Establishment of cardiac rehabilitation program in Yazd-Iran: An experience of a developing country

Background: Cardiovascular diseases are the most common causes of mortality in the world including Iran and are one of the main causes of disability. Cardiac Rehabilitation (CR) is a multidisciplinary program that helps CVD patients recover faster after a heart attack and avoid any subsequent incide...

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Main Authors: Mahdieh Ghanbari-Firoozabadi, Mohammadreza Vafaii Nasab, Fatemeh Boostani, Masoud Mirzaei, Fatemeh Amrollahi, Jamal Entezari, Maryam Askari
Format: Article
Language:English
Published: Elsevier 2019-09-01
Series:International Journal of Cardiology: Heart & Vasculature
Online Access:http://www.sciencedirect.com/science/article/pii/S2352906719301010
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author Mahdieh Ghanbari-Firoozabadi
Mohammadreza Vafaii Nasab
Fatemeh Boostani
Masoud Mirzaei
Fatemeh Amrollahi
Jamal Entezari
Maryam Askari
author_facet Mahdieh Ghanbari-Firoozabadi
Mohammadreza Vafaii Nasab
Fatemeh Boostani
Masoud Mirzaei
Fatemeh Amrollahi
Jamal Entezari
Maryam Askari
author_sort Mahdieh Ghanbari-Firoozabadi
collection DOAJ
description Background: Cardiovascular diseases are the most common causes of mortality in the world including Iran and are one of the main causes of disability. Cardiac Rehabilitation (CR) is a multidisciplinary program that helps CVD patients recover faster after a heart attack and avoid any subsequent incident. This report determined the current state of CR in Yazd, Iran. Characteristics of the program: Hospital-based Afshar CR program in Yazd, Iran, is the only CR facility in Yazd province, which is located in the centre of Iran. Currently, the Afshar CR program has four phases including inpatient, sub-acute, outpatient and maintenance. The CR team includes cardiologists and heart surgeons as physicians, and physical medicine rehabilitation specialist, outpatient and inpatient resident medical officers, psychiatrists, nutritionists, psychologists, physiotherapists and social workers. Discussion: Given the facilities and training programs mentioned above, the rate of patient referral to the center by the inpatient CR team during the short life of CR in this center was 60%, the patient participation rate was 6.9% and the enrollment rate was 55%. In addition, over the past three years, 57% of registered patients completed the program. Conclusion: The Afshar CR is trying to get closer to the world standard setting. But it seems that it is necessary to develop the standard of CR in Iran based on the culture and socio-economic status of Iranian community. Keywords: Cardiac rehabilitation, Low-middle income countries, Referral rate, Attendance rate, Enrollment rate, Completion rate
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spelling doaj.art-59b1cde793e241e0bc8c4778f263c3e12022-12-22T03:04:49ZengElsevierInternational Journal of Cardiology: Heart & Vasculature2352-90672019-09-0124Establishment of cardiac rehabilitation program in Yazd-Iran: An experience of a developing countryMahdieh Ghanbari-Firoozabadi0Mohammadreza Vafaii Nasab1Fatemeh Boostani2Masoud Mirzaei3Fatemeh Amrollahi4Jamal Entezari5Maryam Askari6Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IranYazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IranYazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IranCorresponding author at: Yazd Cardiovascular Research Center, Afshar Hospital, Jomhouri Blvd., Yazd, Iran; Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IranYazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IranYazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IranYazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IranBackground: Cardiovascular diseases are the most common causes of mortality in the world including Iran and are one of the main causes of disability. Cardiac Rehabilitation (CR) is a multidisciplinary program that helps CVD patients recover faster after a heart attack and avoid any subsequent incident. This report determined the current state of CR in Yazd, Iran. Characteristics of the program: Hospital-based Afshar CR program in Yazd, Iran, is the only CR facility in Yazd province, which is located in the centre of Iran. Currently, the Afshar CR program has four phases including inpatient, sub-acute, outpatient and maintenance. The CR team includes cardiologists and heart surgeons as physicians, and physical medicine rehabilitation specialist, outpatient and inpatient resident medical officers, psychiatrists, nutritionists, psychologists, physiotherapists and social workers. Discussion: Given the facilities and training programs mentioned above, the rate of patient referral to the center by the inpatient CR team during the short life of CR in this center was 60%, the patient participation rate was 6.9% and the enrollment rate was 55%. In addition, over the past three years, 57% of registered patients completed the program. Conclusion: The Afshar CR is trying to get closer to the world standard setting. But it seems that it is necessary to develop the standard of CR in Iran based on the culture and socio-economic status of Iranian community. Keywords: Cardiac rehabilitation, Low-middle income countries, Referral rate, Attendance rate, Enrollment rate, Completion ratehttp://www.sciencedirect.com/science/article/pii/S2352906719301010
spellingShingle Mahdieh Ghanbari-Firoozabadi
Mohammadreza Vafaii Nasab
Fatemeh Boostani
Masoud Mirzaei
Fatemeh Amrollahi
Jamal Entezari
Maryam Askari
Establishment of cardiac rehabilitation program in Yazd-Iran: An experience of a developing country
International Journal of Cardiology: Heart & Vasculature
title Establishment of cardiac rehabilitation program in Yazd-Iran: An experience of a developing country
title_full Establishment of cardiac rehabilitation program in Yazd-Iran: An experience of a developing country
title_fullStr Establishment of cardiac rehabilitation program in Yazd-Iran: An experience of a developing country
title_full_unstemmed Establishment of cardiac rehabilitation program in Yazd-Iran: An experience of a developing country
title_short Establishment of cardiac rehabilitation program in Yazd-Iran: An experience of a developing country
title_sort establishment of cardiac rehabilitation program in yazd iran an experience of a developing country
url http://www.sciencedirect.com/science/article/pii/S2352906719301010
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