title: Cardiac Rehabilitation After Percutaneous Coronary Intervention in a Multiethnic Asian Country: Enrollment and Barriers.
abstract: OBJECTIVE
  To determine the enrollment or barriers to cardiac rehabilitation (CR) among Asian patients who have undergone percutaneous coronary intervention (PCI).
  
  
  METHODS
  Prospective observational study.
  
  
  METHODS
  Department of cardiology at a university hospital.
  
  
  METHODS
  Patients (N=795) who underwent PCI between January 2012 and December 2013 at a tertiary medical institution.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  Data on enrollment in phase 2 CR and its barriers were collected by dedicated CR nurses.
  
  
  RESULTS
  Of 795 patients, 351 patients (44.2%) were ineligible for CR because of residual coronary stenosis, while 30 patients (3.8%) were not screened because of either early discharge or death. Of the remaining 416 patients (90.8% men; mean age, 55 y), 365 (87.7%) declined CR participation and 51 (12.3%) agreed to participate. Of these 51 patients, 20 (39%) did not proceed to enroll and 4 (8%) dropped out, leaving 27 patients (53%) who completed at least 6 sessions of the CR program. The top 3 reasons provided by patients who declined to participate in CR were (1) busy work schedules (37.5%), (2) no specific reason (26.7%), and (3) preference for self-exercise (20.1%). Nonsmokers were more likely to participate in CR (P=.001).
  
  
  CONCLUSIONS
  CR participation of Asian patients after PCI was found to be lower than that reported in Western countries. The exclusion criteria used in the institution under study differed from those provided by international associations. A busy work schedule was the most common reason for declining CR after PCI.
authors.affiliation: Department of Cardiology, National University Heart Centre Singapore, Singapore.
authors.forename: Ruth
authors.initials: R
authors.lastname: Poh
authors.affiliation: Department of Cardiology, National University Heart Centre Singapore, Singapore.
authors.forename: Hsuen-Nin
authors.initials: HN
authors.lastname: Ng
authors.affiliation: Department of Cardiology, National University Heart Centre Singapore, Singapore.
authors.forename: Germaine
authors.initials: G
authors.lastname: Loo
authors.affiliation: Department of Cardiology, National University Heart Centre Singapore, Singapore.
authors.forename: Lean-See
authors.initials: LS
authors.lastname: Ooi
authors.affiliation: Department of Cardiology, National University Heart Centre Singapore, Singapore.
authors.forename: Tee-Joo
authors.initials: TJ
authors.lastname: Yeo
authors.affiliation: Department of Cardiology, National University Heart Centre Singapore, Singapore.
authors.forename: Raymond
authors.initials: R
authors.lastname: Wong
authors.affiliation: Department of Cardiology, National University Heart Centre Singapore, Singapore. Electronic address: mdclchr@nus.edu.sg.
authors.forename: Chi-Hang
authors.initials: CH
authors.lastname: Lee
mesh_terms: D000328:Adult; D000368:Aged; D005006:Ethnicity; D005260:Female; D006331:Heart Diseases / Q000534:rehabilitation* / Q000601:surgery*; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D011446:Prospective Studies; D012846:Singapore
keywords: Cardiology; Patient participation; Rehabilitation; Secondary prevention