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논문 기본 정보

자료유형
학술저널
저자정보
Kim Sun-Hyung (Department of Rehabilitation Medicine Seoul National University Bundang Hospital Seoul National Uni) Ro Jun-soo (Department of Rehabilitation Medicine Seoul National University Hospital Seoul National University) 김윤 (서울대학교) 이자호 (서울대학교병원) 김원석 (서울대학교병원)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.35 No.30
발행연도
2020.1
수록면
1 - 10 (10page)

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Background: Cardiac rehabilitation (CR) after acute myocardial infarction (AMI) is recommended as a mandatory intervention in several national clinical practice guidelines published in America, Europe, and Korea to reduce recurrence and mortality. However, underutilization of CR is an established worldwide issue. In Korea, the promotion of CR is expected due to coverage by National Health Insurance. Nevertheless, the national status of CR use has not been reported. This retrospective cohort study aimed to investigate the current status of CR use in patients with AMI using nationwide data from the National Health Insurance Service of Korea. Methods: Patients with AMI admitted with the diagnosis of ‘I21’ code (from International Classification of Diseases, 10th revision, Clinical Modification) from July 1st, 2017 to June 30th, 2018 were included. CR use was defined as CR treatment or evaluation being performed during an outpatient follow-up period within 6 months after discharge. Participation rate and density were calculated nationally and by administrative division. Logistic regression analysis was performed to identify the influencing factors of CR participation. Results: Nationally, 1.5% of AMI patients (960/64,982) underwent CR during outpatient treatment after discharge. CR density was approximately 10. Logistic regression analysis revealed that influencing factors included old age, female sex, rural residence, and low Charlson comorbidity index. Conclusion: Hospital-based CR after AMI is underutilized despite its coverage by the National Health Insurance. More CR facilities have to be installed according to the needs of CR in various regions.
#Acute Myocardial Infarction #Cardiac Rehabilitation #Patient Participation Rates #Density #Barrier #Health Services Underutilization

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참고문헌 (41)

참고문헌 신청
Lee KS / 2014 / Burden of disease in Korea during 2000–10 / J Public Health(Oxf) 36(2):225~234 google schola Dalen JE / 2014 / The epidemic of the 20(th)century : coronary heart disease / Am J Med 127(9):807~812 google schola Cha S / 2018 / Need for systematic efforts to modify health-related behaviors after acute myocardial infarction in Korea / Circ J 82(10):2523~2529 google schola Smith SC Jr / 2011 / AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease : 2011 update : a guideline from the American Heart Association and American College of Cardiology Foundation / Circulation 124(22):2458~2473 google schola Piepoli MF / 2014 / Secondary prevention in the clinical management of patients with cardiovascular diseases. Core components, standards and outcome measures for referral and delivery: a policy statement from the cardiac rehabilitation section of the European Association for Cardiovascular Prevention & Rehabilitation / Eur J Prev Cardiol 21(6):664~681 google schola

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