Poor implementation of cardiac rehabilitation despite broad dissemination of coronary interventions for acute myocardial infarction in Japan - A nationwide survey

Yoichi Goto, Muneyasu Saito, Toshiji Iwasaka, Hiroyuki Daida, Masahiro Kohzuki, Kenji Ueshima, Shigeru Makita, Hitoshi Adachi, Hiroyoshi Yokoi, Kazuto Omiya, Hiroshi Mikouchi, Hiroyuki Yokoyama

研究成果: Article査読

46 被引用数 (Scopus)

抄録

Background: The implementation of cardiac rehabilitation (CR) after acute myocardial infarction (AMI) has not been fully investigated in Japan, so a nationwide survey of hospitals was conducted. Methods and Results: Questionnaires were sent in 2004 to a total of 1,875 hospitals in Japan, including all the 859 Japanese Circulation Society (JCS)-authorized cardiology-training hospitals (THs), 311 JCS-associated hospitals (AH), and 705 randomly sampled non-THs (NTHs). The response rate was 59% (1,106/1,875). The percentages of hospitals treating hospitalized AMI patients were 97% in 526 TH, 85% in 194 AH, and 20% in 339 NTH. Although the rates of implementation of emergency percutaneous coronary intervention were very high (92%, 56%, and 4%, respectively), the rates of implementation of recovery phase CR were low (20%, 8%, and 2%, respectively). In addition, patient education programs (23%, 13% and 2%) and formulated exercise prescriptions based on exercise testing (16%, 7% and 1%) were poorly implemented. More importantly, only 9%, 2% and 0% of these hospitals had outpatient CR programs. From these data, the nationwide participation rate in outpatient CR after AMI in Japan was estimated to be only 3.8-7.6%. Conclusion: This first nationwide survey demonstrated that, in contrast to the broad dissemination of acute phase invasive treatment for AMI, the implementation of recovery phase CR, especially outpatient CR, is extremely poor in Japan. In addition, patient education programs and exercise prescription based on exercise testing are only poorly implemented.

本文言語English
ページ(範囲)173-179
ページ数7
ジャーナルCirculation Journal
71
2
DOI
出版ステータスPublished - 2007
外部発表はい

ASJC Scopus subject areas

  • 循環器および心血管医学

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