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dc.contributor.authorTurk-Adawi, Karam
dc.contributor.authorSupervia, Marta
dc.contributor.authorPesah, Ella
dc.contributor.authorLopez-Jimenez, Francisco
dc.contributor.authorAfaneh, Jasser
dc.contributor.authorEl-Heneidy, Asmaa
dc.contributor.authorSadeghi, Masoumeh
dc.contributor.authorSarrafzadegan, Nizal
dc.contributor.authorAlhashemi, Mohammed
dc.contributor.authorPapasavvas, Theodoros
dc.contributor.authorGrace, Sherry L
dc.date.accessioned2019-09-08T23:55:08Z
dc.date.available2019-09-08T23:55:08Z
dc.date.issued2019
dc.identifier.issn0167-5273
dc.identifier.doi10.1016/j.ijcard.2019.02.065
dc.identifier.urihttp://hdl.handle.net/10072/387024
dc.description.abstractBackground: This study aimed to (1) confirm cardiac rehabilitation (CR) availability, (2) establish CR density and unmet need, as well as (3) the nature of programs in the Eastern Mediterranean Region (EMR), and (4) compare these (a) by EMR country and (b) to other countries. Methods: In this cross-sectional study, a survey was administered to CR programs globally. Cardiac associations and local champions facilitated program identification. CR need was based on Global Burden of Disease study ischemic heart disease (IHD) estimates. Results: Of the 22 EMR countries, CR programs were identified in 12 (54.5%). Nine (75.0% country response rate) countries participated, and 24/49 (49.0% program response rate) surveys were initiated. There was 1 CR spot for every 104 incident IHD patients/year (versus 12 globally). One-third of responding programs were privately funded (n = 8; versus globally p < .001), and in 18 (75.0%) programs patients paid some or all of the cost out-of-pocket (versus n = 378, 36.3% globally; p < .001). Over 80% of programs accepted guideline-indicated patients. Nurses (n = 20, 95.2%), cardiologists (n = 18, 85.7%) and dietitians (n = 18, 85.7%) were the most common healthcare providers on CR teams (mean = 6.4 ± 2.2/program; 5.9 ± 2.8 globally, p = .18). On average, programs offered 8.9 ± 1.7/11 core components (versus 8.7 ± 1.9 globally, p = .90). These were most commonly initial assessment, management of risk factors, and patient education (n = 21, 100.0% for each), and least commonly return-to-work counselling (n = 15 71.4%). Mean dose was 27.0 ± 13.5 sessions (versus 28.7 ± 27.6 globally, p = .38). Seven (33.3%) programs offered some alternative models. Conclusion: CR is insufficiently implemented, with 2,079,283 more spots needed/year across the EMR. But where offered, CR is consistent with guidelines.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.publisher.placeIreland
dc.relation.ispartofpagefrom147
dc.relation.ispartofpageto153
dc.relation.ispartofjournalInternational Journal of Cardiology
dc.relation.ispartofvolume285
dc.subject.fieldofresearchCardiorespiratory Medicine and Haematology
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode1102
dc.subject.fieldofresearchcode1117
dc.titleAvailability and delivery of cardiac rehabilitation in the Eastern Mediterranean Region: How does it compare globally?
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationTurk-Adawi, K; Supervia, M; Pesah, E; Lopez-Jimenez, F; Afaneh, J; El-Heneidy, A; Sadeghi, M; Sarrafzadegan, N; Alhashemi, M; Papasavvas, T; Grace, SL, Availability and delivery of cardiac rehabilitation in the Eastern Mediterranean Region: How does it compare globally?, International Journal of Cardiology, 2019, 285, pp. 147-153
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated2019-09-08T23:48:12Z
dc.description.versionAccepted Manuscript (AM)
gro.rights.copyright© 2019 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorEl-Heneidy, Asmaa A.


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