Posted on 07/16/2023 6:24:33 PM PDT by ConservativeMind
Only 1 in 4 people in a nationwide registry received cardiac rehabilitation referrals after being hospitalized for heart failure with reduced ejection fraction, in which the heart doesn't contract effectively. Among them, about 1 in 25 actually participated in a rehab program.
The good news, researchers said, is that referrals increased over time—from 8% in 2010 to 32% by 2018.
Cardiac rehabilitation, a medically supervised program that includes exercise training and healthy lifestyle education, has been shown in previous research to improve quality of life and exercise levels and to lower the risk of heart failure hospitalization or death from any cause. So, not getting it could make a big difference in someone's overall outcomes, said Dr. Ambarish Pandey.
"Patients who are older are often considered too frail for cardiac rehabilitation," Pandey said. "This bias regarding these patients has allowed disparities to develop" despite evidence that patients with frailty issues may benefit more from cardiac rehab than those without.
Those who were referred for the program had a 16% lower risk of dying within a year compared to those without a referral.
Heart failure guidelines from the AHA and American College of Cardiology say cardiac rehab should be part of a patient's post-discharge care plan.
It's during hospitalization when cardiac rehabilitation care needs to be quickly arranged, said Steven Keteyian, Ph.D.
To overcome barriers to access, Pandey said options such as telehealth could help people lacking transportation or who live in rural areas where rehab programs are limited or require long-distance travel to get to a clinic.
The bottom line, both experts said, is that if someone with heart failure has not been told cardiac rehabilitation is available to them, they should be proactive and ask. "All patients should be offered (cardiac rehabilitation) on follow-up," Pandey said.
(Excerpt) Read more at medicalxpress.com ...
Without rehab, they cost less than rehab...then some other ailment...cancer ect.
It’s cheaper to let ‘em die at home, unable to breathe or get up.
Without rehab, they cost less than rehab...then some other ailment...cancer ect.
It’s cheaper to let ‘em die at home, unable to breathe or get up.
Just get rid of those useless eaters.....the Commie way, right?
🙃
I suppose you could add a couple of rules to Obamacare and Medicare to ensure all folks with heart failure (90+% lifestyle caused) get rehab. But most will not be interested otherwise they wouldn't need it.
Does Medical Express not have a comments function? Is there anything on Medical Express that is so uninteresting that you won’t post it here?
“16% lower risk of dying in a year, if getting and attending, rehab.”
NO. 16% is for referral only. Says nothing about participation.
BTW, I hate statistical medicine, especially anything at levels below 95%.
Sure, comrade.
Comrade?
You have a commie in your pocket?
Medical Xpress does not have a comment function.
This is the sixth time I am telling you to never post to me.
No....just one on the forum....suggesting we get rid of useless eater heart failure patients, rather than at least offer them cardio rehab.
Are you sure he just didn’t summarize the medical field’s position/reasoning sarcastically...? Because lots of people do that here.
How dumb can a person be?
I didn’t not suggest we get rid of useless eaters/heart failure patients.
Friggin’ dumb, and acting the emotions of girlhood.
I parodied the thinking for insurance companies faced with the chronically ill.
With your obtuse posting history....it is quite difficult to tell your “parody”.
Take that, and stuff it in your long handles, Gramps.
With that one....very difficult to tell :)
I appreciate Conservative Mind’s efforts in sharing these articles. I find some of them interesting and useful, and I sometimes share them with others. If any of the information positively impacts even one person’s health and well-being, it is worth the time. God bless.
Hear, hear, floralamiss.
And, webheart is FREE to ignore these threads.
Thank you, ConservativeMind, for your informative posts.
If unsure, maybe just ask before assuming the worst. Its hard when its just text only and no sound and facial expressions with it.
I mean I read it and saw it could go either way, but to me it sounded like it was leaning towards them ripping the medical establishment.
I’ve heard of people having their ejection fraction return to normal after stem cell treatment. I believe the stem cells are extracted from the patient’s thigh.
Do tell; with some links....
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