Effect of an american heart association get with the guidelines program-based clinical pathway on referral and enrollment into cardiac rehabilitation after acute myocardial infarction.
Effect of an american heart association get with the guidelines program-based clinical pathway on referral and enrollment into cardiac rehabilitation after acute myocardial infarction.
Am J Cardiol. 2008 Apr 15;101(8):1084-7
Authors: Mazzini MJ, Stevens GR, Whalen D, Ozonoff A, Balady GJ
Cardiac rehabilitation (CR)/secondary prevention programs are an important part of patient care after acute myocardial infarction (AMI). However, only 10% to 15% of eligible patients enroll in such programs. The purpose of this study was to evaluate the effect of an American Heart Association Get With the Guidelines (GWTG)-based clinical pathway on referral and enrollment into CR after AMI. Patients (n = 780) admitted to a single center during an 18-month period with AMI and discharged to home were evaluated retrospectively for referral and enrollment into CR programs. A total of 714 patients (92%) were on the GWTG pathway; 392 (55%) were referred and 135 (19%) were enrolled into CR. Higher referral was associated with pathway use (odds ratio [OR] 2.3, 95% confidence interval [CI] 1.1 to 4.9, p = 0.03), percutaneous coronary intervention (OR 3.1, 95% CI 1.9 to 5.2, p
PMID: 18394437 [PubMed - in process]
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