Mostrar el registro sencillo del ítem

Socio-geographical factors associated with cardiac rehabilitation participation after percutaneous coronary intervention: A registry-based cohort study from France.

dc.rights.licenseopenen_US
dc.contributor.authorQUATTRONE, Filippo
hal.structure.identifierInstitut Bergonié [Bordeaux]
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorLESAINE, Emilie
hal.structure.identifierInstitut Bergonié [Bordeaux]
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorDOMECQ, Sandrine
hal.structure.identifierInstitut Bergonié [Bordeaux]
dc.contributor.authorLEGRAND, Jean-Pierre
hal.structure.identifierInstitut Bergonié [Bordeaux]
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorMIGANEH HADI, Sahal
dc.contributor.authorCOSTE, Pierre
hal.structure.identifierBiologie des maladies cardiovasculaires = Biology of Cardiovascular Diseases
dc.contributor.authorCOUFFINHAL, Thierry
hal.structure.identifierInstitut Bergonié [Bordeaux]
dc.contributor.authorSAILLOUR-GLÉNISSON, Florence
dc.date.accessioned2025-03-04T12:31:13Z
dc.date.available2025-03-04T12:31:13Z
dc.date.issued2025-02-20
dc.identifier.issn2047-4881en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/205338
dc.description.abstractEnCardiac rehabilitation (CR) after percutaneous coronary intervention (PCI) for acute (ACS) or chronic (CCS) coronary syndrome is underutilised worldwide. The determinants of underuse are not fully understood. Using real-world data, this study explored the effect of socio-geographical factors on CR participation. Patients from the Aquitaine region (France) who underwent PCI between 2017 and 2019 were selected from a regional PCI register. Their 1-year CR participation was tracked using the French hospital database. Associations between CR participation and socio-geographical factors, (social deprivation, general practitioner accessibility, and distance to the nearest CR centre) were assessed through logistic regression mixed models at 1 and 3 months in ACS, and at 3 and 6 months in CCS. Among the 19,002 patients, 5,073 (26.7%) participated in CR (ACS: 4,071, 33.0%; CCS: 1,002, 15.0%). A CR centre distance >25 km reduced participation at 3 months in ACS patients (OR = 0.83, 95% CI: 0.70-0.99, p = 0,023), but not at 1 month after PCI. CCS patients from most advantaged areas were more likely to participate in CR at 3 (OR = 0.62, 95% CI: 0.44-0.88, p = 0.002) and 6 months (OR = 0.59, 95% CI: 0.42-0.82, p < 0.001). General practitioner accessibility did not affect participation. Post-PCI CR participation was low. Proximity to CR centres promoted participation for ACS patients, while CR usage correlated with higher socio-economic status for CCS patients. These findings highlight socio-geographical inequalities in CR access, providing a basis for targeted interventions, such as telerehabilitation or expanded coverage. This study examined socio-geographical factors associated with participation in recommended cardiac rehabilitation programs following percutaneous coronary intervention in patients with coronary heart disease in France.Only one-third of patients with acute coronary syndrome and 15% of those with chronic coronary syndrome participated in these beneficial programs.Patients with acute coronary syndrome living far from cardiac rehabilitation centres and patients with chronic coronary syndrome living in most deprived areas had reduced access to cardiac rehabilitation programs. General practitioner availability did not seem to influence participation in these programs. Health policies should consider place of residence and socio-economic status as factors influencing participation in cardiac rehabilitation programs and develop standardized post-PCI rehabilitation pathways. These pathways should integrate targeted interventions, such as telemedicine, automatic referrals and increased access to rehabilitation services, to address disparities and improve patient outcomes.
dc.language.isoENen_US
dc.title.enSocio-geographical factors associated with cardiac rehabilitation participation after percutaneous coronary intervention: A registry-based cohort study from France.
dc.title.alternativeEur J Prev Cardiolen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1093/eurjpc/zwaf087en_US
dc.subject.halSciences du Vivant [q-bio]/Médecine humaine et pathologieen_US
dc.identifier.pubmed39977253en_US
bordeaux.journalEuropean Journal of Preventive Cardiologyen_US
bordeaux.hal.laboratoriesBiologie des maladies cardiovasculaires (BMC) - UMR 1034en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.import.sourcepubmed
hal.identifierhal-04975899
hal.version1
hal.date.transferred2025-03-04T12:31:16Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
workflow.import.sourcepubmed
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&amp;rft_val_fmt=info:ofi/fmt:kev:mtx:journal&amp;rft.jtitle=European%20Journal%20of%20Preventive%20Cardiology&amp;rft.date=2025-02-20&amp;rft.eissn=2047-4881&amp;rft.issn=2047-4881&amp;rft.au=QUATTRONE,%20Filippo&amp;LESAINE,%20Emilie&amp;DOMECQ,%20Sandrine&amp;LEGRAND,%20Jean-Pierre&amp;MIGANEH%20HADI,%20Sahal&amp;rft.genre=article


Archivos en el ítem

ArchivosTamañoFormatoVer

No hay archivos asociados a este ítem.

Este ítem aparece en la(s) siguiente(s) colección(ones)

Mostrar el registro sencillo del ítem