Cardiac rehabilitation in the Northwest

S Horgan1, O Noonan, L Bannan

  • 1Cardiology Department, AMNCH, Tallaght, Dublin 24, Ireland. horgan_stephen77@hotmail.com

Insights

This audit of cardiac rehabilitation (CR) in the Northwest found a 26% smoking quit rate and improved exercise capacity. The CR service is evolving, with plans to enhance referral rates and accessibility for better cardiovascular disease management.

Area of Science:

  • Cardiology
  • Public Health
  • Rehabilitation Medicine

Background:

  • Cardiac rehabilitation (CR) is crucial for cardiovascular disease management.
  • Auditing existing CR services identifies areas for improvement.
  • The Northwest region's CR service required an updated assessment.

Purpose of the Study:

  • To conduct a comprehensive audit of the cardiac rehabilitation (CR) service in the Northwest.
  • To evaluate patient demographics, uptake rates, and outcomes.
  • To analyze referral systems and program phases (I-IV).

Main Methods:

  • Patients were identified using the CR Information System.
  • Data collected included indications, uptake rates, demographics, and complications.
  • Cardiovascular risk factors and exercise capacity were compared pre- and post-CR.

Main Results:

  • 392 patients were offered CR in 2006; 151 completed phase III.
  • Mean age was 62.9 years, with 22% females.
  • A 26% smoking quit rate was achieved; exercise capacity increased by 2.85 mets.

Conclusions:

  • The Northwest CR service is a modern, evolving program.
  • Improvements in referral rates, reduced Phase II duration, and increased female participation are recommended.
  • Enhanced accessibility will strengthen CR's role in regional cardiovascular disease management.
Abstract

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