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Rehabilitation Research and Practice
Volume 2015, Article ID 278979, 6 pages
http://dx.doi.org/10.1155/2015/278979
Research Article

The Canadian Cardiac Rehabilitation Registry: Inaugural Report on the Status of Cardiac Rehabilitation in Canada

1School of Kinesiology and Health Science, Faculty of Health, York University, Bethune 368, 4700 Keele Street, Toronto, ON, Canada M3J 1P3
2GoodLife Fitness Cardiovascular Rehabilitation Unit, University Health Network, Toronto Western Hospital, 8e-402, Toronto, ON, Canada M5T 2S8
3School of Rehabilitation Therapy, Faculty of Health Sciences, Queen’s University, 31 George Street, Louise D. Acton Building, Room 208 CEC, Kingston, ON, Canada K7L 3N6
4Canadian Association of Cardiovascular Prevention and Rehabilitation, 1390 Taylor Avenue, Winnipeg, MB, Canada R3M 3V8
5Department of Exercise Science, Concordia University, 7141 Sherbrooke Street West, SP 165-35, Montreal, QC, Canada H4B 1R6
6J-135 Centre de Réadaptation Jean-Jacques Gauthier, Hopital du Sacre-Coeur de Montreal, 5400 Boulevard Gouin Ouest, Montreal, QC, Canada H4J 1C5

Received 29 April 2015; Revised 16 July 2015; Accepted 22 July 2015

Academic Editor: Francesco Giallauria

Copyright © 2015 Sherry L. Grace et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. There are over 200 Cardiovascular Rehabilitation (CR) programs in Canada, providing services to more than 50,000 new patients annually. The objective of this study was to describe the impact of CR in Canada. Methods. A retrospective analysis of Canadian CR Registry data is presented. There were 12 programs participating, with 4546 CR participants. Results. The average wait time between patient referral and CR admission was 68 ± 64 days. Participants were 66.3 ± 11.5 years old, 71% male, and 82% White. The three leading referral events were coronary artery bypass graft surgery, percutaneous coronary intervention, and acute coronary syndrome. At discharge, data were available for ~90% of participants. Significant improvements in blood pressure (systolic pre-CR 123.5 ± 17.0, post-CR 121.5 ± 15.8 mmHg; ), lipids, adiposity, and exercise capacity (peak METs pre-CR 6.5 ± 2.8, post-CR 7.2 ± 3.1; ) were observed. However, target attainment for some risk factors was suboptimal. Conclusions. This report provides the first snapshot of the beneficial effects of CR in Canada. Not all patients are equally represented in these programs, however, leaving room for more referral of diverse patients. Greater attainment of risk reduction targets should be pursued.