title: [The Italian Survey on Cardiac Rehabilitation - 2013 (ISYDE.13-Directory): national availability and organization of cardiac rehabilitation facilities].
abstract: BACKGROUND
  The Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology (GICR-IACPR) and the Italian Society of Cardiologists of Accredited Hospitals (SICOA) developed the ISYDE.13 survey with the purpose to take a detailed snapshot of number, distribution, facilities, staffing levels, organization, and program details of cardiac rehabilitation (CR) units in Italy.
  
  
  METHODS
  The study was carried out using a web-based questionnaire running on the GICR-IACPR website for 4 weeks from September 2 to 29, 2013.
  
  
  RESULTS
  Out of 221 CR centers existing in Italy (+14% vs 2008), 191 (86%) participated in the survey. On a national basis, there is a CR unit every 268 852 inhabitants. The majority of CR units are located in public hospitals (57.1%), the remaining 42.9% in private hospitals; 130 CR centers (68%) provide inpatients care and account for 3527 beds (5.9 per 100 000 inhabitants): of these 374 are day-hospital beds and 408 are sub-intensive beds. Forty-one of the Italian in-hospital CR centers offer also outpatient programs and 61 centers (32%) offer only outpatient CR programs; 131 of the CR units (68.6%) are linked to dedicated cardiology divisions and in 77% of cases the head is a cardiologist. Home-based programs are offered by 9 centers (4.7%) and CR programs with telecare supervision by 16 (8.4%). Long-term secondary prevention follow-up programs are provided by 94 of CR services (49.2%). During one week of activity, the 191 centers completed 1335 inpatient CR programs and 971 outpatient CR programs. According to these data, it may be assumed that in Italy approximately 100 000 patients are referred annually to CR programs.
  
  
  CONCLUSIONS
  ISYDE.13 showed an incremental trend of CR provision in Italy, particularly in outpatient programs. However, at present, the national network of CR units covers only one third of the potential requirements defined by current secondary prevention recommendations.
authors.affiliation: Coordinatore Esecutivo Centro Studi e Formazione GICR-IACPR, Genova.
authors.forename: Raffaele
authors.initials: R
authors.lastname: Griffo
authors.affiliation: U.O. Cardiologia Perioperatoria e Cardiologia Riabilitativa, IRCCS Policlinico San Donato, San Donato Milanese (MI).
authors.forename: Roberto
authors.initials: R
authors.lastname: Tramarin
authors.affiliation: Divisione di Cardiologia Riabilitativa, IRCCS San Raffaele Pisana, Roma.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Volterrani
authors.affiliation: U.O. Cardiologia e Angiologia Riabilitativa, Clinica Le Terrazze, Cunardo (VA).
authors.forename: Marco
authors.initials: M
authors.lastname: Ambrosetti
authors.affiliation: U.O. Cardiologia, Casa di Cura Trusso, Ottaviano (NA).
authors.forename: Francesco
authors.initials: F
authors.lastname: Caiazza
authors.affiliation: U.O. Cardiologia, Istituto Clinico Sant'Anna, Brescia.
authors.forename: Claudio
authors.initials: C
authors.lastname: Chimini
authors.affiliation: U.O. Cardiologia Riabilitativa e Preventiva, Ospedale Riabilitativo di Alta Specializzazione, Motta di Livenza (TV).
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Favretto
authors.affiliation: U.O. Cardiologia Riabilitativa, Fondazione Salvatore Maugeri IRCCS, Istituto Scientifico di Montescano, Montescano (PV).
authors.forename: Oreste
authors.initials: O
authors.lastname: Febo
authors.affiliation: U.O. Cardiologia e Ambulatorio di Cardiologia Riabilitativa, Ospedale Vittorio Emanuele II, Castelvetrano (TP).
authors.forename: Michele
authors.initials: M
authors.lastname: Gabriele
authors.affiliation: U.O. Cardiologia, IRCCS Policlinico San Donato, San Donato Milanese (MI).
authors.forename: Enrico
authors.initials: E
authors.lastname: Pusineri
authors.affiliation: U.O.C. Cardiologia III, A.O. San Giovanni-Addolorata, Roma.
authors.forename: Cesare
authors.initials: C
authors.lastname: Greco
authors.affiliation: Dipartimento di Medicina e Cardiologia, Istituto Clinico Sant'Anna, Brescia.
authors.forename: Cesare
authors.initials: C
authors.lastname: Proto
mesh_terms: D019538:Health Care Surveys; D006331:Heart Diseases / Q000453:epidemiology* / Q000534:rehabilitation*; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data*; D007558:Italy / Q000453:epidemiology; D010045:Outpatients / Q000706:statistics & numerical data*; D012047:Rehabilitation Centers / Q000458:organization & administration / Q000706:statistics & numerical data*; D055502:Secondary Prevention / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires