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Title: Predictors of Referral to Cardiac Rehabilitation in Patients following Hospitalisation with Heart Failure: A Multivariate Regression Analysis.
Austin Authors: Giuliano, Catherine;Vicendese, Don;Vogrin, Sara;Lane, Rebecca;Driscoll, Andrea ;Dinh, Diem;Palmer, Katie;Levinger, Itamar ;Neil, Christopher
Affiliation: College of Health and Biomedicine, Victoria University, Melbourne, VIC 8001, Australia..
Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC 3010, Australia..
Department of Medicine, Western Health, The University of Melbourne, Melbourne, VIC 3010, Australia..
Australian Institute for Musculoskeletal Science (AIMSS), University of Melbourne and Western Health, St Albans, VIC 3021, Australia..
Department of Cardiology, Western Health, Sunshine Hospital, Melbourne, VIC 3021, Australia..
Institute for Health and Sport, Victoria University, Melbourne, VIC 8001, Australia..
Centre for Quality and Patient Safety, School of Nursing and Midwifery, Deakin University, Geelong, VIC 3216, Australia..
Department of Mathematics and Statistics, La Trobe University, Melbourne, VIC 3086, Australia..
School of Primary and Allied Health Care, Monash University, Frankston, VIC 3199, Australia..
Department of Physiotherapy, Monash Health, Melbourne, VIC 3175, Australia..
Centre of Cardiovascular Research and Education in Therapeutics, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia..
Issue Date: 24-Feb-2022 2022
Publication information: Journal of clinical medicine 2022; 11(5): 1232
Abstract: This exploratory observational case-control study investigated the rate of referral to cardiac rehabilitation (CR) among patients hospitalised with heart failure (HF) and identified factors associated with referral. Patients hospitalised with HF as identified by the Victorian Cardiac Outcomes Registry HF study were included. Factors found to be univariately associated with referral were selected for multivariate logistic regression. Among 1281 patients (mean age: 76.9 years; 32.8% HFrEF and 33.9% HfpEF), 125 (9.8%) were referred to CR. Patients referred were younger (73.6 (2.7, 81.5) vs. 80.2 (71.1, 86.5) p < 0.001) and were more likely to be men (72%, p < 0.001). Factors associated with referral included inpatient percutaneous coronary intervention (OR, 3.31; 95% CI, 1.04-10.48; p = 0.04), an aetiology of ischaemic or rhythm-related cardiomyopathy, and anticoagulants prescribed on discharge. Factors that lowered the likelihood of referral included older age, female, receiving inpatient oxygen therapy, and the presence of chronic obstructive pulmonary disease (COPD) or anaemia. The rate of referral to CR following hospitalisation with HF is low. Shortfalls are particularly evident among females, older patients, and in those with COPD or anaemia. Future studies should focus on improving referral processes and translating proven strategies that increase referrals to CR into practice.
DOI: 10.3390/jcm11051232
ORCID: 0000-0002-0176-0314
Journal: Journal of clinical medicine
PubMed URL: 35268323
PubMed URL:
ISSN: 2077-0383
Type: Journal Article
Subjects: cardiac rehabilitation
exercise training
heart failure
Appears in Collections:Journal articles

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