Poor Implementation of Cardiac Rehabilitation Despite Broad Dissemination of Coronary Interventions for Acute Myocardial Infarction in Japan A Nationwide Survey
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- Goto Yoichi
- The Japanese Cardiac Rehabilitation Survey Investigators are listed in Appendix 1.
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- Saito Muneyasu
- The Japanese Cardiac Rehabilitation Survey Investigators are listed in Appendix 1.
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- Iwasaka Toshiji
- The Japanese Cardiac Rehabilitation Survey Investigators are listed in Appendix 1.
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- Daida Hiroyuki
- The Japanese Cardiac Rehabilitation Survey Investigators are listed in Appendix 1.
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- Kohzuki Masahiro
- The Japanese Cardiac Rehabilitation Survey Investigators are listed in Appendix 1.
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- Ueshima Kenji
- The Japanese Cardiac Rehabilitation Survey Investigators are listed in Appendix 1.
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- Makita Shigeru
- The Japanese Cardiac Rehabilitation Survey Investigators are listed in Appendix 1.
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- Adachi Hitoshi
- The Japanese Cardiac Rehabilitation Survey Investigators are listed in Appendix 1.
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- Yokoi Hiroyoshi
- The Japanese Cardiac Rehabilitation Survey Investigators are listed in Appendix 1.
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- Omiya Kazuto
- The Japanese Cardiac Rehabilitation Survey Investigators are listed in Appendix 1.
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- Mikouchi Hiroshi
- The Japanese Cardiac Rehabilitation Survey Investigators are listed in Appendix 1.
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- Yokoyama Hiroyuki
- The Japanese Cardiac Rehabilitation Survey Investigators are listed in Appendix 1.
書誌事項
- タイトル別名
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- A Nationwide Survey
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Background The implementation of cardiac rehabilitation (CR) after acute myocardial infarction (AMI) has not been fully investigated in Japan, so a nationwide survey of hospitals was conducted. Methods and Results Questionnaires were sent in 2004 to a total of 1,875 hospitals in Japan, including all the 859 Japanese Circulation Society (JCS)-authorized cardiology-training hospitals (THs), 311 JCS-associated hospitals (AH), and 705 randomly sampled non-THs (NTHs). The response rate was 59% (1,106/1,875). The percentages of hospitals treating hospitalized AMI patients were 97% in 526 TH, 85% in 194 AH, and 20% in 339 NTH. Although the rates of implementation of emergency percutaneous coronary intervention were very high (92%, 56%, and 4%, respectively), the rates of implementation of recovery phase CR were low (20%, 8%, and 2%, respectively). In addition, patient education programs (23%, 13% and 2%) and formulated exercise prescriptions based on exercise testing (16%, 7% and 1%) were poorly implemented. More importantly, only 9%, 2% and 0% of these hospitals had outpatient CR programs. From these data, the nationwide participation rate in outpatient CR after AMI in Japan was estimated to be only 3.8-7.6%. Conclusion This first nationwide survey demonstrated that, in contrast to the broad dissemination of acute phase invasive treatment for AMI, the implementation of recovery phase CR, especially outpatient CR, is extremely poor in Japan. In addition, patient education programs and exercise prescription based on exercise testing are only poorly implemented. (Circ J 2007; 71: 173 - 179)<br>
収録刊行物
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- Circulation Journal
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Circulation Journal 71 (2), 173-179, 2007
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390001205104241920
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- NII論文ID
- 110006163597
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- NII書誌ID
- AA11591968
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- ISSN
- 13474820
- 13469843
- http://id.crossref.org/issn/13469843
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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- 使用不可