Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Multicenter Study
. 2018 Sep-Oct;22(5):400-407.
doi: 10.1016/j.bjpt.2018.03.005. Epub 2018 Mar 22.

Availability and characteristics of cardiac rehabilitation programs in one Brazilian state: a cross-sectional study

Thaianne Cavalcante Sérvio  1 , Gabriela Lima de Melo Ghisi  2 , Lilian Pinto da Silva  3 , Luciana Duarte Novais Silva  4 , Marcia Maria Oliveira Lima  5 , Danielle Aparecida Gomes Pereira  1 , Sherry L Grace  6 , Raquel Rodrigues Britto  7
Affiliations
Multicenter Study

Availability and characteristics of cardiac rehabilitation programs in one Brazilian state: a cross-sectional study

Thaianne Cavalcante Sérvio et al. Braz J Phys Ther. 2018 Sep-Oct.

Abstract

Background: Cardiac rehabilitation (CR) is a recommended model of care for cardiovascular diseases; however, is not widely available and is underutilized, especially in low- and middle-income countries.

Objectives: To identify the CR programs available in one Brazilian state (Minas Gerais; MG) and describe their characteristics by funding type.

Methods: In this multi-center descriptive study, CR programs were identified in four MG regions and 41 CR coordinators were sent a survey to report the characteristics of their programs, including CR components described in guidelines and barriers to patients' participation. Descriptive and comparative analysis between public and private programs were carried out.

Results: Forty-one CR programs were identified, only 21.9% public. Nineteen completed the survey. The majority of CR programs offered initial assessment and physical training. Components of comprehensive CR programs that were rarely offered included treatment of tobacco dependence, psychological support and lipid control. Physical therapists were present in all CR programs. The six-minute walk test was used in most programs to assess functional capacity. Programs were located intra-hospital only in public hospitals. Phase 2 (initial outpatient) and phase 4 (maintenance) were offered significantly more in private programs when compared to public ones. The main barrier for CR participation was the lack of referral.

Conclusions: The availability of CR programs in MG state is low, especially public programs. Most programs do not offer all core components of CR.

Keywords: Cardiac rehabilitation; Cardiovascular diseases; Health services accessibility.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Roger V.L., Go A.S., Lloyd-Jones D.M. Heart disease and stroke statistics—2012 update a report from the American heart association. Circulation. 2012;125(1):e2–e220. - PMC - PubMed
    1. Brasil. Ministério da Saúde. Banco de dados do Sistema Único de Saúde-DATASUS. http://tabnet2.datasus.gov.br/cgi/tabcgi.exe?idb2013/c08.def2013.
    1. Grace S.L., Turk-Adawi K.I., Contractor A. Cardiac rehabilitation delivery model for low-resource settings: an international council of cardiovascular prevention and rehabilitation consensus statement. Prog Cardiovasc Dis. 2016;59(3):303–322. - PubMed
    1. Grace S.L., Turk-Adawi K.I., Contractor A. Cardiac rehabilitation delivery model for low-resource settings. Heart. 2016;102(18):1449–1455. - PMC - PubMed
    1. Amsterdam E.A., Wenger N.K., Brindis R.G. 2014 AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014;64(24):e139–e228. - PubMed

Publication types

MeSH terms