Socio-geographical factors associated with cardiac rehabilitation participation after percutaneous coronary intervention: a registry-based cohort study from France - Scorecard - MDSpire
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Socio-geographical factors associated with cardiac rehabilitation participation after percutaneous coronary intervention: a registry-based cohort study from France
Clinical Scorecard: Influence of Socio-Geographical Variables on Participation in Cardiac Rehabilitation Following Percutaneous Coronary Intervention: A Cohort Study from France Utilizing Registry Data
At a Glance
Category
Detail
Condition
Coronary heart disease post-percutaneous coronary intervention (PCI) for acute (ACS) or chronic coronary syndrome (CCS)
Key Mechanisms
Cardiac rehabilitation (CR) improves outcomes via exercise, education, risk factor modification, and psychosocial support; participation influenced by socio-geographical factors
Target Population
Patients undergoing PCI for ACS or CCS in the Aquitaine region, France
Care Setting
Cardiac rehabilitation centres and outpatient rehabilitation services in France
Key Highlights
Only 33% of ACS and 15% of CCS patients participated in cardiac rehabilitation within 1 year post-PCI.
Greater distance (>25 km) from CR centres reduced participation in ACS patients at 3 months post-PCI.
Patients with CCS from socioeconomically deprived areas had lower CR participation; general practitioner accessibility did not affect participation.
Guideline-Based Recommendations
Diagnosis
Identify patients with ACS or CCS undergoing PCI as candidates for cardiac rehabilitation.
Management
Strongly recommend participation in comprehensive cardiac rehabilitation programmes post-PCI.
Emphasize timely referral to CR within 1 month post-revascularization to improve outcomes.
Consider targeted interventions such as telemedicine and automatic referrals to increase CR uptake.
Monitoring & Follow-up
Track CR participation rates at 1, 3, and 6 months post-PCI to identify gaps in care.
Assess socio-geographical factors influencing CR access to guide interventions.
Risks
Delayed or absent participation in CR is associated with increased mortality, higher hospitalization rates, and greater healthcare costs.
Patient & Prescribing Data
19,002 patients undergoing PCI for ACS or CCS in the Aquitaine region of France between 2017 and 2019
CR participation was low overall; proximity to CR centres and higher socioeconomic status were associated with increased participation, while general practitioner accessibility was not.
