Sylvie Cossette1, Marc-André Maheu-Cadotte, Tanya Mailhot, Guillaume Fontaine, Alexis Cournoyer, Catherine Cournoyer, Marie-Claude Guertin, Martin Juneau. 1. Faculty of Nursing (Drs Cossette and Mailhot and Messrs Maheu-Cadotte and Fontaine) and Faculty of Medicine (Drs Dupuis, Juneau, and Cournoyer), Université de Montréal, Montreal, Quebec, Canada; Montreal Heart Institute Research Center, Quebec, Canada (Drs Cossette, Mailhot, Dupuis, and Juneau, Messrs Maheu-Cadotte and Fontaine, and Ms Cournoyer); Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montréal, Quebec, Canada (Mr Maheu-Cadotte); Hôpital du Sacré-Cœur de Montréal, Montreal, Quebec, Canada (Dr Cournoyer); and Montreal Health Innovation Coordinating Center, Quebec, Canada (Dr Guertin).
Abstract
PURPOSE: To assess sex- and gender-related factors associated with cardiac rehabilitation (CR) enrollment following acute coronary syndrome among systematically referred patients. METHODS: This secondary analysis of a randomized controlled trial used an exploratory approach to examine the TRANSITion process for patients between the coronary care unit and CR (TRANSIT-UC). The present analysis examined the relationship between sex- and gender-related factors and CR enrollment in systematically referred women (n = 35) and men (n = 207). We performed χ and logistic regression analyses to identify statistically significant results. Using the Bonferroni method, a P value of .002 or less was considered a significant statistical result. A raw difference of 15% or more between enrolled and nonenrolled participants was considered a difference worthy of further investigation. RESULTS:Men who were regularly engaged in physical activity prior to their hospitalization and who lived near the CR center showed a statistically higher CR enrollment rate. In women and men, a radial entry site for percutaneous coronary intervention resulted in a clinically significant difference in favor of CR enrollment. In women, 3 sex-related and 9 gender-related variables were associated with a difference of 15% or more between enrolled and nonenrolled participants. CONCLUSION: Factors related to CR enrollment in women and men are suggested. As women keep showing a lower rate of CR enrolment, the investigation of these factors in a larger sample of patients may hold valuable insights to improve CR enrolment.
RCT Entities:
PURPOSE: To assess sex- and gender-related factors associated with cardiac rehabilitation (CR) enrollment following acute coronary syndrome among systematically referred patients. METHODS: This secondary analysis of a randomized controlled trial used an exploratory approach to examine the TRANSITion process for patients between the coronary care unit and CR (TRANSIT-UC). The present analysis examined the relationship between sex- and gender-related factors and CR enrollment in systematically referred women (n = 35) and men (n = 207). We performed χ and logistic regression analyses to identify statistically significant results. Using the Bonferroni method, a P value of .002 or less was considered a significant statistical result. A raw difference of 15% or more between enrolled and nonenrolled participants was considered a difference worthy of further investigation. RESULTS:Men who were regularly engaged in physical activity prior to their hospitalization and who lived near the CR center showed a statistically higher CR enrollment rate. In women and men, a radial entry site for percutaneous coronary intervention resulted in a clinically significant difference in favor of CR enrollment. In women, 3 sex-related and 9 gender-related variables were associated with a difference of 15% or more between enrolled and nonenrolled participants. CONCLUSION: Factors related to CR enrollment in women and men are suggested. As women keep showing a lower rate of CR enrolment, the investigation of these factors in a larger sample of patients may hold valuable insights to improve CR enrolment.