BACKGROUND: The implementation of cardiac rehabilitation (CR) after acute myocardial infarction (AMI) has not been fully investigated in Japan, so a nationwide survey of hospitals was conducted. METHODS AND RESULTS: Questionnaires were sent in 2004 to a total of 1,875 hospitals in Japan, including all the 859 Japanese Circulation Society (JCS)-authorized cardiology-training hospitals (THs), 311 JCS-associated hospitals (AH), and 705 randomly sampled non-THs (NTHs). The response rate was 59% (1,106/1,875). The percentages of hospitals treating hospitalized AMI patients were 97% in 526 TH, 85% in 194 AH, and 20% in 339 NTH. Although the rates of implementation of emergency percutaneous coronary intervention were very high (92%, 56%, and 4%, respectively), the rates of implementation of recovery phase CR were low (20%, 8%, and 2%, respectively). In addition, patient education programs (23%, 13% and 2%) and formulated exercise prescriptions based on exercise testing (16%, 7% and 1%) were poorly implemented. More importantly, only 9%, 2% and 0% of these hospitals had outpatient CR programs. From these data, the nationwide participation rate in outpatient CR after AMI in Japan was estimated to be only 3.8-7.6%. CONCLUSION: This first nationwide survey demonstrated that, in contrast to the broad dissemination of acute phase invasive treatment for AMI, the implementation of recovery phase CR, especially outpatient CR, is extremely poor in Japan. In addition, patient education programs and exercise prescription based on exercise testing are only poorly implemented.
BACKGROUND: The implementation of cardiac rehabilitation (CR) after acute myocardial infarction (AMI) has not been fully investigated in Japan, so a nationwide survey of hospitals was conducted. METHODS AND RESULTS: Questionnaires were sent in 2004 to a total of 1,875 hospitals in Japan, including all the 859 Japanese Circulation Society (JCS)-authorized cardiology-training hospitals (THs), 311 JCS-associated hospitals (AH), and 705 randomly sampled non-THs (NTHs). The response rate was 59% (1,106/1,875). The percentages of hospitals treating hospitalized AMI patients were 97% in 526 TH, 85% in 194 AH, and 20% in 339 NTH. Although the rates of implementation of emergency percutaneous coronary intervention were very high (92%, 56%, and 4%, respectively), the rates of implementation of recovery phase CR were low (20%, 8%, and 2%, respectively). In addition, patient education programs (23%, 13% and 2%) and formulated exercise prescriptions based on exercise testing (16%, 7% and 1%) were poorly implemented. More importantly, only 9%, 2% and 0% of these hospitals had outpatient CR programs. From these data, the nationwide participation rate in outpatient CR after AMI in Japan was estimated to be only 3.8-7.6%. CONCLUSION: This first nationwide survey demonstrated that, in contrast to the broad dissemination of acute phase invasive treatment for AMI, the implementation of recovery phase CR, especially outpatient CR, is extremely poor in Japan. In addition, patient education programs and exercise prescription based on exercise testing are only poorly implemented.
Authors: T Vromen; R F Spee; J J Kraal; N Peek; M M van Engen-Verheul; R A Kraaijenhagen; H J H Gijsbers; H M C Kemps Journal: Neth Heart J Date: 2013-03 Impact factor: 2.380
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 Lomelí; Masoumeh Sadeghi; Eliska Sovova; Arto Hautala; Egle Tamuleviciute-Prasciene; Marco Ambrosetti; Lis Neubeck; 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 Journal: EClinicalMedicine Date: 2019-07-03