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Are survivors of cardiac arrest provided with standard cardiac rehabilitation? – Results from a national survey of hospitals and municipalities in Denmark
European Journal of Cardiovascular Nursing ( IF 2.9 ) Pub Date : 2020-08-03 , DOI: 10.1177/1474515120946313
Lars H Tang 1, 2, 3 , Vicky Joshi 1 , Cecilie Lindström Egholm 1 , Ann-Dorthe Zwisler 1, 4
Affiliation  

AIM To quantify the provision of standard cardiac rehabilitation to Danish survivors of cardiac arrest at a programme level, and to analyse whether organizational factors influenced the provision. METHOD We mapped the provision of cardiac rehabilitation core components to survivors of cardiac arrest and compared this with a reference group of patients after acute myocardial infarction using data from a cross-sectional programme-level survey among all hospitals (n=34) and municipalities (n= 98) in Denmark. Organizational factors of potential importance to service provision were considered: health care region, size of catchment area/population, type of department/municipality and socioeconomic index. RESULTS Response rates for the provision of each core component of cardiac rehabilitation ranged from 64% to 98%. All hospitals and municipalities provided some aspect of cardiac rehabilitation to survivors of cardiac arrest. Across hospitals, provision of four core components of cardiac rehabilitation to survivors of cardiac arrest was lower compared with post acute myocardial infarction patients: patient education (relative risk (RR) =0.45 (95% confidence interval (CI) 0.27 to 0.75)), exercise training (RR=0.69 (95% CI 0.49 to 0.98)), screening for anxiety and depression (RR=0.64 (95% CI 0.46 to 0.90) and nutritional counselling RR=0.76 (95% CI 0.62 to 0.93)). No difference was found in the provision of core components across municipalities. Overall, the provision of cardiac rehabilitation to survivors of cardiac arrest was not affected by organizational factors. CONCLUSION This study indicates a need for future research to inform the development, adoption and implementation of equal access to all components of cardiac rehabilitation for survivors of cardiac arrest in Denmark.

中文翻译:

是否为心脏骤停幸存者提供标准心脏康复服务?– 丹麦医院和市政当局的全国调查结果

目的 在项目层面量化向丹麦心脏骤停幸存者提供的标准心脏康复,并分析组织因素是否影响了提供。方n= 98) 在丹麦。考虑了对服务提供具有潜在重要性的组织因素:医疗保健区域、服务区/人口规模、部门/市镇类型和社会经济指数。结果 提供心脏康复每个核心组成部分的反应率从 64% 到 98% 不等。所有医院和市政当局都为心脏骤停的幸存者提供了心脏康复的某些方面。与急性心肌梗死后患者相比,在各医院中,向心脏骤停幸存者提供心脏康复的四个核心组成部分较低:患者教育(相对风险 (RR) =0.45(95% 置信区间 (CI) 0.27 至 0.75)),运动训练(RR=0.69(95% CI 0.49 至 0.98))、焦虑和抑郁筛查(RR=0.64(95% CI 0.46 至 0.90)和营养咨询 RR=0.76(95% CI 0.62 至 0.93))。各城市之间的核心组件供应没有发现差异。总体而言,为心脏骤停幸存者提供心脏康复服务不受组织因素的影响。结论 这项研究表明需要未来的研究来为发展提供信息,
更新日期:2020-08-03
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