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

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

  • By

  • Filippo Quattrone

  • Emilie Lesaine

  • Sandrine Domecq

  • Jean-Pierre Legrand

  • Sahal Miganeh Hadi

  • Pierre Coste

  • Thierry Couffinhal

  • Florence Saillour Glenisson

  • ACIRA Investigators

  • Fournier Pierre

  • Jarnier Philippe

  • Delarche Nicolas

  • Banos Jean-Luc

  • Marque Nicolas

  • Karsenty Bernard

  • Perron Jean-Marie

  • Leymarie Jean-Louis

  • Hassan Akil

  • Larnaudie Bernard

  • Laplace Guillaume

  • Charlotte Boureau

  • Leslie Larco

  • Patrick Dehail

  • Tanguy Martin

  • February 20, 2025

  • 0 min

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Objective:

To explore the effect of socio-geographical factors on cardiac rehabilitation (CR) participation after percutaneous coronary intervention (PCI) in patients with coronary heart disease in France from 2017 to 2019.

Key Findings:
  • 26.7% of patients participated in CR, with 33.0% for acute coronary syndrome (ACS) and 15.0% for chronic coronary syndrome (CCS).
  • Distance to CR centres (>25 km) reduced participation at 3 months for ACS patients (OR = 0.83, P = 0.0023).
  • Higher socioeconomic status correlated with increased CR participation for CCS patients at 3 (OR = 0.62, P = 0.002) and 6 months (OR = 0.59, P < 0.001).
Interpretation:

Socio-geographical inequalities significantly affect CR access, with distance and socioeconomic status being critical factors influencing participation rates, highlighting the need for targeted health policies.

Limitations:
  • The study is limited to a specific region in France, which may affect generalizability.
  • General practitioner accessibility did not show a significant impact on participation, indicating potential biases in registry data.
Conclusion:

Health policies should address socio-geographical disparities in CR access and consider interventions like telemedicine to improve participation and outcomes, including automatic referrals and expanded coverage.

Original Source(s)

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

  • by Filippo Quattrone, Emilie Lesaine, Sandrine Domecq, Jean-Pierre Legrand, Sahal Miganeh Hadi, Pierre Coste, Thierry Couffinhal, Florence Saillour Glenisson, ACIRA Investigators, Fournier Pierre, Jarnier Philippe, Delarche Nicolas, Banos Jean-Luc, Marque Nicolas, Karsenty Bernard, Perron Jean-Marie, Leymarie Jean-Louis, Hassan Akil, Larnaudie Bernard, Laplace Guillaume, Charlotte Boureau, Leslie Larco, Patrick Dehail, Tanguy Martin

  • February 20, 2025

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