Achieving national service framework standards for cardiac rehabilitation and secondary prevention

Abstract Problem: Integrated care for patients who survive a myocardial infarction is lacking. Many patients are not offered cardiac rehabilitation, and secondary prevention is not optimal. Design: 12 month audit of 106 patients who survived an acute myocardial infarction. Background and setting: Ca...

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Bibliographic Details
Published in:BMJ 2003-03, Vol.326 (7387), p.481-484
Main Authors: Dalal, Hasnain M, Evans, Philip H
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Ambulatory Care - organization & administration
Biological and medical sciences
Body Mass Index
Cardiovascular disease
Coronary artery disease
Diseases of the cardiovascular system
Female
General practice
Heart
Home Care Services - organization & administration
Hospital admissions
Hospitals
Humans
Male
Medical Audit
Medical sciences
Middle Aged
Military service
Myocardial infarction
Myocardial Infarction - nursing
Myocardial Infarction - prevention & control
Myocardial Infarction - rehabilitation
Nurses
Patient Education as Topic
Patients
Primary health care
Quality Improvement Report
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Rehabilitation
Secondary prevention
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Summary:Abstract Problem: Integrated care for patients who survive a myocardial infarction is lacking. Many patients are not offered cardiac rehabilitation, and secondary prevention is not optimal. Design: 12 month audit of 106 patients who survived an acute myocardial infarction. Background and setting: Carrick Primary Care Trust in Cornwall (population 98 500) and one district general hospital. Key measures for improvement: Proportion of patients who complete a cardiac rehabilitation programme after a myocardial infarction. Proportion of patients with optimal secondary prevention, as measured by smoking status, body mass index, cholesterol
ISSN:0959-8138
0959-8146
1468-5833
1756-1833
DOI:10.1136/bmj.326.7387.481