Heart failure & cardiomyopathies
Patterns of Referral and Postdischarge Utilization of Cardiac Rehabilitation Among Patients Hospitalized With Heart Failure: An Analysis From the GWTG-HF Registry
Authors' conclusion
CR referral rates have increased from 2010 to 2020. However, only 1 in 4 patients are referred to CR. Among eligible patients who received CR referral, participation was low, with <1 of 20 participating in CR.
Study context
- Population
- Patients hospitalised for HFrEF (EF ≤35%) eligible for cardiac rehabilitation (CR), GWTG-HF registry, 2010–2020eligible for CR
- Participants
- 69,441 patients
- Exposure
- CR referral vs no CR referral
- Referredn = 17,076
- Outcome
- CR referral rate
Methodological detailsregistry-based, multivariable-adjusted
- Registry-based
- Multivariable-adjusted
Main finding
As reported in the abstract
- Referred to CR (overall)
- 24.6%
- Referral rate 2010
- 8.1%
- Referral rate 2020
- 24.1%
- Trend in referral
- Ptrend<0.001
Observational data: associations, not effects.
Further findings
| Outcome | HR (95% CI) | P value | |
|---|---|---|---|
| 1-year deathAdjusted | 0.84 (0.70–1.00) | P = 0.049 | |
| 0.512Hazard ratio (log scale) |
CR referral and utilization within 1 year (Medicare, clinically stable 6 weeks after discharge)
- Medicare patients clinically stable at 6 weeks
- 8310
- CR referral rate
- 25.8%
- CR utilization among referred
- 4.1%
- Mean sessions attended
- 6.7
Predictors of non-referral
- Not referred more likely older, Black race, higher comorbidity burden
1-year readmission
- No significant difference between referred and not referred
Original publication
Patterns of Referral and Postdischarge Utilization of Cardiac Rehabilitation Among Patients Hospitalized With Heart Failure: An Analysis From the GWTG-HF Registry. Circ Heart Fail. Published 11 July 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →