Cardiac Rehabilitation Availability and Density around the Globe

Turk-Adawi, Karam; Supervia, Marta; Lopez-Jimenez, Francisco; Pesah, Ella; Ding, Rongjing; Britto, Raquel R.; Bjarnason-Wehrens, Birna; Derman, Wayne; Abreu, Ana; Babu, Abraham S.; Santos, Claudia Anchique; Jong, Seng Khiong; Cuenza, Lucky; Yeo, Tee Joo; Scantlebury, Dawn; Andersen, Karl; Gonzalez, Graciela; Giga, Vojislav; Vulic, Dusko; Vataman, Eleonora; Cliff, Jacqueline; Kouidi, Evangelia; Yagci, Ilker; Kim, Chul; Benaim, Briseida; Estany, Eduardo Rivas; Fernandez, Rosalia; Radi, Basuni; Gaita, Dan; Simon, Attila; Chen, Ssu-Yuan; Roxburgh, Brendon; Martin, Juan Castillo; Maskhulia, Lela; Burdiat, Gerard; Salmon, Richard; Lomel?, Hermes; Sadeghi, Masoumeh; Sovova, Eliska; Hautala, Arto; Tamuleviciute-Prasciene, Egle; Ambrosetti, Marco; Neubeck, Lis; Asher, Elad; Kemps, Hareld; Eysymontt, Zbigniew; Farsky, Stefan; Hayward, Jo; Prescott, Eva; Dawkes, Susan; Santibanez, Claudio; Zeballos, Cecilia; Pavy, Bruno; Kiessling, Anna; Sarrafzadegan, Nizal; Baer, Carolyn; Thomas, Randal; Hu, Da...

Abstract

Background
Despite the epidemic of cardiovascular disease and the benefits of cardiac rehabilitation (CR), availability is known to be insufficient, although this is not quantified. This study ascertained CR availability, volumes and its drivers, and density.

Methods
A survey was administered to CR programs globally. Cardiac associations and local champions facilitated program identification. Factors associated with volumes were assessed using generalized linear mixed models, and compared by World Health Organization region. Density (i.e. annual ischemic heart disease [IHD] incidence estimate from Global Burden of Disease study divided by national CR capacity) was computed.

Findings
CR was available in 111/203 (54.7%) countries; data were collected in 93 (83.8% country response; N = 1082 surveys, 32.1% program response rate). Availability by region ranged from 80.7% of countries in Europe, to 17.0% in Africa (p 

Citation

Turk-Adawi, K., Supervia, M., Lopez-Jimenez, F., Pesah, E., Ding, R., Britto, R. R., Bjarnason-Wehrens, B., Derman, W., Abreu, A., Babu, A. S., Santos, C. A., Jong, S. K., Cuenza, L., Yeo, T. J., Scantlebury, D., Andersen, K., Gonzalez, G., Giga, V., Vulic, D., Vataman, E., …Grace, S. L. (2019). Cardiac Rehabilitation Availability and Density around the Globe. EClinicalMedicine, 13, 31-45. https://doi.org/10.1016/j.eclinm.2019.06.007

• Journal Article Type: Article
• Acceptance Date: Jun 12, 2019
• Online Publication Date: Jul 3, 2019
• Publication Date: 2019-08
• Deposit Date: Dec 16, 2020
• Publicly Available Date: Dec 16, 2020
• Journal: EClinicalMedicine
• Electronic ISSN: 2589-5370
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 13
• Pages: 31-45
• DOI: https://doi.org/10.1016/j.eclinm.2019.06.007
• Keywords: Cardiac rehabilitation, Capacity, Density, Preventive cardiology, Global health, Health services
• Public URL: http://researchrepository.napier.ac.uk/Output/2711955