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Updated: May 23, 2025

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通过推设置在心脏康复招生中的差异

Kevin Chen¹, Julianne DeAngelis, Dana Antinozzi

¹Author Affiliations: Warren Alpert Medical School of Brown University, Providence, Rhode Island (Drs Chen, Berkowitz, and Wu); Department of Medicine, Rhode Island Hospital, Providence, Rhode Island (Dr Berkowitz); Division of Cardiology, Department of Medicine, VA Medical Center, Providence, Rhode Island (Dr Wu); Brown University School of Public Health, Providence, Rhode Island (Ms Antinozzi); and Center for Cardiac Fitness, The Miriam Hospital, Providence, Rhode Island (Ms DeAngelis, Dr Kerwin, and Dr Wu).

Journal of cardiopulmonary rehabilitation and prevention

|May 22, 2025

概括

与住院推相比,门诊和双重推显著增加了心脏康复 (CR) 招生. 老年患者 (>80岁) 的CR入学率较低,这表明需要量身定制的策略.

科学领域:

心脏病学心脏病学
公共卫生公共卫生
医疗保健管理的管理

背景情况:

国家指导方针强调在出院前提前进行心脏康复 (CR) 转诊.
患者参加CR的意愿可能会受到与心脏病学家的先前讨论的影响.
这项研究调查了基于转诊类型的入学率:住院,门诊和双诊.

研究的目的:

根据住院,门诊和双重转诊设置,比较心脏康复 (CR) 招生几率.
确定影响转诊患者中CR入学的因素.
为改善CR采用的战略提供信息.

主要方法:

从2021年10月到2022年9月,对1614名转诊CR患者进行了回顾性研究.
在住院患者 (n=807),门诊患者 (n=670) 和双重 (n=137) 转诊组中比较CR入学率.
多变量回归分析以确定入学预测因素,控制人口统计和并发症.

主要成果:

整体招生率为54% (874/1614名患者).
门诊推 (70%) 和双推 (60%) 的入学率明显高于住院推 (40%).
与年轻患者相比,80岁以上的患者的入学几率较低 (OR=0.50).

结论:

门诊和双重转诊与CR入学的几率比住院转诊更高.
老年患者 (>80岁) 不太可能参加CR.
未来的研究应侧重于加强住院CR转诊流程,并为老年人量身定制CR讨论.

关键词:

心脏康复心脏康复不同的差异,不平等的差异.招生报名招生报名转介转介转介转介转介转介转介

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