The use of geographical analysis in assessing the impact of patients' home addresses on their participation in outpatient cardiac rehabilitation: a prospective cohort study.
The use of geographical analysis in assessing the impact of patients' home addresses on their participation in outpatient cardiac rehabilitation: a prospective cohort study.
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DOI：
10.1186/s12199-020-00917-x
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发表时间：
2020-11-28
影响因子：
4.7
通讯作者：
Isobe M
中科院分区：
文献类型：
--
作者：
Nakayama A;Nagayama M;Morita H;Kawahara T;Komuro I;Isobe M
地理分析正成为评估医疗服务质量和获取医疗决策基础数据的有力工具。使用地理分析，我们评估了从病人家到医院的距离对他们参加门诊心脏康复（OCR）的影响。建议所有因经皮冠状动脉介入治疗、冠状动脉旁路移植术、瓣膜手术、充血性心力衰竭和主动脉疾病住院的患者在出院后参加OCR计划。使用我们2004年至2015年OCR队列研究的数据集（n = 9，019），我们使用地理分析来调查患者家到医院的距离对其参与我们OCR计划的影响。从家到医院的道路距离为0-10 km、10-20 km和20-30 km的患者比道路距离≤ 30 km的患者更多地参与OCR（OR分别为4.34，95% CI 3.80-4.96; OR 2.98，95% CI 2.61-3.40; OR 1.90，95% CI 1.61-2.23）。尤其是心力衰竭患者，距离越长，参与率越低（P < .001）。使用地理分析，我们成功地评估了影响患者参与OCR的因素。这说明了在未来的流行病学和临床研究中使用地理分析的重要性。UMIN000028435。在线版本包含补充材料，可通过10.1186/s12199-020-00917-x获得。
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). 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. 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). 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. UMIN000028435. The online version contains supplementary material available at 10.1186/s12199-020-00917-x.
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影响因子：
3.7
作者：
Anderson, Deverick J.;Rojas, Leoncio Flavio;Sexton, Daniel J.
通讯作者：
Sexton, Daniel J.
影响因子：
2.1
作者：
Sommerhalter, Kristin M.;Insaf, Tabassum Z.;Van Zutphen, Alissa R.
通讯作者：
Van Zutphen, Alissa R.
影响因子：
13
作者：
Malhotra, Rajeev;Bakken, Kristian;Lewis, Gregory D.
通讯作者：
Lewis, Gregory D.
DOI：
10.5455/aim.2014.22.402-405
发表时间：
2014-12
期刊：
Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH
影响因子：
--
作者：
Fradelos EC;Papathanasiou IV;Mitsi D;Tsaras K;Kleisiaris CF;Kourkouta L
通讯作者：
Kourkouta L
影响因子：
3.9
作者：
Lally, Phillippa;Van Jaarsveld, Cornelia H. M.;Wardle, Jane
通讯作者：
Wardle, Jane