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The influence of gender on the completion of cardiac rehabilitation programmes in post coronary artery bypass graft surgery patients in the UK

Session Poster Session III - Saturday 08:30 - 12:30

Speaker Jassas Alotaibi

Event : ESC Preventive Cardiology (Formerly EuroPrevent) 2017

  • Topic : arrhythmias and device therapy
  • Sub-topic : Atrial Fibrillation
  • Session type : Poster Session

Authors : J Alotaibi (York,GB), P Doherty (York,GB)

Authors:
J Alotaibi1 , PD Doherty1 , 1University Of York, Health Sciences - York - United Kingdom ,

Citation:
European Journal of Preventive Cardiology ( April 2017 ) 24 ( Supplement 1 ), 150

Background: Women remain underrepresented in terms of enrolment and completion of Cardiac Rehabilitation (CR). Post coronary artery bypass graft surgery (CABG) patients are one of the four major groups of patients who are referred to CR (MI, MI-PCI, PCI and CABG) in the UK. The association between gender and completion of a CR programme has to date been studied in a mixed population, however, this association in post CABG patients in the UK has not been widely investigated.
Purpose: The aim of this study is therefore to evaluate the relationship between gender and completion of a CR programme in CABG patients in the UK.
Method: Secondary analysis was conducted on the National Audit Cardiac Rehabilitation (NACR) data from 1 April 2013 to 31 March 2014. Patients were included in the analysis, if they were adult (>18years), had undergone CABG and had started CR. Binary logistic regression was used to investigate the association between gender and the likelihood of completing the CR programme in post CABG patients accounting for factors identified in previous studies that might affect the patient’s completion of his/her programme. These factors included age, body mass index (BMI), civil status, employment status, ethnicity, total number of comorbidities, the presence of diabetes, physical activity level, depression and anxiety levels, smoking status and attending an education programme.
Result: A total of 1303 CABG patients (66.7 ± 9.2 years, 83% male) ranging from 32 to 96 years were involved in this study. Male patients tended to be significantly younger compared to females (66 ±9 Vs 69±9, p> 0.001). Overall, 87% of the participants (79% of females and 88% of males) completed their programme. The male patients were 70% more likely to complete their programme compared to female patients (OR 1.7, 95% CI: 1.43-2.61).
Conclusion: Post CABG female patients are less likely to complete their CR programme. Therefore, CR should be tailored to recruit younger female patients and encourage all patients to complete their programme in order to gain the desired benefits of CR.

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