Abstract
Cardiac rehabilitation has been shown to improve functional status, cardiac risk factor profiles, and psychosocial well-being after coronary artery bypass graft surgery to a similar extent in young and old patients. 1 Lavie C.J Milani R.V Cardiac rehabilitation and preventive cardiology in the elderly. Cardiol Clin. 1999; 17: 223-242 Abstract Full Text Full Text PDF Scopus (11) Google Scholar , 2 Ades P.A Cardiac rehabilitation in older coronary patients. J Am Geriatr Soc. 1999; 47: 98-105 PubMed Google Scholar Despite these benefits, prior studies have consistently documented that only a quarter of eligible revascularization patients actually enroll in such a program. 3 Evenson K.R Rosamond W.D Luepker R.V Predictors of outpatient cardiac rehabilitation utilization The Minnesota Heart Survey Registry. J Cardiopulm Rehabil. 1998; 18: 192-198 Crossref PubMed Scopus (145) Google Scholar Participation among the elderly population has been particularly low, with rates often half that seen in younger patients. 3 Evenson K.R Rosamond W.D Luepker R.V Predictors of outpatient cardiac rehabilitation utilization The Minnesota Heart Survey Registry. J Cardiopulm Rehabil. 1998; 18: 192-198 Crossref PubMed Scopus (145) Google Scholar , 4 Lavie C.J Milani R.V Littman A.B Benefits of cardiac rehabilitation and exercise training in secondary coronary prevention in the elderly. J Am Coll Cardiol. 1993; 22: 678-683 Abstract Full Text PDF PubMed Scopus (233) Google Scholar , 5 Lavie C.J Milani R.V Effects of cardiac rehabilitation programs on exercise capacity, coronary risk factors, behavioral characteristics, and quality of life in a large elderly cohort. Am J Cardiol. 1995; 76: 177-179 Abstract Full Text PDF PubMed Scopus (190) Google Scholar Although the reasons for this poor utilization of cardiac rehabilitation programs are multiple, physician recommendation and referral is considered to be the most important factor. 6 Ades P.A Waldmann M.L McCann W.J Weaver S.O Predictors of cardiac rehabilitation participation in older coronary patients. Arch Intern Med. 1992; 152: 1033-1035 Crossref PubMed Scopus (358) Google Scholar , 7 Ades P.A Waldmann M.L Polk D.M Coflesky J.T Referral patterns and exercise response in the rehabilitation of female coronary patients aged ≥ 62 years. Am J Cardiol. 1992; 69: 1422-1425 Abstract Full Text PDF PubMed Scopus (302) Google Scholar This study examines whether a simple postdischarge patient education and referral intervention could improve cardiac rehabilitation participation rates after bypass.
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