%0 Journal Article
%T Impact of cardiac rehabilitation referral on one
%A Dragana Radovanovic
%A Fabienne Witassek
%A Hans Rickli
%A Matthias Hermann
%A Paul Erne
%J European Journal of Preventive Cardiology
%@ 2047-4881
%D 2019
%R 10.1177/2047487318807766
%X Cardiac rehabilitation after an acute myocardial infarction has a class I recommendation in the present guidelines. However, data about the impact on mortality in Switzerland are not available. Therefore, we analysed one-year outcome of acute myocardial infarction patients according to cardiac rehabilitation referral at discharge. Data were extracted from the Swiss AMIS Plus registry and included patients with ST-elevation myocardial infarction and non-ST-elevation myocardial infarction, who were asked to give their informed consent to a telephone follow-up one year after discharge. From 10,141 patients, 1956 refused to participate in follow-up and 302 were lost to follow-up. There were 4508 (57.2%) patients with cardiac rehabilitation referrals compared with 3375 (42.8%) without. Patients referred to cardiac rehabilitation were younger (62.4 years vs. 68.8 years), more often male (77% vs. 70%), presented more often with ST-elevation myocardial infarction (63.5% vs. 52.1%) and, apart from smoking (44.0% vs. 34.9%), they had fewer risk factors, such as dyslipidaemia (55.0% vs. 60.1%), hypertension (55.6% vs. 65.3%) and diabetes (16.7% vs. 21.5%). Patients referred to cardiac rehabilitation had a lower crude one-year all-cause mortality (1.7% vs. 5.8%; p£¿<£¿0.001) and lower rates of re-infarction, rehospitalization for cardiovascular disease and intervention (all p£¿<£¿0.005). In a multivariable logistic regression analysis, cardiac rehabilitation was an independent predictor for lower mortality rate (odds ratio 0.65; 95% confidence interval 0.48¨C0.89; p£¿=£¿0.007). Although the detailed data of cardiac rehabilitation programmes and patient participation were not available for this study, our data from 7883 acute myocardial infarction patients showed a better one-year outcome for patients with cardiac rehabilitation referrals than for those without
%K All-cause mortality
%K cardiovascular mortality
%K diabetes
%K prediabetes
%K heart failure with reduced ejection fraction
%U https://journals.sagepub.com/doi/full/10.1177/2047487318807766