Factors Predicting the Utilization of Center-Based Cardiac Rehabilitation Program.
Lufei YoungQi ZhangEric LianKimberly RobertsNeal L WeintraubYanbin DongHaidong ZhuHongyan XuPascha SchaferStephanie DunlapPublished in: Geriatrics (Basel, Switzerland) (2020)
Although cardiac rehabilitation (CR) is clearly beneficial to improving patients' physical functioning and reducing heart disease progression, significant proportions of patients do not complete CR programs. To evaluate the prevalence and predictors of completion of a center-based CR program in eligible cardiac patients, existing data collected from electronic medical records were used. To identify the predictors of CR completion, we used principal components analysis (PCA) and an artificial neural network (ANN) module. Among 685 patients, 61.4% (n = 421) completed the program, 31.7% (n = 217) dropped out, and 6.9% (n = 47) were referred but failed to initiate the program. PCA was conducted to consolidate baseline data into three factors-(1) psychosocial factors (depression, anxiety, and quality of life), (2) age, and (3) BMI, which explained 66.8% of the total variance. The ANN model produced similar results as the PCA. Patients who completed CR sessions had greater extremity strength and flexibility, longer six-minute walk distance, more CR knowledge, and a better quality of life. The present study demonstrated that patients who were older, obese, and who had depression, anxiety, or a low quality of life were less likely to complete the CR program.
Keyphrases
- end stage renal disease
- ejection fraction
- quality improvement
- chronic kidney disease
- newly diagnosed
- healthcare
- heart failure
- peritoneal dialysis
- physical activity
- public health
- depressive symptoms
- prognostic factors
- type diabetes
- bariatric surgery
- metabolic syndrome
- sleep quality
- patient reported outcomes
- body mass index
- left ventricular
- machine learning
- electronic health record
- weight loss
- patient reported
- data analysis
- community dwelling