Effect of an American Heart Association Get With the Guidelines Program-Based Clinical Pathway on Referral and Enrollment Into Cardiac Rehabilitation After Acute Myocardial Infarction

Michael J. Mazzini, Gerin R. Stevens, Deborah Whalen, Al Ozonoff, Gary J. Balady

Research output: Contribution to journalArticle

Abstract

Cardiac rehabilitation (CR)/secondary prevention programs are an important part of patient care after acute myocardial infarction (AMI). However, only 10% to 15% of eligible patients enroll in such programs. The purpose of this study was to evaluate the effect of an American Heart Association Get With the Guidelines (GWTG)-based clinical pathway on referral and enrollment into CR after AMI. Patients (n = 780) admitted to a single center during an 18-month period with AMI and discharged to home were evaluated retrospectively for referral and enrollment into CR programs. A total of 714 patients (92%) were on the GWTG pathway; 392 (55%) were referred and 135 (19%) were enrolled into CR. Higher referral was associated with pathway use (odds ratio [OR] 2.3, 95% confidence interval [CI] 1.1 to 4.9, p = 0.03), percutaneous coronary intervention (OR 3.1, 95% CI 1.9 to 5.2, p

Original languageEnglish (US)
Pages (from-to)1084-1087
Number of pages4
JournalThe American Journal of Cardiology
Volume101
Issue number8
DOIs
StatePublished - Apr 15 2008
Externally publishedYes

Fingerprint

Critical Pathways
Referral and Consultation
Myocardial Infarction
Guidelines
Odds Ratio
Confidence Intervals
Percutaneous Coronary Intervention
Secondary Prevention
Patient Care
Cardiac Rehabilitation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Effect of an American Heart Association Get With the Guidelines Program-Based Clinical Pathway on Referral and Enrollment Into Cardiac Rehabilitation After Acute Myocardial Infarction. / Mazzini, Michael J.; Stevens, Gerin R.; Whalen, Deborah; Ozonoff, Al; Balady, Gary J.

In: The American Journal of Cardiology, Vol. 101, No. 8, 15.04.2008, p. 1084-1087.

Research output: Contribution to journalArticle

@article{8d0c3be162894f589da7f6d07e0f1bfe,
title = "Effect of an American Heart Association Get With the Guidelines Program-Based Clinical Pathway on Referral and Enrollment Into Cardiac Rehabilitation After Acute Myocardial Infarction",
abstract = "Cardiac rehabilitation (CR)/secondary prevention programs are an important part of patient care after acute myocardial infarction (AMI). However, only 10{\%} to 15{\%} of eligible patients enroll in such programs. The purpose of this study was to evaluate the effect of an American Heart Association Get With the Guidelines (GWTG)-based clinical pathway on referral and enrollment into CR after AMI. Patients (n = 780) admitted to a single center during an 18-month period with AMI and discharged to home were evaluated retrospectively for referral and enrollment into CR programs. A total of 714 patients (92{\%}) were on the GWTG pathway; 392 (55{\%}) were referred and 135 (19{\%}) were enrolled into CR. Higher referral was associated with pathway use (odds ratio [OR] 2.3, 95{\%} confidence interval [CI] 1.1 to 4.9, p = 0.03), percutaneous coronary intervention (OR 3.1, 95{\%} CI 1.9 to 5.2, p",
author = "Mazzini, {Michael J.} and Stevens, {Gerin R.} and Deborah Whalen and Al Ozonoff and Balady, {Gary J.}",
year = "2008",
month = "4",
day = "15",
doi = "10.1016/j.amjcard.2007.11.063",
language = "English (US)",
volume = "101",
pages = "1084--1087",
journal = "American Journal of Cardiology",
issn = "0002-9149",
publisher = "Elsevier Inc.",
number = "8",

}

TY - JOUR

T1 - Effect of an American Heart Association Get With the Guidelines Program-Based Clinical Pathway on Referral and Enrollment Into Cardiac Rehabilitation After Acute Myocardial Infarction

AU - Mazzini, Michael J.

AU - Stevens, Gerin R.

AU - Whalen, Deborah

AU - Ozonoff, Al

AU - Balady, Gary J.

PY - 2008/4/15

Y1 - 2008/4/15

N2 - Cardiac rehabilitation (CR)/secondary prevention programs are an important part of patient care after acute myocardial infarction (AMI). However, only 10% to 15% of eligible patients enroll in such programs. The purpose of this study was to evaluate the effect of an American Heart Association Get With the Guidelines (GWTG)-based clinical pathway on referral and enrollment into CR after AMI. Patients (n = 780) admitted to a single center during an 18-month period with AMI and discharged to home were evaluated retrospectively for referral and enrollment into CR programs. A total of 714 patients (92%) were on the GWTG pathway; 392 (55%) were referred and 135 (19%) were enrolled into CR. Higher referral was associated with pathway use (odds ratio [OR] 2.3, 95% confidence interval [CI] 1.1 to 4.9, p = 0.03), percutaneous coronary intervention (OR 3.1, 95% CI 1.9 to 5.2, p

AB - Cardiac rehabilitation (CR)/secondary prevention programs are an important part of patient care after acute myocardial infarction (AMI). However, only 10% to 15% of eligible patients enroll in such programs. The purpose of this study was to evaluate the effect of an American Heart Association Get With the Guidelines (GWTG)-based clinical pathway on referral and enrollment into CR after AMI. Patients (n = 780) admitted to a single center during an 18-month period with AMI and discharged to home were evaluated retrospectively for referral and enrollment into CR programs. A total of 714 patients (92%) were on the GWTG pathway; 392 (55%) were referred and 135 (19%) were enrolled into CR. Higher referral was associated with pathway use (odds ratio [OR] 2.3, 95% confidence interval [CI] 1.1 to 4.9, p = 0.03), percutaneous coronary intervention (OR 3.1, 95% CI 1.9 to 5.2, p

UR - http://www.scopus.com/inward/record.url?scp=41349115890&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=41349115890&partnerID=8YFLogxK

U2 - 10.1016/j.amjcard.2007.11.063

DO - 10.1016/j.amjcard.2007.11.063

M3 - Article

C2 - 18394437

AN - SCOPUS:41349115890

VL - 101

SP - 1084

EP - 1087

JO - American Journal of Cardiology

JF - American Journal of Cardiology

SN - 0002-9149

IS - 8

ER -