title: Predictors of cardiac rehabilitation attendance following primary percutaneous coronary intervention for ST-elevation myocardial infarction in Australia.
abstract: Cardiac rehabilitation is an important component of recovery and secondary prevention following urgent primary percutaneous coronary intervention. However, attendance and factors that predict participation by patients admitted with ST-elevation myocardial infarction remain unclear. This Australian study was conducted using a descriptive, comparative design. Consecutive patients (n = 246) at two hospitals were interviewed by telephone at four weeks and six months. Open-ended questions were used to assess cardiac rehabilitation attendance, sociodemographics, modifiable risk factors, clinical outcomes, and post-discharge health support. Post-discharge home visits at four weeks (odds ratio: 2.64, 95% confidence interval: 1.48-4.71) and at six months were associated with better cardiac rehabilitation attendance; more males participated at four weeks and at six months. The results suggest the need to integrate post-discharge health support with cardiac rehabilitation to facilitate recovery after primary percutaneous coronary intervention, particularly for females with ST-elevation myocardial infarction.
authors: Department of Cardiology, Royal North Shore Hospital, Sydney, Australia.|Faculty of Health, University of Technology Sydney.
authors: Soon Yeng
authors: SY
authors: Soo Hoo
authors: Charles Perkins Centre and Sydney Nursing School, University of Sydney, Sydney, New South Wales, Australia.
authors: Robyn
authors: R
authors: Gallagher
authors: Faculty of Health, University of Technology Sydney.
authors: Doug
authors: D
authors: Elliott
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001315:Australia; D000072038:Cardiac Rehabilitation / Q000523:psychology* / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D062645:Percutaneous Coronary Intervention / Q000534:rehabilitation*; D000072657:ST Elevation Myocardial Infarction / Q000534:rehabilitation*
keywords: ST-elevation; attendance; cardiac rehabilitation; gender; myocardial infarction; percutaneous coronary intervention