CARDIOVASCULAR REHABILITATION IN THE PUBLIC HEALTH SYSTEM. 10 YEARS OF EXPERIENCE IN A CENTER IN BUENOS AIRES - ARGENTINA

Résumé fourni par la source

Rehabilitation Cardiovascular rehabilitation (CR) is a tool already known worldwide. Today it is an IA indication in secondary cardiovascular prevention. The intention of this abstract is to show our 10 years of experience in CR within the public health system and the results obtained. This is a single-center descriptive study. All recruited patients belong to the CR program of the Manuel Belgrano Hospital located in Buenos Aires, Argentina. This hospital belongs to the provincial public health system and does not have industry funding. For 10 years, patients entered the CR program referred by cardiologists from the same hospital (90%) and specialists from other centers (10%). Upon admission, all patients had an interview and evaluation with the “Heart Team CR” made up of cardiologists, nutritionists, social workers and mental health professionals. Once the initial stage was over, they were assigned training days and times (2 to 3 times a week with 45-minute sessions). The average duration of CR was 6 months and patients moved on to stage IV of CR. During the COVID-19 pandemic, we were forced to close our doors but continued virtually. Patients were able to choose virtual classes (via Zoom with audio and video) or receive a training program by mail. We were able to present this experience at other scientific meetings where we observed greater adherence in the Zoom session group. 420 patients (45% women) with a mean age of 70 ± 2 years were included. Overall mortality was 1% and only 0.1% was due to cardiovascular causes (mostly associated with sepsis and advanced cancer). In the analysis by gender, men were included up to 6 days after discharge while women were admitted after 15 days after discharge from the hospital. Only 30% had health insurance, which allows the CR program to be self-funded, regardless of this, all patients received care within the program. A low dropout rate from the program was observed (only 2% of the total). We are currently continuing to work and expand the network so that more patients can be included. We have gone through the pandemic and the change of 3 national democratic governments with different political ideas...and here we are. The CR depends on us and this is our experience.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.