Cardiac Rehabilitation in Patients with Coronary Heart Disease – Provision, Attendance, and Outcomes: Results from the INTERASPIRE Survey from Fourteen Countries Across Six WHO Regions

作者：Kornelia Kotseva, Dirk De Bacquer, Catriona Jennings, John W. McEvoy, Lars Rydén, Kausik K. Ray, Gregory Y.H. Lip, Iris Erlund, Sandra Ganly, Terhi Vihervaara, Agnieszka Adamska, Ana Abreu, Wael Almahmeed, Ade Meidian Ambari, Susan Connolly, Junbo Ge, Irene Gibson, Hosam Hasan‐Ali, Susan Hennessy, Yong Huo, Piotr Jankowski, Rodney M Jimenez, J. Jones, Yong Li, Ahmad Syadi Mahmood Zuhdi, Abel Makubi, Amam Mbakwem, Lilian Mbau, José L. Estrada, Okechukwu S. Ogah, Elijah Ogola, Adalberto Quintero-Baiz, Mahmoud U. Sani, María Inés Sosa Liprandi, Jack Wei Chieh Tan, David R. Thompson, Miguel Urina‐Triana, Tee Joo Yeo, D.R. Wood, Guy De Backer · 发表于：Global Heart · 年份：2025 · DOI：10.5334/gh.1458 · 被引用次数：7 · 研究领域：Cardiac Health and Mental Health、Stroke Rehabilitation and Recovery、Cardiovascular Health and Risk Factors

Background: INTERASPIRE was an observational study of patients with coronary heart disease (CHD) from 88 hospitals in 14 countries across all six WHO regions. The objective was to describe the proportions of patients referred to and attending cardiac rehabilitation (CR) programmes and to compare lifestyle and risk factor target achievement according to participation in a CR programme. Methods: Patients 18-80 years of age, with a first or recurrent coronary hospitalisation (acute coronary syndrome and/or revascularisation procedure) were identified and invited to an interview and examination, between six months and two years after the index hospitalisation. Results: Overall, 4,548 (21.1% female) patients were interviewed a median of 1.05 (interquartile range 0.76-1.45) years after hospitalization. Of those patients, 34.4% reported having been advised to participate in a CR programme, though the percentage varied widely by country, from 4.0% in Kenya to 69.6% in Poland. Among patients advised to participate in CR, 57.1% participated in ≥50% of all sessions, 15.4% participated in <50% of the sessions, and 27.4% did not participate at all. Only 19.6% of all patients recruited to the study attended ≥50% of sessions. Content of programmes reported by patients also varied enormously between countries. Low education level, elective PCI, or unstable angina as recruiting events were associated with lower attendance rates. Attendance at ≥50% of all CR sessions was associated with a lowe...