Ann Rehabil Med.  2015 Dec;39(6):863-871. 10.5535/arm.2015.39.6.863.

Sociodemographic Predictors in Failure to Complete Outpatient Cardiac Rehabilitation

Affiliations
  • 1Cardiac Rehabilitation Center, Kermanshah University of Medical Sciences, Kermanshah, Iran. S_Komasi63@yahoo.com
  • 2Lifestyle Modification Research Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Abstract


OBJECTIVE
To investigate the role of sociodemographic factors in failure to complete outpatient cardiac rehabilitation (CR).
METHODS
This was a retrospective study that used information obtained from the database of the cardiac rehabilitation department of a cardiac hospital in Iran. Data from 1,050 CR patients treated at the hospital between January 2001 and January 2013 was analyzed using binary logistic regression analysis.
RESULTS
Only 49% of the patients completed the CR program. After adjustment for baseline variables, it was found that the following were significantly associated with failure to complete the CR program: illiteracy (p<0.001), old age (p<0.001), being an employee or retired (p<0.05), having a low capacity for exercise (p<0.001), depression (p<0.001), low anxiety (p<0.001), and not currently being a smoker (p<0.001).
CONCLUSION
Paying more attention to older patients with low literacy levels and limited exercise capacity, who are employed or retired, and who are not current smokers, and taking therapeutic measures to control psychological complications such as depression, may be effective in ensuring that patients complete outpatient cardiac rehabilitation.

Keyword

Social characteristics; Demographic factors; Patient dropout; Outpatients; Rehabilitation; Cardiac disease

MeSH Terms

Anxiety
Demography
Depression
Literacy
Heart Diseases
Humans
Iran
Logistic Models
Outpatients*
Patient Dropouts
Rehabilitation*
Retrospective Studies
Sociology

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