Barriers to Cardiac Rehabilitation Enrollment and Secondary Prevention Adherence in Patients with Coronary Heart Disease Following Percutaneous Coronary Intervention : A Cross-sectional Survey

© 2024 Saudi Heart Association.

Détails bibliographiques
Publié dans:Journal of the Saudi Heart Association. - 1999. - 36(2024), 3 vom: 28., Seite 252-262
Auteur principal: Almoghairi, Ahmed M (Auteur)
Autres auteurs: O'Brien, Jane, Doubrovsky, Anna, Duff, Jed
Format: Article en ligne
Langue:English
Publié: 2024
Accès à la collection:Journal of the Saudi Heart Association
Sujets:Journal Article Adherence Cardiac rehabilitation (CR) Coronary heart disease (CHD) Enrollment barriers Percutaneous coronary intervention (PCI)
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245 1 0 |a Barriers to Cardiac Rehabilitation Enrollment and Secondary Prevention Adherence in Patients with Coronary Heart Disease Following Percutaneous Coronary Intervention  |b A Cross-sectional Survey 
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520 |a © 2024 Saudi Heart Association. 
520 |a Objectives: This study aimed to evaluate adherence to secondary prevention measures and to identify barriers to cardiac rehabilitation enrolment among patients with coronary heart disease after percutaneous coronary intervention 
520 |a Methods: An observational cross-sectional survey was conducted through computer-assisted telephone interviews to assess recently treated percutaneous coronary intervention patients at the Prince Sultan Cardiac Center in Saudi Arabia 
520 |a Results: Out of 104 surveyed patients with coronary heart disease, 85 (82%) were male, with an average age of 59.5 years. The obesity rate was 28% (n = 29), with a high prevalence of comorbidities: 82 (79%), 63 (61%), and 62 (60%) patients had hyperlipidemia, diabetes, and hypertension, respectively. Despite high medication compliance (97%), adherence to secondary prevention measures was low (21%). Adherence to physical exercise and weight monitoring for fluid body build-up was notably poor at 35% and 9%, respectively. Only 11 (10.6%) patients were referred for cardiac rehabilitation, of whom only four (36.4%) attended. Significant barriers such as a lack of staff contact, insufficient physician support, and distance to cardiac rehabilitation facilities were particularly noted by 69% of rural patients 
520 |a Conclusions: This study underscores the significant cardiac risk factors and low adherence to secondary prevention measures among post revascularization patients with coronary heart disease in Saudi Arabia. Low referral and other organizational barriers, as well as the travel distance to hospital-based cardiac rehabilitation, hinder program enrolment. To improve cardiac rehabilitation accessibility, it is crucial to revise the discharge plans, implement automated referral systems, expand the services across all regions, and utilize alternative delivery models 
650 4 |a Journal Article 
650 4 |a Adherence 
650 4 |a Cardiac rehabilitation (CR) 
650 4 |a Coronary heart disease (CHD) 
650 4 |a Enrollment barriers 
650 4 |a Percutaneous coronary intervention (PCI) 
700 1 |a O'Brien, Jane  |e verfasserin  |4 aut 
700 1 |a Doubrovsky, Anna  |e verfasserin  |4 aut 
700 1 |a Duff, Jed  |e verfasserin  |4 aut 
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