Describe rates of, and examine factors affecting, referral to cardiac rehabilitation (CR) following revascularization in Ontario.Background:
CR reduces mortality following cardiac revascularization, but is largely underutilized, partly due to poor referral rates.Methods:
In this retrospective study, the sample consisted of all CR-indicated patients who underwent revascularization at the Cardiac Care Network of Ontario hospitals between October 2011 through March 2012. Referral rates were described, and multivariate analyses performed to identify disparities.Results:
Of the 3739 patients included, 51.8% were referred to CR. Patients aged ≥85 or requiring a translator, and patients with hyperlipidemia, heart failure, or comorbid pulmonary, renal or peripheral vascular disease, were significantly less likely to be referred. Patients with a history of smoking or myocardial infarction, or who underwent coronary artery bypass graft surgery, were significantly more likely.Conclusions:
A national policy statement recommends 85% referral of indicated patients to CR, a target currently missed by almost 35%.