Utilization of phase II cardiac rehabilitation in Veterans Administration patients.

Manish Jhawar, Albert Chan, Leif Christianson, Ankit Mehra, Kul Aggarwal, Kevin Dellsperger, Anand Chockalingam

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Cardiac rehabilitation (CR) is underutilized across the United States. Reported national average varies from 14-35% after acute myocardial infraction and 31% after coronary artery bypass grafting surgery. No study to date has examined the utilization of CR in eligible veteran population. In this retrospective study, computerized veteran medical records at a single Veterans Administration (VA) hospital were screened between January 1, 2006 and December 31, 2009. Patients who met the inclusion and exclusion criteria were surveyed telephonically and asked a series of questions relating to delivery and utilization of phase II CR. Data was collected using a pre-printed questionnaire and patient responses were number coded. Utilization rate of phase II CR in veterans was noted to be 21%. Common reasons reported for underutilization of CR included time and distance problems, orthopedic- and stroke-related muscle weakness and lack of motivation. Participation in Phase II CR led to better adherence to exercise long term. Also, 65-70% of the veterans expressed interest in a tailored home based CR program. CR is underutilized in eligible veterans. Compliance could possibly be improved if the veterans were offered a tailored CR program.

Original languageEnglish (US)
Pages (from-to)71-73
Number of pages3
JournalMissouri Medicine
Volume110
Issue number1
StatePublished - Jan 1 2013
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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    Jhawar, M., Chan, A., Christianson, L., Mehra, A., Aggarwal, K., Dellsperger, K., & Chockalingam, A. (2013). Utilization of phase II cardiac rehabilitation in Veterans Administration patients. Missouri Medicine, 110(1), 71-73.