Author + information
- Yu-Xuan Dang,
- Santiago R. Nunez,
- Armando Gallegos,
- Omar Viramontes,
- Ignacio Zepeda and
- Luis Castellanos
Background: Cardiac rehabilitation (CR) is an effective therapy in secondary prevention of coronary heart disease (CHD). However, CR participation is often underutilized, particularly amongst ethnic minorities. The objective of this study is to evaluate CR referral and participation rates of racial minority groups with CHD and identify potential factors that may contribute to the underutilization of CR.
Methods: A prospective observational study was used to evaluate CR referral and participation rates for patients who experience an acute myocardial infarct or underwent PCI or CABG. Hospitalized patients enrolled in the study filled out a questionnaire at the time of discharge with follow-up phone calls at 6 and 12 weeks. Ethnicity was determined based on self identification.
Results: A total of 107 patients were included in the study, with 72 whites and 35 non-whites. CR referral rates were similar between whites and non-whites, (31.9% vs. 37.1%, p=0.38), respectively. At 6-weeks, CR participation was 5.7% for non-whites and 20.8% for whites, p=0.03; and at 12-weeks, 9% for non-whites and 23.6% for whites, p=0.04. Non-whites reported earning less than whites (37% of non-whites earned <$15,000/year, p=0.004) and were more likely to live in rural communities (48% to 22.7%, p=0.09) as compared to whites. Similar proportions of white and non-white patients (18.1% vs. 20%) cited financial difficulties as the primary reason for not participating in CR. White patients reported greater interest in web-based CR programs (48.6% vs 25.7%, p=0.01) as compared to non-whites. The majority of non-white patients reported Spanish as their primary written and spoken language; English was the second most common language, followed by Mandarin a distant third.
Conclusions: Racial and ethnic groups with CHD appear to have similar CR referral rates; yet non-white patients are less likely to participate in CR at 6 and 12 weeks follow-up when compared to white patients. Factors such as annual earned income, rural predominance of non-white patients, and language barriers may be contributing to disparities identified. Strategies that address these factors may improve overall participation in CR by racial and ethnic groups.
Poster Hall, Hall C
Sunday, March 19, 2017, 9:45 a.m.-10:30 a.m.
Session Title: Predicting Outcomes in Cardiac Rehabiltation Patients
Abstract Category: 34. Prevention: Rehabilitation
Presentation Number: 1276-044
- 2017 American College of Cardiology Foundation