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Environmental Health and Preventive Medicine

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Open Access 01-12-2020 | Heart Failure | Research article

The use of geographical analysis in assessing the impact of patients’ home addresses on their participation in outpatient cardiac rehabilitation: a prospective cohort study

Authors: Atsuko Nakayama, Masatoshi Nagayama, Hiroyuki Morita, Takuya Kawahara, Issei Komuro, Mitsuaki Isobe

Published in: Environmental Health and Preventive Medicine | Issue 1/2020

Abstract

Purpose

Geographical analysis is becoming a powerful tool for evaluating the quality of medical services and acquiring fundamental data for medical decision-making. Using geographical analysis, we evaluated the impact of the distance from patients’ homes to the hospital on their participation in outpatient cardiac rehabilitation (OCR).

Methods

All patients hospitalized for percutaneous coronary intervention, coronary artery bypass grafting, valvular surgery, congestive heart failure, and aortic diseases were advised to participate in an OCR program after discharge. Using the dataset of our cohort study of OCR from 2004 to 2015 (n = 9,019), we used geographical analysis to investigate the impact of the distance from patients’ homes to hospital on their participation in our OCR program.

Results

Patients whose road distance from home to hospital was 0–10 km, 10–20 km, and 20–30 km participated more in OCR than those whose road distance was ≧ 30 km (OR 4.34, 95% CI 3.80–4.96; OR 2.98, 95% CI 2.61–3.40; and OR 1.90, 95% CI 1.61–2.23, respectively). Especially in patients with heart failure, the longer the distance, the lesser the participation rate (P < .001).

Conclusions

Using geographical analysis, we successfully evaluated the factors influencing patients’ participation in OCR. This illustrates the importance of using geographical analysis in future epidemiological and clinical studies.

Trial registration

UMIN000028435.

Available only for authorised users

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Title: The use of geographical analysis in assessing the impact of patients’ home addresses on their participation in outpatient cardiac rehabilitation: a prospective cohort study
Authors: Atsuko Nakayama
Masatoshi Nagayama
Hiroyuki Morita
Takuya Kawahara
Issei Komuro
Mitsuaki Isobe
Publication date: 01-12-2020
Publisher: BioMed Central
Keywords: Heart Failure
CABG
CABG
Published in: Environmental Health and Preventive Medicine / Issue 1/2020
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI: https://doi.org/10.1186/s12199-020-00917-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The use of geographical analysis in assessing the impact of patients’ home addresses on their participation in outpatient cardiac rehabilitation: a prospective cohort study

Abstract

Purpose

Methods

Results

Conclusions

Trial registration

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Trial registration

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