Referral to Cardiac Rehabilitation among Rural Heart Failure Patients | OMICS International| Abstract
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Journal of Cardiac and Pulmonary Rehabilitation
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  • Research Article   
  • J Card Pulm Rehabil 2017, Vol 1(2): 115

Referral to Cardiac Rehabilitation among Rural Heart Failure Patients

Alan Beck*
Washington University, One Brookings Drive, St. Louis, United States
*Corresponding Author : Alan Beck, Research Manager, Washington University in St. Louis, One Brookings Drive, Campus Box 1196 St. Louis, MO 63130, United States, Tel: +3149350125, Email: [email protected]

Received Date: Oct 04, 2017 / Accepted Date: Oct 18, 2017 / Published Date: Oct 23, 2017


Purpose: Determine how rural heart failure patients are referred for outpatient cardiac rehabilitation. This study examined individual and system challenges to cardiac rehabilitation referral.
Methods: This was a prospective study from a single site tertiary care hospital. The primary outcome was to determine how study subjects were referred to cardiac rehabilitation. A secondary outcome was the elicited individual characteristic differences among subjects.
Findings: Sixty-one patients were included in the study, 43 males and 18 females (67 ± 9.37 y). There was a statistically significant difference in who initiated the referral to cardiac rehabilitation depending upon diagnosis code (p<0.001). If CAD or heart surgery was the diagnosis code utilized, mid-level providers initiated the referral; however, if heart failure was the primary, cardiac rehabilitation staff initiated the referral. Secondary findings demonstrated not all heart failure patients were managed by cardiologists, low socioeconomic status, and illiteracy.
Conclusions: A multidisciplinary approach is warranted, especially inpatient cardiac rehabilitation staff, to ensure referral to outpatient cardiac rehabilitation among rural heart failure patients.

Keywords: Health disparities; Health services research; Geography

Citation: Beck A (2017) Referral to Cardiac Rehabilitation among Rural Heart Failure Patients. J Card Pulm Rehabil 1: 115.

Copyright: © 2017 Beck A. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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