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Overview of cardiac rehabilitation following post-acute myocardial infarction in European Society of Cardiology member countries

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dc.contributor.authorRuivo, Jorge
dc.contributor.authorMoholdt, Trine
dc.contributor.authorAbreu, Ana
dc.date.accessioned2023-07-25T11:43:13Z
dc.date.available2023-07-25T11:43:13Z
dc.date.issued2023
dc.description© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved.pt_PT
dc.description.abstractAims: Cardiovascular disease (CVD) is still a leading cause of death and morbidity in Europe and must be addressed through approaches beyond therapeutic interventions and pharmacological management. Cardiac rehabilitation (CR) is a comprehensive, individualized, and patient-tailored programme, comprising multidisciplinary interventions. Despite its clinical benefits, cost-effectiveness, and existing guidelines, CR uptake in Europe remains suboptimal and detailed information on its current state is lacking. This centralized pan-European study (Overview of Cardiac Rehabilitation-OCRE) aimed to characterize and advance the knowledge about European Society of Cardiology (ESC) affiliated national CR settings. Methods and results: An online survey about provision and quality indicators from CR was sent to the network of National CVD Prevention Coordinators of ESC member states, whose answers were supported by published evidence and/or national experts. The OCRE study had a high participation rate (82%). Current positive aspects of CR include low dropout rates and short average start time after myocardial infarction, as well as public funding being standard practice. However, the uptake rate and average duration of CR are still suboptimal, and several countries lack CR mandatory rotation in Cardiology training, guidance documents, national accreditation, and electronic database registries. We also found several barriers to CR guideline implementation, at patient, staff, and healthcare levels. Conclusions: This study provides a comprehensive characterization of CR in Europe, generating important insight on the current provision and quality of CR in Europe, highlighting its sucesses and shortcomings, and discussing important strategies to overcome current obstacles.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEur J Prev Cardiol. 2023 Jul 12;30(9):758-768pt_PT
dc.identifier.doi10.1093/eurjpc/zwad024pt_PT
dc.identifier.eissn2047-4881
dc.identifier.issn2047-4873
dc.identifier.urihttp://hdl.handle.net/10451/58741
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherOxford University Presspt_PT
dc.relation.publisherversionhttps://academic.oup.com/eurjpcpt_PT
dc.subjectCardiac rehabilitationpt_PT
dc.subjectCardiovascular diseasespt_PT
dc.subjectEuropept_PT
dc.subjectSecondary preventionpt_PT
dc.subjectSurveys and questionnairespt_PT
dc.titleOverview of cardiac rehabilitation following post-acute myocardial infarction in European Society of Cardiology member countriespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage768pt_PT
oaire.citation.issue9pt_PT
oaire.citation.startPage758pt_PT
oaire.citation.titleEuropean Journal of Preventive Cardiologypt_PT
oaire.citation.volume30pt_PT
person.familyNameRuivo
person.familyNameAbreu
person.givenNameJorge
person.givenNameAna
person.identifier.ciencia-id0D11-0660-62B4
person.identifier.ciencia-id881A-1343-A491
person.identifier.orcid0000-0002-3219-4028
person.identifier.orcid0000-0003-0786-7830
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationcf0dbf19-3dbb-41be-911c-6e08524702ed
relation.isAuthorOfPublication0881e2c9-e3e9-4eff-b1e1-475ca2dfa3fd
relation.isAuthorOfPublication.latestForDiscovery0881e2c9-e3e9-4eff-b1e1-475ca2dfa3fd

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