Acute cardiac care & resuscitation

Non-enrolment and non-completion of cardiac rehabilitation among survivors of out-of-hospital cardiac arrest with ischaemic aetiology: a nationwide register-based cohort study

ResuscitationPublished nationwide Danish register-based cohort study

Authors' conclusion

A large proportion of OHCA survivors of ischaemic aetiology either did not enrol in or did not complete cardiac rehabilitation. The findings underscore the need for systematic referral to cardiac rehabilitation after OHCA and more tailored rehabilitation approaches.

Study context

Population
Adults surviving ≥30 days after a first-time out-of-hospital cardiac arrest (OHCA) of ischaemic aetiology between 2019 and 2023OHCA survivors included
Participants
1,684 adults
Exposure
Sociodemographic parameters (age, sex, cohabitation, comorbidity, education, employment) in relation to non-enrolment and non-completion of cardiac rehabilitation
Outcome
Non-enrolment in CR
Methodological detailsmultivariable logistic regression
  • Multivariable logistic regression

Main finding

As reported in the abstract

Did not enrol in CR (overall)

55%

Observational data: associations, not effects.

Further findings

Odds of non-enrolment by sociodemographic characteristics

OR (95% CI)
RetiredHigher odds of non-enrolment1.74 (1.42–2.44)
Higher educationLower odds of non-enrolment0.76 (0.55–0.98)
Moderate/severe comorbidityLower odds of non-enrolment0.53 (0.43–0.65)

Non-completion of CR among those who enrolled

Among those who enrolled, did not complete the programme
50%

Non-enrolment, temporal trend · 2020-2022; 2023

Non-enrolment in 2020-2022 (highest)
60-62%
Non-enrolment in 2023
43%

Non-completion by sociodemographic characteristics

No sociodemographic characteristics were significantly associated with non-completion

Original publication

Non-enrolment and non-completion of cardiac rehabilitation among survivors of out-of-hospital cardiac arrest with ischaemic aetiology: a nationwide register-based cohort study. Resuscitation. Published 6 October 2026. doi:10.1016/j.resuscitation.2026.111343

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