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• W4313443539 abstract "Following an acute coronary syndrome (ACS), an overall and multidisciplinary management and cardiac rehabilitation (CR) in the weeks following the acute event, is recommended in order to decrease the patient's morbidity and mortality. To analyse time trends in the rates of patients hospitalized for CR among patients hospitalized for ACS in France and to describe characteristics and factors associated with admission of CR, follow-up and prognosis. All patients hospitalized for ACS in France between 2009 and 2021 were selected from the French National Insurance Database, a quasi-exhaustive and nationwide database. Rates of patients referred to CR within 6 months of the ACS were computed for the overall population and then separately by type of ACS [non-ST segment elevation-ACS (NSTSE-ACS) and ST segment elevation-ACS (STSE-ACS)] and by sex, age and region. Logistic regressions were performed to identify factors associated with CR. One-year mortality rate was compared between patients who performed CR and those who were discharged home, without CR within 6 months after ACS. Between 2009 and 2019, CR rates has increased from 25% to 37% of STSE-ACS and from 12% to 16% of NSTSE-ACS. These rates increased more for women than for men but remained significantly lower for women. These rates ranged by region of residence from 27% of STSE-ACS in Hauts-de-France to 48% of STSE-ACS in Normandie. In 2020, there was a decrease in the CR rates of patients hospitalized for ACS due to COVID-19 pandemic. In 2021, these rates remained lower than in 2019 (Fig. 1). The mean age of patients admitted for CR for the STSE-ACS and NSTSE-ACS was 60 and 64 years, respectively. The delay between ACS hospitalization and CR was 45 days. About 60% of CR was done as ambulatory; and the average length of stay of CR was 20 days. Factors significantly associated with higher rates of CR were male sex, age (35–54 years), a STSE-ACS, having had percutaneous coronary intervention or coronary artery bypass graft, and having been in intensive care unit. The one-year mortality was twice as high in patients without CR compared with CR, after the adjustment of age, sex, comorbidities and ACS management. Although increasing and despite the health benefits of CR, the rates of ACS patients performing CR remains low, particularly for the elderly and women." @default.
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• W4313443539 date "2023-01-01" @default.
• W4313443539 modified "2023-10-14" @default.
• W4313443539 title "Cardiac rehabilitation after an acute coronary syndrome in France: Latest estimates and temporal trends 2009–2021. An overall improvement but persistent regional and sex disparities" @default.
• W4313443539 doi "https://doi.org/10.1016/j.acvdsp.2022.10.239" @default.
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