Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Availability and Nature of Cardiac Rehabilitation by Province in Iran: A 2018 Update of Iccpr's Global Audit Publisher



Sadeghi M1 ; Turkadawi K2 ; Supervia M3, 4 ; Fard M1 ; Noohi F5 ; Roohafza H1 ; Sarrafzadegan N6, 7 ; Grace SL8, 9
Authors
Show Affiliations
Authors Affiliations
  1. 1. Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Public Health, QU-Health, Qatar University, Doha, Qatar
  3. 3. Medicina Fisica y Rehabilitacion, Gregorio Maranon Health Research Institute, Gregorio Maranon General University Hospital, Madrid, Spain
  4. 4. Department of Cardiovascular Medicine, Division of Preventive Cardiology, Mayo Clinic, Rochester, MN, United States
  5. 5. Rajaie Cardiovascular, Medical and Research Center, Iranian Network of Cardiovascular Research, Tehran, Iran
  6. 6. Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  7. 7. School of Population and Public Health, University of British Columbia, Vancouver, Canada
  8. 8. Faculty of Health, York University, Canada
  9. 9. KITE-Toronto Rehabilitation Institute and Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, Canada

Source: Journal of Research in Medical Sciences Published:2023


Abstract

Background: Cardiac rehabilitation (CR) is scantly available in Iran, although it is the cost-benefit strategy in cardiac patients, It has not been established how CR is delivered within Iran. This study aimed to determine: (a) availability, density and unmet need for CR, and (b) nature of CR services in Iran by province. Materials and Methods: In this cross-sectional sub-study of the global CR audit, program availability was determined through cardiovascular networks. An online survey was then disseminated to these programs in June 2016-2017 which assessed capacity and characteristics; a paper-based survey was disseminated in 2018 to nonresponding and any new programs. CR density and need was computed based on annual incidence of acute myocardial infarction (AMI) in each province. Results: Of the 31 provinces, 12 (38.7%) had CR services. There were 30 programs nationally, all in capital cities; of these, programs in 9 (75.0%) provinces, specifically 22 (73.3%) programs, participated. The national CR density is 1 spot per 7 incident AMI patients/year. Unmet need is greatest in Khuzestan, Tehran and west Azerbaijan, with 44,816 more spots needed/year. Most programs assessed cardiovascular risk factors, and offered comprehensive services, delivered by a multi-disciplinary team, comprised chiefly of nurses, dietitians and cardiologists. Median dose is 14 sessions/program in supervised programs. A third of programs offered home-based services. Conclusion: Where programs do exist in IRAN, they are generally delivered in accordance with guidelines. Therefore, we must increase capacity in CR services in all provinces to improve secondary prevention services. © 2023 Wolters Kluwer Medknow Publications. All rights reserved.
Related Docs
View other Related Docs
1. Availability and Delivery of Cardiac Rehabilitation in the Eastern Mediterranean Region: How Does It Compare Globally?, International Journal of Cardiology (2019)
2. Cardiac Rehabilitation Availability and Density Around the Globe, EClinicalMedicine (2019)
3. Cardiac Rehabilitation Delivery in Low/Middle-Income Countries, Heart (2019)
4. Women-Only Cardiac Rehabilitation Delivery Around the World, Heart Lung and Circulation (2021)
5. Nature of Cardiac Rehabilitation Around the Globe, EClinicalMedicine (2019)
6. Development of the International Cardiac Rehabilitation Registry Including Variable Selection and Definition Process, Global Heart (2022)
7. Comparison of the Effect of 12- and 24-Session Cardiac Rehabilitation on Physical, Psychosocial and Biomedical Factors in Ischemic Heart Disease Patients, Hormone Molecular Biology and Clinical Investigation (2020)
8. Global Availability of Cardiac Rehabilitation, Nature Reviews Cardiology (2014)
Experts (# of related papers)
View all Related Experts
Nizal Sarrafzadegan (53)
Masoumeh Sadeghi (52)
Other Related Docs
9. Background and Design of a 5-Year St Elevation Myocardial Infarction Cohort in Isfahan, Iran: Semi-Ci Study, ARYA Atherosclerosis (2022)
10. Promoting Patient Utilization of Outpatient Cardiac Rehabilitation: A Joint International Council and Canadian Association of Cardiovascular Prevention and Rehabilitation Position Statement, Journal of Cardiopulmonary Rehabilitation and Prevention (2020)
11. Cardiac Rehabilitation Costs, International Journal of Cardiology (2017)
12. Cardiovascular Disease in Iran in the Last 40 Years: Prevalence, Mortality, Morbidity, Challenges and Strategies for Cardiovascular Prevention, Archives of Iranian Medicine (2019)
13. Barriers to Education in Cardiac Rehabilitation Within an Iranian Society: A Qualitative Descriptive Study, Contemporary Nurse (2013)
14. Is Cardiac Rehabilitation After Pci As Effective As Cabg? the First Experience From the Eastern Mediterranean Region Cardiac Rehabilitation Registry, ARYA Atherosclerosis (2024)
15. Temporal Trends of the Incidence of Ischemic Heart Disease in Iran Over 15 Years: A Comprehensive Report From a Multi-Centric Hospital-Based Registry, Clinical Epidemiology (2020)
16. Impact of Cardiac Rehabilitation on Metabolic Syndrome in Iranian Patients With Coronary Heart Disease: The Role of Obesity, Rehabilitation Nursing (2012)
17. The Effect of Cardiac Rehabilitation on Quality of Life in Patients With Acute Coronary Syndrome, Iranian Journal of Nursing and Midwifery Research (2015)
18. Characteristics of Patients Entering Cardiac Rehabilitation in the United Kingdom 1993-2006: Implications for the Future, Journal of Cardiopulmonary Rehabilitation and Prevention (2011)
19. Methods of Sampling and Sample Size Determination of a Comprehensive Integrated Community-Based Interventional Trial: Isfahan Healthy Heart Program, ARYA Atherosclerosis (2018)
20. Pilot Testing of the International Council of Cardiovascular Prevention and Rehabilitation Registry, International Journal for Quality in Health Care (2023)
21. Promoting Patient Utilization of Outpatient Cardiac Rehabilitation: A Joint International Council and Canadian Association of Cardiovascular Prevention and Rehabilitation Position Statement, International Journal of Cardiology (2020)
22. The Effects of Comprehensive Home-Based Cardiac Rehabilitation Versus Usual Care in Patients With Ischemic Heart Disease in Iran: Study Protocol for a Multicenter Randomized Controlled Trial, International Journal of Preventive Medicine (2022)
23. Covid-19 Information Needs and Information-Seeking Behavior of Cardiovascular Patients: A Qualitative Study, Journal of Consumer Health on the Internet (2022)
24. Isfahan Healthy Heart Program, Sample Size and Sampling Structure: A Comprehensive Report, Journal of Isfahan Medical School (2016)
25. The Association Between Platelet-To-Lymphocyte Ratio With Mortality Among Patients Suffering From Acute Decompensated Heart Failure, BMC Cardiovascular Disorders (2021)
26. Barthel Index in a Middle-East Country: Translation, Validity and Reliability, Cerebrovascular Diseases (2006)
27. The Pattern of In-Hospital Mortality of Myocardial Infarction and Associated Factors in Iran: A National Study, Journal of Isfahan Medical School (2015)
28. The Impact of Home Care on Individuals With Chronic Heart Failure: A Comprehensive Review, ARYA Atherosclerosis (2024)
29. Evaluation of the Effect of Adherence to Treatment Regimen Program on Quality of Life in Atrial Fibrillation Patients Hospitalized in Shahid Chamran Hospital in Isfahan in 2017, Revista Latinoamericana de Hipertension (2019)
30. Translation, Cultural Adaptation, Validation, and Reliability of Persian-Revised Heart Failure Compliance Questionnaire, Journal of Tehran University Heart Center (2022)
31. Descriptive Phenomenology Study of the Reasons for the Low Uptake of Free Health Service Package Among Type Ii Diabetic Patients, BMC Health Services Research (2022)
32. Reperfusion Therapies and In-Hospital Outcomes for St-Elevation Myocardial Infarction in Europe: The Acvc-Eapci Eorp Stemi Registry of the European Society of Cardiology, European Heart Journal (2021)
33. Secular Trends in Cardiovascular Mortality in Iran, With Special Reference to Isfahan, Acta Cardiologica (1999)
34. A Comparative Study of Laws and Procedures Pertaining to the Medical Records Retention in Selected Countries, Acta Informatica Medica (2012)
35. Is Rehabilitation Program More Effective in Obese Women With Coronary Artery Disease?, Journal of Isfahan Medical School (2014)
36. Seasonal Pattern in Admissions and Mortality From Acute Myocardial Infarction in Elderly Patients in Isfahan, Iran, ARYA Atherosclerosis (2014)
37. Drop-Out Predictors in Cardiac Rehabilitation Programmes and the Impact of Sex Differences Among Coronary Heart Disease Patients in an Iranian Sample: A Cohort Study, Clinical Rehabilitation (2007)
38. Effects of a Cardiac Rehabilitation Program on Diastolic Filling Properties and Functional Capacity in Patients With Myocardial Infarction, Journal of Isfahan Medical School (2011)
39. Cardiac Rehabilitation Delivery Model for Low-Resource Settings, Heart (2016)
40. Differences Between the Characteristics of Ihd Patients Undergoing Different Treatment Modalities Who Adhere to Cardiac Rehabilitation Programs, Iranian Heart Journal (2014)
41. Current Status of the Clinical Epidemiology of Myocardial Infarction in Men and Women: A National Cross-Sectional Study in Iran, International Journal of Preventive Medicine (2015)
42. Socioeconomic Status, Cardiac Risk Factors, and Cardiovascular Disease: A Novel Approach to Determination of This Association, ARYA Atherosclerosis (2019)
43. Begin Again and Continue With Life: A Qualitative Study on the Experiences of Cardiac Rehabilitation Patients, Journal of Nursing Research (2017)
44. The Comparison of Procedural and Clinical Outcomes of Thrombolytic-Facilitated and Primary Percutaneous Coronary Intervention in Patients With Acute St-Elevation Myocardial Infarction (Stemi): Findings From Prove/Acs Study, ARYA Atherosclerosis (2020)
45. Heart Rate and Cardiovascular Events: A Nested Case-Control in Isfahan Cohort Study, Archives of Iranian Medicine (2014)
46. The Isfahan Cohort Study: Rationale, Methods and Main Findings, Journal of Human Hypertension (2011)
47. Developing Non-Laboratory Cardiovascular Risk Assessment Charts and Validating Laboratory and Non-Laboratory-Based Models, Global Heart (2021)
48. Use of Cardiovascular Disease Secondary Prevention Medications in Four Middle East Countries in a Community Setting, Global Heart (2024)
49. Iran Quality of Care in Medicine Program (Iqcamp): Design and Outcomes, Archives of Iranian Medicine (2023)
50. Development of the First Iranian Clinical Practice Guidelines for the Diagnosis, Treatment, and Secondary Prevention of Acute Coronary Syndrome, Journal of Research in Medical Sciences (2024)