their exemplary accomplishments in worksite health promotion. , The Wellness at Work Awards ... at the BWI Marriott in Linthicum Heights. iHire was one of 42 businesses to ...
(Date:6/24/2016)... ... June 24, 2016 , ... Those who have experienced ... feelings, many turn to unhealthy avenues, such as drug or alcohol abuse, as a ... has released tools for healthy coping following a traumatic event. , Trauma sufferers tend ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 Roche (SIX: ... 510(k) clearance for its Elecsys BRAHMS PCT (procalcitonin) assay ... sepsis or septic shock. With this clearance, Roche is ... a fully integrated solution for sepsis risk assessment and ... with bacterial infection and PCT levels in blood can ...
(Date:6/23/2016)... , June 23, 2016 ... CAPR ), a biotechnology company focused on ... today announced that patient enrollment in its ongoing ... Duchenne) has exceeded 50% of its 24-patient target. ... in the third quarter of 2016, and to ...
(Date:6/23/2016)... 23, 2016 Bracket , a leading clinical ... generation clinical outcomes platform, Bracket eCOA (SM) 6.0, at ... 26 – 30, 2016 in Philadelphia , ... Outcome Assessment product of its kind to fully integrate with ... Bracket eCOA 6.0 is a flexible platform for electronic clinical ...
Breaking Medicine Technology: