title: Efficiency of rehabilitation after acute myocardial infarction.
abstract: The purpose of this study was to evaluate the recurrence rate and medical expenses of acute myocardial infarction (AMI) following inpatient cardiac rehabilitation. A total of 834 patients with AMI were divided into Group 1 (with inpatient cardiac rehabilitation) and Group 2 (without inpatient cardiac rehabilitation). The results showed that Group 1 had a lower AMI recurrence rate (a 0.640-fold lower hazards ratio) than Group 2 [95% confidence interval (CI) = 0.197-1.863; p = 0.004]. Compared with the medical costs of Group 2, Group 1 also had lower medical costs (a 0.947-fold lower hazards ratio) than Group 2 (95% CI = 0.934-0.981; p = 0.042). These findings have implications for the decision making of clinicians and health policymakers attempting to provide adequate services for patients with AMI.
authors.affiliation: Department of Nursing, Cardinal Tien College of Healthcare & Management, Taipei, Taiwan.
authors.forename: Hui-Ming
authors.initials: HM
authors.lastname: Chen
authors.affiliation: Department of Graduate Institute of Business Administration, Fu Jen Catholic University, Taipei, Taiwan; Department of Medicine, Fu Jen Catholic University, Taipei, Taiwan; Department of Urology, Taipei City Hospital (Zhong-Xing Branch), Taipei, Taiwan.
authors.forename: Chih-Kuang
authors.initials: CK
authors.lastname: Liu
authors.affiliation: Department of Graduate Institute of Business Administration, Fu Jen Catholic University, Taipei, Taiwan; Department of Medicine, Fu Jen Catholic University, Taipei, Taiwan; Department of Physical Medicine and Rehabilitation, Fu Jen Catholic Hospital, Taipei, Taiwan. Electronic address: chenhuiwen2180@yahoo.com.tw.
authors.forename: Hui-Wen
authors.initials: HW
authors.lastname: Chen
authors.affiliation: Department of School of Health Care Administration, Taipei Medical University, Taipei, Taiwan.
authors.forename: Ben-Chang
authors.initials: BC
authors.lastname: Shia
authors.affiliation: Department of Graduate Institute of Business Administration, Fu Jen Catholic University, Taipei, Taiwan.
authors.forename: Mingchih
authors.initials: M
authors.lastname: Chen
authors.affiliation: Taiwanese Injury Prevention and Safety Promotion Association, Taipei, Taiwan.
authors.forename: Chi-Hsiang
authors.initials: CH
authors.lastname: Chung
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007297:Inpatients; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000534:rehabilitation*; D010045:Outpatients; D016016:Proportional Hazards Models; D013624:Taiwan; D055815:Young Adult
keywords: Acute myocardial infarction; Cardiac rehabilitation; Medical cost; Recurrence rate