Change in Profile of Entrants in a Brazilian Large Cardiovascular Rehabilitation Service

Pietro Felice Tomazini Nesello; Guilherme Foletto; Eduardo Pflug Comparsi; Olga Sergueevna Tairova

doi:10.3889/oamjms.2015.083

Authors

Pietro Felice Tomazini Nesello University of Caxias do Sul - Institute of Sports Medicine, Rua Francisco GetÃºlio Vargas, 1130, Caxias do Sul 95070-560
Guilherme Foletto University of Caxias do Sul - Institute of Sports Medicine, Rua Francisco GetÃºlio Vargas, 1130, Caxias do Sul 95070-560
Eduardo Pflug Comparsi University of Caxias do Sul - Institute of Sports Medicine, Rua Francisco GetÃºlio Vargas, 1130, Caxias do Sul 95070-560
Olga Sergueevna Tairova University of Caxias do Sul - Institute of Sports Medicine, Rua Francisco GetÃºlio Vargas, 1130, Caxias do Sul 95070-560

DOI:

https://doi.org/10.3889/oamjms.2015.083

Keywords:

Cardiovascular rehabilitation, Cardiovascular prevention, Cardiovascular rehabilitation referencing, Coronary artery disease, Cardiovascular risk factors

Abstract

BACKGROUND: There are references regarding physical activity and cardiovascular disease since the nineteenth century. New evidences support that cardiac rehabilitation is closely related to therapeutic success after major coronary events. Although the benefits of cardiac rehabilitation programs are well established, referencing and enrolment in such services remain low.

AIM: The aim of this paper is to describe the profile changes throughout the years in a large cardiac rehabilitation service in Brazil.

MATERIAL AND METHODS: This is a retrospective analysis of medical records of all patients referred to cardiac rehabilitation service of the Institute of Sports Medicine, University of Caxias do Sul from March 2003 to July 2014. Data collection was carried out using SPSS software and the statistical analysis with Studentâ€™s t-test, ANOVA test and chi square test.

RESULTS: It has seen a substantial increase of patients, mostly routed via universal health system, also an increase of post-myocardial infarction patients and ex-smokers. Also, it was seen few patients in the 7th and 8th life decades, and men were in majority since the beginning.

CONCLUSION: An increase in the number of patients referred by universal health system occurred because there is a governmental interest in this type of program. About tobacco, hospitalizations appear to be influential in the decision of abandonment. There was a substantial increase of patients with more severe disease which is in accordance with the latest guidelines of Cardiovascular and Metabolic Rehabilitation.

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References

Gaziano TA, Bitton A, Anand S, Abrahams-Gessel S, Murphy A. Growing epidemic of coronary heart disease in low- and middle-income countries. Curr Probl Cardiol. 2010;35(2):72â€“115. DOI: https://doi.org/10.1016/j.cpcardiol.2009.10.002

Buttar HS, Li T, Ravi N. Prevention of cardiovascular diseases: Role of exercise, dietary interventions, obesity and smoking cessation. Exp Clin Cardiol. 2005;10(4):229â€“49.

Savage PD, Sanderson BK, Brown TM, Berra K, Ades PA. Clinical Research in Cardiac Rehabilitation and Secondary Prevention: Looking Back and Moving Forward. J Cardiopulm Rehabil Prev. 2011; 31(6): 333â€“341. DOI: https://doi.org/10.1097/HCR.0b013e31822f0f79

Godoy M, et al. I Consenso Nacional de ReabilitaÃ§Ã£o Cardiovascular. Arq Bras Cardiol. 1997;69(4):267â€“91. DOI: https://doi.org/10.1590/S0066-782X1997001000010

Korenfeld Y, Mendoza-Bastidas C, Saavedra L, Montero-GÃ³mez A, Perez-Terzic C, Thomas RJ, et al. Current status of cardiac rehabilitation in Latin America and the Caribbean. Am Heart J. 2009;158(3):480â€“7. DOI: https://doi.org/10.1016/j.ahj.2009.06.020

CortÃ©s O, Arthur HM. Determinants of referral to cardiac rehabilitation programs in patients with coronary artery disease: a systematic review. Am Heart J. 2006; 151:249. DOI: https://doi.org/10.1016/j.ahj.2005.03.034

Suaya JA, Shepard DS, Normand SL, Ades PA, Prottas J, Stason WB. Use of cardiac rehabilitation by Medicare beneficiaries after myocardial infarction or coronary bypass surgery. Circulation. 2007;116(15):1653â€“62. DOI: https://doi.org/10.1161/CIRCULATIONAHA.107.701466

Wenger NK FE, Smith LK, et al. Clinical Practice Guideline No. 17: Cardiac Rehabilitation.: US Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, National Heart, Lung, and Blood Institute. Report No.: AHCPR Publication No. 96-0672, 1995.

Ades PA, Waldmann ML, McCann WJ, Weaver SO. Predictors of cardiac rehabilitation participation in older coronary patients. Arch Intern Med. 1992;152(5):1033-5. DOI: https://doi.org/10.1001/archinte.152.5.1033

Lieberman L, Meana M, Stewart D. Cardiac rehabilitation: Gender differences in factors influencing participation Journal of Women's Health. 1998;7(6): 717-723. DOI: https://doi.org/10.1089/jwh.1998.7.717

Bethell HJ, Turner SC, Evans JA, Rose L. Cardiac rehabilitation in the United Kingdom. How complete is the provision? J Cardiopulm Rehabil. 2001;21(2):111-5. DOI: https://doi.org/10.1097/00008483-200103000-00008

Clark AM, Redfern J, Briffa T. Cardiac rehabilitation: fit to face the future? Heart. 2014;100:355â€“6. DOI: https://doi.org/10.1136/heartjnl-2013-304407

Grace SL, Bennett S, Ardern CI, Clark AM. Cardiac Rehabilitation Series: Canada. Progress in Cardiovascular Diseases. 2014; 56(5): 530-35. DOI: https://doi.org/10.1016/j.pcad.2013.09.010

20 anos do SUS. Available on: http://conselho.saude.gov.br/web_sus20anos/index.html. Viewed in 12/06/14

Clifford K. Section A; Page 3; Column 1; Foreign Desk. The New York Times. Feb 13, Long Lines Mar Canadaâ€™s Low â€“ Cost Health Care, 2003.

Susan G. Markets and Medicine: The Politics of Health Care Reform in Britain, Germany, and the United States. Ann Arbor: The Univ. of Michigan Press, 2002.

Earl HD, Klees BS, Curtis CA. Overview of the Medicare and Medicaid Programs. Health Care Financing Review. 2000;22(1):175â€“193

Rexford SE, Neun SP. Health Economics: Theories, Insights and Industry Studies. Orlando, FL: Dryden. Harcourt Brace College Publishers, 2000.

De Carvalho EEV, Scarpellini ES, Rosa ACM et al. Antropometry and clinical profiles of patients participating in a cardiovascular and metabolic rehabilitaion program. Revista EpeQ Fafibe. 2011; 3(1).

Magalhaes S, Viamontea S, Ribeiro MM, Fernandes, Torres S, Gomes JL. Efeitos a longo prazo de um programa de reabilitaÃ§Ã£o cardÃaca no controle dos fatores de risco cardiovasculares. Rev Port Cardiol. 2013;32:191-9. DOI: https://doi.org/10.1016/j.repc.2012.08.005

Kotseva K, Wood D, De Backer G, De Bacquer D, PyÃ¶rÃ¤lÃ¤ K, Keil U; EUROASPIRE Study Group. EUROASPIRE III: a survey on the lifestyle, risk factors and use of cardioprotective drug therapies in coronary patients from 22 European countries. Eur J Cardiovasc Prev Rehabil. 2009;16(2):121-37. DOI: https://doi.org/10.1097/HJR.0b013e3283294b1d

Lavie CJ, Milani RV, Ventura HO. Obesity and cardiovascular disease: risk factor, paradox, and impact of weight loss. Journal of the American College of Cardiology 2009;53(21):1925-32. DOI: https://doi.org/10.1016/j.jacc.2008.12.068

Bernardo, Aline Fernanda Barbosa et al. Association between physical activity and cardiovascular risk factors in individuals undergoing cardiac rehabilitation program. Revista Brasileira de Medicina do Esporte, SÃ£o Paulo, v. 19, n. 4, p.231-235, jul. 2013. DisponÃvel em: <http://www.scielo.br/pdf/rbme/v19n4/en_01.pdf>. Acesso em: 4 jun. 2015.

Rosendorff C, Black HR, Cannon CP, et al. Treatment of hypertension in the prevention and management of ischemic heart disease: a scientific statement from the American Heart Association Council for High Blood Pressure Research and the Councils on Clinical Cardiology and Epidemiology and Prevention. Circulation. 2007;115(21):2761-88. DOI: https://doi.org/10.1161/CIRCULATIONAHA.107.183885

EUROASPIRE. A European Society of Cardiology survey of secondary prevention of coronary heart disease: principal results. EUROASPIRE Study Group. European Action on Secondary Prevention through Intervention to Reduce Events. Eur Heart J. 1997;18(10):1569-82. DOI: https://doi.org/10.1093/oxfordjournals.eurheartj.a015136

EUROASPIRE II Study Group. Lifestyle and risk factor management and use of drug therapies in coronary patients from 15 countries; principal results from EUROASPIRE II Euro Heart Survey Programme. Eur Heart J. 2001;22(7):554-72. DOI: https://doi.org/10.1053/euhj.2001.2610

Lacour JR. Lipid metabolism and exercise. Rev Prat. 2001; 51: S36-41.

Zwisler AD, Bjarnason-Wehrens B, McGee H, et al. Can level of education, accreditation and use of databases in cardiac rehabilitation be improved? Results from the European Cardiac Rehabilitation Inventory Survey. Eur J Prev Cardiol. 2012;19(2):143-50. DOI: https://doi.org/10.1177/1741826711398847