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, Dayi; Grace, Sherry L.

doi:10.1016/j.eclinm.2019.06.007

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...

Authors

Karam Turk-Adawi

Marta Supervia

Francisco Lopez-Jimenez

Ella Pesah

Rongjing Ding

Raquel R. Britto

Birna Bjarnason-Wehrens

Wayne Derman

Ana Abreu

Abraham S. Babu

Claudia Anchique Santos

Seng Khiong Jong

Lucky Cuenza

Tee Joo Yeo

Dawn Scantlebury

Karl Andersen

Graciela Gonzalez

Vojislav Giga

Dusko Vulic

Eleonora Vataman

Jacqueline Cliff

Evangelia Kouidi

Ilker Yagci

Chul Kim

Briseida Benaim

Eduardo Rivas Estany

Rosalia Fernandez

Basuni Radi

Dan Gaita

Attila Simon

Ssu-Yuan Chen

Brendon Roxburgh

Juan Castillo Martin

Lela Maskhulia

Gerard Burdiat

Richard Salmon

Hermes Lomel�

Masoumeh Sadeghi

Eliska Sovova

Arto Hautala

Egle Tamuleviciute-Prasciene

Marco Ambrosetti

Prof Lis Neubeck L.Neubeck@napier.ac.uk
Professor

Elad Asher

Hareld Kemps

Zbigniew Eysymontt

Stefan Farsky

Jo Hayward

Eva Prescott

Susan Dawkes

Claudio Santibanez

Cecilia Zeballos

Bruno Pavy

Anna Kiessling

Nizal Sarrafzadegan

Carolyn Baer

Randal Thomas

Dayi Hu

Sherry L. Grace

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., …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