Economic and social impact of increased cardiac rehabilitation uptake and cardiac telerehabilitation in Belgium - a cost-benefit analysis.

Abstract:

BACKGROUND:Cardiac rehabilitation for ischaemic heart disease effectively reduces cardiovascular readmission rate and mortality. Current uptake rates however, remain low. This study assesses the social and economic impact of increasing centre-based cardiac rehabilitation uptake and the additional value of cardiac telerehabilitation using cost-benefit analysis (CBA) in Belgium. METHODS:Cost-benefit analysis was conducted to analyse three scenarios: (1) current situation: 20% uptake rate of cardiac rehabilitation; (2) alternative scenario one: 40% uptake rate of cardiac rehabilitation; and (3) alternative scenario two: 20% uptake of cardiac rehabilitation and 20% uptake of both cardiac rehabilitation and telerehabilitation. Impacts considered included cardiac (tele)rehabilitation programme costs, direct inpatient costs, productivity losses and burden of disease. RESULTS:Compared to the current situation, there was a net total monetised benefit of 9.18 M€ and 9.10 M€ for scenarios one and two, respectively. Disability Adjusted Life Years were 12,805-12,980 years lower than the current situation. This resulted in a benefit-cost ratio of 1.52 and 1.43 for scenarios one and two, respectively. CONCLUSIONS:Increased cardiac rehabilitation uptake rates can reduce the burden of disease, and the resulting benefits exceed its costs. This research supports the necessity for greater promotion and routine referral to cardiac rehabilitation to be made standard practice. The implementation of telerehabilitation as an adjunct is to be encouraged, especially for those patients unable to attend centre-based cardiac rehabilitation.

journal_name

Acta Cardiol

journal_title

Acta cardiologica

authors

Frederix I,Vandijck D,Hens N,De Sutter J,Dendale P

doi

10.1080/00015385.2017.1361892

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

222-229

issue

3

eissn

0001-5385

issn

1784-973X

journal_volume

73

pub_type

杂志文章
  • The role of speckle tracking imaging in the noninvasive detection of acute rejection after heterotopic cardiac transplantation in rats.

    abstract:OBJECTIVE:Acute cardiac allograft rejection continues to be the cause of graft loss and contributes to the morbidity and mortality after cardiac transplantation. Repetitive endomyocardial biopsies are necessary to monitor the effects of immunosuppressants after cardiac transplantation. In this study, we investigate whe...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.1080/ac.66.6.2136963

    authors: Shi J,Pan C,Shu X,Sun M,Yang Z,Zhu S,Wang C

    更新日期:2011-12-01 00:00:00

  • The thrombus laden coronary artery--forget the fancy stuff, just aspirate it!

    abstract::"No-reflow" is an important complication of percutaneous coronary intervention (PCI) in the setting of acute myocardial infarction and is associated with worse outcomes. Visible thrombus on the angiogram is a significant risk factor for "no-reflow". A variety of strategies have been employed to prevent this phenomenon...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.60.6.2004941

    authors: Jafary FH,Najaf SM

    更新日期:2005-12-01 00:00:00

  • Echinococcosis of the heart: clinical and echocardiographic features in 12 patients.

    abstract:UNLABELLED:We describe the clinical and echocardiographic features in 12 patients with hydatid cyst of the heart who were screened between 1985 and 2001. Presenting symptoms have a wide variability but the main symptom was precordial pain. The electrocardiogram was always abnormal and showed T wave inversion in 8 cases...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.60.1.2005047

    authors: Bouraoui H,Trimeche B,Mahdhaoui A,Majdoub A,Zaaraoui J,Hajri Ernez S,Gouider J,Ammar H

    更新日期:2005-02-01 00:00:00

  • Persistent atrial standstill.

    abstract::The authors present a case of permanent atrial standstill with syncopal attacks, in a patient with chronic Chagas' Heart Disease. The recognition of this dysrhythmia was based upon the conventional and intracavity electrocardiographic tracings in addition to phonomecanographic and hemodynamic data. The recording of th...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: Benchimol CB,Schlesinger P,Ginefra P,Barbosa S,Saad EA,Benchimol AB

    更新日期:1975-01-01 00:00:00

  • A study of orifice shape effects in the determination of mitral valve area by two-dimensional echocardiography.

    abstract::Real-time two-dimensional echocardiographic studies of the mitral valve in short-axis view were obtained from 10 normal subjects. Stop-action frames of the video-taped echocardiograms were then photographed to obtain diastolic cross-sectional images of the valve at maximal opening. Tracings from the interior of the le...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: Hearn TC,Goldblatt E,Mazumdar J,Fazzalari NL,Nandagopal D

    更新日期:1983-01-01 00:00:00

  • Effect of beta-sympatholytic agents on vascular responses to noradrenaline and potassium chloride.

    abstract::Vasoconstrictory responses to noradrenaline (NA) or high potassium chloride (130 mM) usually show a biphasic behaviour: an initial peak is followed by a lower steady state level. The influence of three beta-sympatholytic agents (propranolol, pindolol, practolol) and a "Ca-antagonist" (verapamil) on this particular beh...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: Kababgi MD,Henrich H,Schneider KW

    更新日期:1978-01-01 00:00:00

  • A survey of nine years heart transplantation at Erasme Hospital, University of Brussels.

    abstract::Between March 1982 and March 1991, 225 heart transplantations (HTx) have been performed in 220 patients suffering end stage cardiac disease. Thirteen percent were females and 87% were males. Age range was from 5 to 68 years. The underlying cardiac disease was ischemic cardiopathy in 51.5%, congestive dilated cardiomyo...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: Primo G,Le Clerc JL,Antoine M,De Smet JM,Joris M

    更新日期:1991-01-01 00:00:00

  • Spontaneous carotid artery dissection: a rare cause of cerebrovascular accident.

    abstract::We present the case of a young woman who developed a cerebrovascular accident due to a spontaneous internal carotid artery dissection. We stress the importance of clinical clues to diagnosis: ipsilateral facial pain and a partial Horner's syndrome are the most frequent clinical manifestations. Compared to patients wit...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.62.5.2023422

    authors: Simoens J,François O,Drieghe B

    更新日期:2007-10-01 00:00:00

  • Serum uric acid for short-term prediction of cardiovascular disease incidence in the Gubbio population Study.

    abstract:OBJECTIVE:The Gubbio Study is an Italian population study measuring risk factors for and incidence of major cardiovascular diseases. This analysis investigates the association of serum uric acid with the incidence of coronary and cardiovascular events. METHODS:A population sample of 2469 men and women aged 35-74 years...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.56.4.2005651

    authors: Puddu PE,Lanti M,Menotti A,Mancini M,Zanchetti A,Cirillo M,Angeletti M,Panarelli W,Gubbio Study Research Group.

    更新日期:2001-08-01 00:00:00

  • Feasibility and cost of FH cascade screening in Belgium (BEL-CASCADE) including a novel rapid rule-out strategy.

    abstract:BACKGROUND:Familial hypercholesterolaemia (FH) is underdiagnosed in most countries. We report our first experience from a national pilot project of cascade screening in relatives of FH patients. METHODOLOGY:Participating specialists recruited consecutive index patients (IP) with Dutch Lipid Clinic Network (DLCN) score...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.1080/00015385.2020.1820683

    authors: Descamps OS,Rietzschel E,Laporte A,Buysschaert I,De Raedt H,Elegeert I,Chenot F,Lengele JP,Carlier S,Vanderheeren P,Lienart F,Friart A,Guillaume M,Vandekerckhove H,Maudens G,Mertens A,van de Borne P,Bondue A,De Sutter

    更新日期:2020-09-23 00:00:00

  • Cardiac autonomic recovery after strength exercise in lower and upper limbs.

    abstract::Introduction Strength exercises influence the cardiovascular system by promoting autonomic adjustments induced by the increased metabolic demand and consequent increase in local blood flow. However, it is unclear whether there are differences between upper and lower limbs. We aimedto evaluate recovery of cardiac auton...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.1080/00015385.2017.1335454

    authors: Isidoro NJ,Santana MDR,Valenti VE,Garner DM,de Abreu LC

    更新日期:2017-08-01 00:00:00

  • [Arterial vascularization of the sino-auricular node of the heart in dogs].

    abstract::In order to study the arterial blood supply of the sinus atrial node in the Dog, the authors have performed the post-mortem injection of the arterial branches going to this node. They observed 65 cases and they came to the following conclusions: in 31 cases (47.7%) the sinus atrial node is supplied by the artery of th...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: Pina JA,Pereira AT,Ferreira Ados S

    更新日期:1975-01-01 00:00:00

  • Myocardial damage after D.C. countershock: myoglobin and CK-MB radioimmunoassay evaluation.

    abstract::After D.C. countershock to terminate cardiac arrhythmias, in 3 out of 8 patients studied, an increase in both plasma myoglobin (Mb) and CK-MB (assessed by radioimmunoassay) was found. In 2 patients there was an increase of only plasma Mb and in 1 an increase of only CK-MB. In 2 cases no increase of either parameters w...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: Pauletto P,Scannapieco G,Compostella L,Maddalena F,Dario C,Pessina AC,Dal Palù C

    更新日期:1984-01-01 00:00:00

  • Heparin infusion after successful percutaneous coronary intervention: a prospective, randomized trial.

    abstract:OBJECTIVE:The aim of this randomized trial was to evaluate whether omission of heparin infusion after successful coronary interventions increased the incidence of ischaemic complications. Continuous heparin infusion after percutaneous coronary interventions could increase the occurrence of bleeding; however, the probab...

    journal_title:Acta cardiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2143/AC.64.1.2034364

    authors: Zibaeenezhad MJ,Mazloum Y

    更新日期:2009-02-01 00:00:00

  • Carotid artery intima-media thickness is associated with coronary artery disease.

    abstract:OBJECTIVE:The intima-media thickness (IMT) of the carotid artery is dependent on the risk factor load during life and correlates well with the degree of atherosclerosis, also in other vascular beds. METHODS:We reviewed our database of IMT measurements, from January 2002 to February 2007. We compared the mean IMT value...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.63.3.1020306

    authors: Heuten H,Goovaerts I,Ennekens G,Vrints C

    更新日期:2008-06-01 00:00:00

  • Pre-hospital statin therapy may not reduce incidence of all-cause mortality and overall MACCE during hospital stay after coronary artery bypass graft surgery.

    abstract:BACKGROUND:The available literature has not been able to demonstrate the exact association between preoperative statin therapy and the reduction in the rates of major adverse cardiac and cerebrovascular events (MACCE). The aim of this study is to explore these unanswered questions. METHODS:A review of patients having ...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.64.2.2036146

    authors: Zhang M,Kang JP,Nie SP,Lv Q,Liu XH,Ma CS

    更新日期:2009-04-01 00:00:00

  • Ferritin and body mass index predict cardiac dysfunction in female adolescents with anorexia of the restrictive type.

    abstract:BACKGROUND AND AIM:Decreased left ventricular mass index in anorexia nervosa is amply reported. The aim of this study is to identify non-burdensome predictors of reduced left yentricular mass/height (cLVM) in a cohort of adolescent restrictive anorexic girls. METHODS:This is a retrospective study of all anorexic girls...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.1080/ac.70.4.3094647

    authors: Docx MK,Weyler J,Simons A,Ramet J,Mertens L

    更新日期:2015-08-01 00:00:00

  • A congenital left ventricular diverticulum combined with a complex malformation syndrome.

    abstract::Congenital left ventricular diverticulum is rare and usually isolated or associated with midline thoracoabdominal defects and other congenital cardiac malformations. We describe a case with a previously undescribed malformation syndrome including bilateral obstruction of the ureteropelvic junction, agenesis of corpus ...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.58.3.2005280

    authors: Massin MM,Verloes A

    更新日期:2003-06-01 00:00:00

  • Clinical characteristics and mid-term outcome of patients with slow coronary flow.

    abstract:OBJECTIVE:Due to uncertainty in the clinical implications of slow coronary flow (SCF), we aimed to investigate the clinical features and mid-term outcome of the Iranian patients with the slow coronary flow phenomenon. METHODS:During a four-year period from January 2005 to December 2009, out of 3523 consecutive patient...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.1080/ac.67.5.2174134

    authors: Amirzadegan A,Motamed A,Davarpasand T,Shahrzad M,Lotfi-Tokaldany M

    更新日期:2012-10-01 00:00:00

  • Postconditioning attenuates cardiocyte ultrastructure injury and apoptosis by blocking mitochondrial permeability transition in rats.

    abstract:OBJECTIVE:The effect of inhibiting mitochondrial permeability transition (MPT) on cardioprotection induced by ischaemic postconditioning remains debatable. The aim of the present study was to investigate whether ischaemic postconditioning attenuates cardiomyocyte ultrastructure injury and apoptosis by blocking MPT. ME...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.63.3.1020316

    authors: Fang J,Wu L,Chen L

    更新日期:2008-06-01 00:00:00

  • Mother-offspring aggregation in home versus conventional blood pressure in the Tohoku Study of Child Development (TSCD).

    abstract:OBJECTIVE:Few studies described the home blood pressure (HBP) in young children. Using intrafamilial correlations of blood pressure as research focus, we assessed the feasibility of HBP monitoring in this age group. METHODS:We enrolled 382 mothers (mean age 38.8 years) and singletons (7.0 years) in theTohoku Study of ...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.1080/ac.67.4.2170687

    authors: Asayama K,Staessen JA,Hayashi K,Hosaka M,Tatsuta N,Kurokawa N,Satoh M,Hashimoto T,Hirose T,Obara T,Metoki H,Inoue R,Kikuya M,Ohkubo T,Nakai K,Imai Y,Satoh H

    更新日期:2012-08-01 00:00:00

  • Consistency of circadian blood pressure pattern assessed by non-invasive monitoring and cosinor analysis in hospitalized hypertensive patients.

    abstract::Non invasive blood pressure monitoring using an automatic Nippon Colin recorder was performed in 20 hospitalized hypertensive patients every 15 min during a 4-day study period. A chronobiologic analysis of the data was performed in order to test the consistency of the whole-day blood pressure pattern. Halberg's method...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: Portaluppi F,Montanari L

    更新日期:1988-01-01 00:00:00

  • Haem oxygenase-1 expression and coronary heart disease--association between levels of haem oxygenase-1 expression and angiographic morphology as well as the quantity of coronary lesions.

    abstract:OBJECTIVE:The aim of this paper was to investigate the association between levels of HO-1 expression and angiographic morphology as well as the quantity of coronary lesions in patients with coronary heart disease (CHD). METHODS:110 patients with CHD were diagnosed by coronary angiography which contained coronary lesio...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.61.3.2014831

    authors: Li YG,Wang DM,Chen SM,Tan XR,Fang XY,Wu JW,Zhang GH,Mai RQ

    更新日期:2006-06-01 00:00:00

  • Intermittent outpatient based ECUM. A case report.

    abstract::Extracorporeal Ultrafiltration Method (ECUM) could be used in patients with refractory congestive heart failure (CHF). We have encountered a 56-year-old woman with refractory congestive heart failure (CHF) (NYHA II-III) due to coronary artery disease, complicated by moderately advanced diabetic nephropathy (Cr = 2.4 m...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: Kuriyama S,Tomonari H,Utsunomia Y,Matsui K,Sakai O

    更新日期:1994-01-01 00:00:00

  • Impact of defibrillation threshold testing on burden of heart failure hospitalizations.

    abstract::Background: Defibrillation threshold testing (DT) following implantable cardioverter defibrillator (ICD) implantation has not shown to improve mortality. However, the impact of DT on burden of heart failure (HF) hospitalisations has not been well defined.Methods: We studied retrospectively consecutive patients who und...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.1080/00015385.2019.1630586

    authors: Akdemir B,Li Y,Krishnan B,Adabag S,Tholakanahalli V,Benditt DG,Li JM

    更新日期:2020-06-01 00:00:00

  • Rosuvastatin versus atorvastatin to prevent contrast induced nephropathy in patients undergoing primary percutaneous coronary intervention (ROSA-cIN trial).

    abstract:AIM:We aimed to compare the incidence of contrast-induced nephropathy (CIN) between atorvastatin versus rosuvastatin in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary coronary angioplasty. METHODS:One hundred ninety-two consecutive patients, who underwent primary percutaneous inter...

    journal_title:Acta cardiologica

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/ac.68.5.2994472

    authors: Kaya A,Kurt M,Tanboğa IH,Işik T,Ekinci M,Aksakal E,Kaya Y,Topçu S,Sevimli S

    更新日期:2013-10-01 00:00:00

  • Prinzmetal's variant angina is effectively treated with enhanced external counterpulsation.

    abstract::A 57-year-old woman suffering from severe Prinzmetal's angina was treated with a 7-week course of enhanced external counterpulsation (EECP). After completing EECP the angina intensity was reduced from CCS class IV to class I, quality of life was increased and medication was significantly reduced. The number of hospita...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.65.2.2047066

    authors: Tarpgaard Jørgensen M,Gerdes C,May O

    更新日期:2010-04-01 00:00:00

  • Investigation of oxidant and antioxidant pathway changes in acute rheumatic fever.

    abstract:AIM:The purpose of this study was to investigate the role of oxidant stress in the clinical process and pathogenesis of acute rheumatic fever (ARF). MATERIAL AND METHODS:The study included 33 children with ARF and 20 healthy control subjects. The diagnosis of ARF was established according to the Jones Criteria. Malond...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.65.1.2045889

    authors: Uner A,Sal E,Doğan M,Sanli FM,Acikgoz M,Cemek M,Peker E,Cagan E

    更新日期:2010-02-01 00:00:00

  • Primary balloon dilatation in coarctation of the aorta complicated by severe aortic insufficiency.

    abstract::The combination of coarctation of the aorta in the presence of severe aortic insufficiency poses a serious clinical problem. Although successful single- and two-stage repair for combined coarctation in the presence of severe aortic regurgitation has been described, the surgical management of this lesion remains partic...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: De Meester C,Budts W,Gewillig M,Daenen W,Van de Werf F

    更新日期:1998-01-01 00:00:00

  • Diffuse intra-alveolar haemorrhage as a complication of thrombolytic therapy in acute myocardial infarction.

    abstract::Diffuse intra-alveolar haemorrhage is a rare complication of thrombolytic therapy (TT). We report a patient who developed haemoptysis due to pulmonary haemorrhage. This diagnosis should be considered in any patients with respiratory distress, diffuse pulmonary infiltrates, and haemoptysis and otherwise unexplained dec...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.59.3.2005194

    authors: Baran I,Ozdemir B,Coşkun S

    更新日期:2004-06-01 00:00:00