Problematiche cliniche e gestionali della riabilitazione cardiologica in regime di ricovero

Translated title of the contribution: Clinical problems and aspects of organization related to cardiac rehabilitation units

Maurizio Ferratini, Vittorio Racca, Monica Tavanelli, Joanna Heyman, Gabriella Comerio, Antonio Pezzano, Elisabetta Gara, Rosa Spezzaferri, Gabriella Brambilla

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Abstract

The characteristics of patients admitted to cardiac rehabilitation units have progressively changed and are now represented by older age and clinical instability, with a higher percentage of females than in the past. Moreover, the demand of admission to cardiac rehabilitation departments has increased as a consequence of the extension of cardiac surgical procedures to older patients with frequent comorbidity. At the same time, the need of a shorter hospitalization in the acute hospital units has contributed to more frequent requests for cardiac rehabilitation admission. Cost factors and problems of organization have also contributed to the typology of the patients now admitted for cardiac rehabilitation. The data of patients admitted to the Cardiac Rehabilitation Unit of the Don Gnocchi Hospital in Milan are reported too: these data confirm the actual change in the typology of patients with respect to the past; the possible explanations and reasons, as well as the increased average age of the population and the increased number of surgical interventions in the elderly and females are also evaluated. Moreover, the programs and the rehabilitative aims have been consequently changed. Finally, even the use of non-invasive alternatives to ergometric tests is here discussed.

Original languageItalian
Pages (from-to)1003-1010
Number of pages8
JournalItalian Heart Journal Supplement
Volume3
Issue number10
Publication statusPublished - Oct 2002

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ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Ferratini, M., Racca, V., Tavanelli, M., Heyman, J., Comerio, G., Pezzano, A., Gara, E., Spezzaferri, R., & Brambilla, G. (2002). Problematiche cliniche e gestionali della riabilitazione cardiologica in regime di ricovero. Italian Heart Journal Supplement, 3(10), 1003-1010.