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Web-Based Questionnaire Survey on Heart Failure in Elderly Patients Using Outpatient Rehabilitation　- Actual

Yuta Tauchi1, Tomoyuki Ogino2, Tomoyuki Morisawa3

  • 1Department of Rehabilitation, Hyogo College of Medicine, Sasayama Medical Center Tambasasayama Japan.

Circulation Reports
|April 7, 2023
PubMed

Insights

Outpatient cardiac rehabilitation (CR) is feasible for elderly heart failure (HF) patients, even outside traditional medical insurance systems. Many facilities currently accept HF patients and others plan to offer CR services in the future.

Area of Science:

  • Gerontology
  • Cardiology
  • Rehabilitation Medicine

Background:

  • Heart failure (HF) is a growing concern in elderly populations.
  • Cardiac rehabilitation (CR) is crucial for managing HF and improving patient outcomes.
  • The role of outpatient rehabilitation (OR) under long-term care insurance systems for HF patients requires investigation.

Purpose of the Study:

  • To investigate the current status of outpatient cardiac rehabilitation (CR) for elderly heart failure (HF) patients.
  • To assess the utilization of long-term care insurance systems in providing CR for HF patients in Japan.

Main Methods:

  • A cross-sectional, web-based questionnaire survey was conducted.
  • The survey targeted 1,258 outpatient rehabilitation facilities in the Kansai region, Japan.
  • 184 facilities responded, yielding a response rate of 14.8%.

Main Results:

  • 159 (86.4%) of responding facilities accepted HF patients, predominantly those aged ≥75 years (94.3%) and in NYHA class I/II (66.7%).
  • Facilities provided standard CR components: exercise therapy, patient education, and disease management.
  • Many facilities not currently treating HF patients expressed willingness to do so in the future, though some await further evidence on OR benefits for HF.

Conclusions:

  • Outpatient CR is a viable option for elderly HF patients, potentially utilizing systems beyond traditional medical insurance.
  • The findings suggest an expansion of CR services for HF patients is possible within the existing long-term care framework.
  • Further evidence may encourage wider adoption of OR for heart failure management.

Keywords:
Cardiac rehabilitationElderlyHeart failureNursing careOutpatient rehabilitation

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