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자료유형
학술저널
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대한재활의학회 Annals of Rehabilitation Medicine Annals of Rehabilitation Medicine 제43권 제3호
발행연도
2019.1
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355 - 356 (2page)

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Objective Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and three additional medical facilities will be added in 2019. In addition, owing to the promotion of CR nationwide and the introduction of CR insurance benefits, 40 medical institutions nationwide have begun CR programs even as a growing number of medical institutions are preparing to offer CR. The purpose of this research was to develop evidence-based CPGs to support CR implementation in Korea. Methods This study is based on an analysis of CPGs elsewhere in the world, an extensive literature search, a systematic analysis of multiple randomized control trials, and a CPG management, development, and assessment committee comprised of 33 authors—primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and two general hospitals. Twelve consultants, primarily rehabilitation, sports medicine, and preventive medicine specialists, CPG experts, nurses, physical therapists, clinical nutritionists, and library and information experts participated in the research and development of these CPGs. After the draft guidelines were developed, three rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified. Principal Conclusions CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers cardiovascular mortality and readmission rates, regardless of the type of coronary heart disease and type and setting of CR. Individualized CR programs should be considered together with various factors, including differences in heart function and lifestyle, and doing so will boost participation and adherence with the CR program, ultimately meeting the final goals of the program, namely reducing the recurrence of myocardial infarction and mortality rates.

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참고문헌 (179)

참고문헌 신청
신현영 / 2016 / 2014년 사망원인 통계 / 대한의사협회지 59(3):221~232 dbpia 이승원 / 2015 / Thirty-Year Trends in Mortality from Cardiovascular Diseases in Korea / Korean Circulation Journal 45(3):202~209 google schola Korean Statistical Information Service / 2016 / Cause of death statistics / Statistics Korea google schola Canadian Association of Cardiac Rehabilitation / 2009 / Canadian guidelines for cardiac rehabilitation and cardiovascular disease prevention: translating knowledge into action / Canadian Association of Cardiac Rehabilitation google schola Scottish Intercollegiate Guidelines Network / 2017 / Cardiac rehabilitation: a national clinical guideline / Scottish Intercollegiate Guidelines Network google schola

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