Secondary Prevention Recommendation Attainment with Cardiac Rehabilitation: Is there a Gender Disparity?
| dc.contributor.author | Turk-Adawi, Karam | |
| dc.contributor.author | Oldridge, Neil B. | |
| dc.contributor.author | Vitcenda, Mark J. | |
| dc.contributor.author | Tarima, Sergey S. | |
| dc.contributor.author | Grace, Sherry | |
| dc.date.accessioned | 2021-02-04T18:36:20Z | |
| dc.date.available | 2021-02-04T18:36:20Z | |
| dc.date.issued | 2016-05 | |
| dc.description.abstract | Background: Achievement of secondary prevention guideline recommendations (i.e., goals) with cardiac rehabilitation(CR)is not well documented, specifically for women. This study examined achievement of the American Heart Association/American College of Cardiology (AHA/ACC) goals pre-and post-CR by gender. METHODS: Of 12,976 patients enrolled in the Wisconsin CR Outcomes Registry,8,929 (68.8%) completed CR and were included in the sample. Attainment of 15AHA/ACC goals pre-and post-CR was examined, by extracting corresponding data points in the Registry, as entered by CR program staff. Gender differences in achievement of these goals post-CR were examined via generalized estimating equations technique. RESULTS: Attainment of AHA/ACC goals pre-CR ranged from15.3% of patients (physical activity) to 98.1% (aspirin),and by 17.6% (physical activity) to 98.4% (diastolic blood pressure) by CR completion. Significant improvements were achieved in 8(53.3%)goals, ranging from 0.7% for body mass indexto50.8%for physical activity. Women were significantly less likely than men to achieve the following goals by CR completion: triglycerides (adjusted odds ratio [AOR], 0.54; 95% confidence interval [CI]: 0.45-0.66), physical activity(AOR, 0.66; CI 0.59-0.74),and hemoglobin A1c(AOR, 0.50; CI 0.32-0.78).Women were significantly more likely than men to achieve the high-density lipoprotein goal (AOR, 1.39; CI 1.05-1.86). There were no significant gender differences in goal achievement for blood pressure, total cholesterol, low-density lipoprotein, body mass index, smoking cessation, or medication usage. More than 94% of 2patients were taking 3 of 4 recommended secondary prevention medications both pre-and post-program. CONCLUSIONS: Men and women generally improved similarly in terms of AHA/ACC goal achievement. Quality improvement strategies need to focus on physical activity and blood glucose control in women | en_US |
| dc.identifier.citation | Women's Health Issues. Volume 26, Issue 3, May–June 2016, Pages 278-287 | en_US |
| dc.identifier.issn | 1049-3867 | |
| dc.identifier.uri | https://doi.org/10.1016/j.whi.2016.03.004 | en_US |
| dc.identifier.uri | http://hdl.handle.net/10315/38089 | |
| dc.language.iso | en | en_US |
| dc.publisher | Elsevier | en_US |
| dc.rights | © <2016>. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ | en_US |
| dc.rights | Attribution-NoDerivatives 4.0 International | * |
| dc.rights.article | https://www.sciencedirect.com/science/article/abs/pii/S1049386716000335 | en_US |
| dc.rights.journal | https://www.sciencedirect.com/journal/womens-health-issues | en_US |
| dc.rights.publisher | https://www.sciencedirect.com/ | en_US |
| dc.rights.uri | http://creativecommons.org/licenses/by-nd/4.0/ | * |
| dc.title | Secondary Prevention Recommendation Attainment with Cardiac Rehabilitation: Is there a Gender Disparity? | en_US |
| dc.type | Article | en_US |