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018 Do Social, Lifestyle and Cardiovascular Risk Factors Predict Dropout from Cardiac Rehabilitation Programs? A Longitudinal Cohort Study

conference contribution
posted on 2023-09-11, 00:27 authored by A Rao, R Zecchin, A Denniss, L Hickman, M DiGiacomo, J Phillips, P Newton

 

Background

While cardiac rehabilitation (CR) programs reduce the risk of further cardiac events and improve symptom management, many eligible people do not attend or do not complete these programs. Further, little is known about the characteristics of people who drop out compared to those who complete CR.

Aims

To determine the prevalence, correlates and predictors of dropout from CR.

Methods

This is an administrative database of all participants consecutively enrolled in one outpatient CR program in Sydney between 2006-2017. Items assessed included demographics, diagnoses, co-morbidities, quality of life (MOS SF-36), psychological health (DASS-21), lifestyle factors and physical assessment. Dropout was defined as those who did not complete a 6 or 12-week outpatient CR program and did not complete post CR assessment.

Results

Of 3350 who entered CR, 784 (23%) dropped out of a 6 or 12-week CR program. Smoking (OR 2.487; 95% CI: 1.951–3.170) or being divorced or separated (OR 2.066; 95% CI: 1.511-2.824) doubled the risk of dropout from CR, while younger age (<55 years) increased the risk of non-completion by 1.8 times (95% CI: 1.457–2.357). Risk factors including depressive symptoms (OR 1.448, 95% CI: 1.136–1.847) diabetes (OR 1.455; 95% CI: 1.145-1.848), sedentary lifestyle (OR 1.334; 95% CI: 1.059–1.680) and obesity (OR 1.612; 95% CI: 1.284–2.023) also increased the risk of dropout from CR.

Conclusion

To improve CR program completion rates, clinicians need to consider the impact of social, lifestyle and cardiovascular risk factors on a person’s ability to adhere to CR.

History

Publication title

Heart Lung and Circulation

Volume

29

Issue

supp 2

Pagination

s45

ISSN

1443-9506

Department/School

Nursing

Publisher

Elsevier

Publication status

  • Published

Event title

68th Cardiac Society of Australia and New Zealand Annual Scientific Meeting

Event Venue

Australia

Date of Event (Start Date)

2020-12-11

Date of Event (End Date)

2020-12-13

Rights statement

Copyright © 2020 Published by Elsevier Ltd.

UN Sustainable Development Goals

3 Good Health and Well Being

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