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Rehabilitation Practice and Science

Translated Title

台灣臨床成效指標系統施行後急性心肌梗塞經心導管介入之患者接受心臟復健現況

Abstract

Background and Purpose: Cardiac rehabilitation (CR) is effective in improving mortality and morbidity outcomes and may favorably influence cardiac risk factors in patients with coronary heart disease. Despite the proven benefits, CR remains considerably under-utilized worldwide. The aim of this study was to research the current status of CR for patients with acute myocardial infarction (AMI) receiving percutaneous coronary intervention (PCI) after the Taiwan Clinical Performance Indicator executes was activated in a medical center in Taiwan. Methods: The medical records of 174 patients with AMI at our hospital from January to December 2012 were retrospectively reviewarticleed to investigate the consultation process and participation in CR after discharged. Fifty-four patients who did not meet our criteria were excluded. 120 patients who received PCI were enrolled. Baseline information, hospitalization, and the phase I CR process were all recorded. Results: All patients(100%) with AMI who received PCI underwent phase I CR during hospitalization. The mean hospitalization duration was 8.1±8.0 days. The mean duration from admission to consultation was 47.2±57.3 hours; the mean duration for completing consultation was 12.0±17.9 hours; The mean duration for initiating therapy after CR prescription was 17.0±23.1 hours. A total of 114 patients(95%) returned to the cardiology outpatient department for follow-up. However, only 18 patients(15%) continued regular follow-up at the rehabilitation outpatient department and entered phase II CR. Conclusions: After the AMI indicator was activated, all patients receiving PCI participated in the phase I CR programs at our hospital. The participation rate in phase II CR was relatively low. To improve the phase II CR participation rate in the future, emphasizing the importance of phase II CR to the patient and the cardiologist is suggested. Facilitating the process of outpatient referral should also be considered.

Language

Traditional Chinese

First Page

153

Last Page

160

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