Cardiac Rehabilitation Services in Low-and Middle-Income Countries: A Scoping Review

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dc.contributor.authorGrace, Sherry
dc.contributor.authorJiang, Xiaolian
dc.contributor.authorPerez-Terzic, Carmen
dc.contributor.authorShanmugasegaram, Shamila
dc.date.accessioned2021-03-29T18:44:00Z
dc.date.available2021-03-29T18:44:00Z
dc.date.issued2014-09
dc.description.abstractBackground: Despite the decreasing rate of cardiovascular disease-related mortality in developed nations, low-and middle-income countries (LMICs) are experiencing an increase. Cardiac rehabilitation (CR) successfully addresses this burden, however the availability and nature of CR service delivery in LMICs is not well-known. Objective: This scoping review examined: (1) presence and accessibility of CR services, (2) structure of CR services, and (3) effects of CR on patient outcomes in LMICs. Methods: Search criteria consisted of: (1) nations considered to be low-or middle-income according to World Bank criteria, (2) CR, defined as programs including exercise and education, and (3) adults with cardiovascular diseases. Literature was identified through searching: (a) MEDLINE and EMBASE electronic databases, (b) proceedings from international cardiac conferences, (c) the grey literature, and (d) through consulting experts in the field. Results: Thirty peer-reviewed publications were identified. Grey literature including websites for individual CR programs revealed that CR is available in 32 (22.1%) LMICs. The most comprehensive data on accessibility stems from Latin America and the Caribbean, where56% of institutions with cardiac catheterization facilities offered CR. Literature showed that some programs offered exercise, dietary advice, education and psychological support, to assist patients to resume work and other activities of daily living. Fifteen peer-reviewed studies reported on CR outcomes; most of which were positive. Conclusion: Although patients similarly benefit from CR, few programs are available in LMICs. Policies need to be implemented to increase provision of tailored CR models at the global and national level, with evaluation.en_US
dc.identifier.citationThe Journal of Cardiovascular Nursing: September/October 2014 - Volume 29 - Issue 5 - p 454-463en_US
dc.identifier.issn0889-4655
dc.identifier.urihttps://doi.org/10.1097/JCN.0b013e31829c1414en_US
dc.identifier.urihttp://hdl.handle.net/10315/38274
dc.language.isoenen_US
dc.publisherWolters Kluweren_US
dc.rightsLWW This is a non-final version of an article published in final form in (The Journal of Cardiovascular Nursing: September/October 2014 - Volume 29 - Issue 5 - p 454-463). https://cdn-tp2.mozu.com/16833-m1/cms/files/Author-Document.pdf?_mzts=636519775710000000en_US
dc.rightsAttribution-NoDerivatives 4.0 International*
dc.rights.articlehttps://journals.lww.com/jcnjournal/Abstract/2014/09000/Cardiac_Rehabilitation_Services_in_Low__and.11.aspxen_US
dc.rights.journalhttps://journals.lww.com/jcnjournal/pages/default.aspxen_US
dc.rights.publisherhttps://www.wolterskluwer.com/en-caen_US
dc.rights.urihttp://creativecommons.org/licenses/by-nd/4.0/*
dc.subjectcardiac rehabilitationen_US
dc.subjectlow- and middle-income countriesen_US
dc.titleCardiac Rehabilitation Services in Low-and Middle-Income Countries: A Scoping Reviewen_US
dc.typeArticleen_US

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