Cardiac rehabilitation in skilled nursing facilities: A missed opportunity
Open accessAbstract
Background After hospitalization for a cardiac event, older adults are frequently discharged to a skilled nursing facility (SNF) for postacute care. The American Association of Cardiopulmonary Rehabilitation recommends that cardiac care be integrated into procedures at SNFs.Objective We undertook this research to describe the characteristics of patients in SNFs after a cardiac event and the cardiac care delivered at SNFs.Methods A dual approach included (1) a retrospective medical record review of consecutive patients admitted to 2 hospital-based SNFs after a cardiac event (n = 80), and (2) surveys from healthcare professionals (n = 21) working in these facilities.Results Thirty-two percent of patients were not candidates for cardiac rehabilitative interventions because they had been rehospitalized, discharged to long-term care facilities, or manifested contraindications to exercise. No standard assessment of exercise tolerance was evident, and although 70% of patients were discharged home, cardiac-specific discharge education was seldom evident. Healthcare professionals in SNFs reported that standard procedures for cardiac care services were lacking.Conclusion The integration of cardiac care into SNFs is important to ensure the safety of therapy and improve the transition of patients from SNFs to outpatient cardiac rehabilitation programs.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Although 70% of older adults who use SNFs are eligible for some type of CR, there typically are no standard cardiac assessments and no cardiac education delivered in these facilities, as well as no specific mechanisms to facilitate CR once patients leave SNFs and return to the community.
“Although 70% of older adults who use SNFs are eligible for some type of CR, there typically are no standard cardiac assessments and no cardiac education delivered in these facilities,241 as well as no specific mechanisms to facilitate CR once patients leave SNFs and return to the community.”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987) · Journal of Chronic Diseases · doi:10.1016/0021-9681(87)90171-8 · Cited by 49,742 · see citing works
Psychophysical bases of perceived exertion
BORG, G. A. V. (1982) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198205000-00012 · Cited by 16,580 · see citing works
Explaining the decrease in U.S. deaths from coronary disease, 1980–2000
Ford, E. S., Ajani, U. A., Croft, J. B., Critchley, J. A., Labarthe, D. R., Kottke, T. E., Giles, W. H., & Capewell, S. (2007) · New England Journal of Medicine · doi:10.1056/nejmsa053935 · Cited by 2,757 · see citing works
Longitudinal Assessment of Neurocognitive Function after Coronary-Artery Bypass Surgery
Newman, M. F., Kirchner, J., Phillips‐Bute, B., Gaver, V., Grocott, H. P., Jones, R. H., Mark, D. B., Reves, J. G., & Blumenthal, J. A. (2001) · New England Journal of Medicine · doi:10.1056/nejm200102083440601 · Cited by 1,959 · see citing works
Dodds, T. A., Martin, D. P., Stolov, W. C., & Deyo, R. A. (1993) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/0003-9993(93)90119-u · Cited by 1,043 · see citing works
Exercise-based rehabilitation for coronary heart disease
Jolliffe, J., Rees, K., Taylor, R. R., Thompson, D. R., Oldridge, N., & Ebrahim, S. (2001) · The Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001800 · Cited by 963 · see citing works
PERFORMANCE PROFILES OF THE FUNCTIONAL INDEPENDENCE MEASURE
Granger, C. V., Hamilton, B. B., Linacre, J. M., Heinemann, A. W., & Wright, B. D. (1993) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/00002060-199304000-00005 · Cited by 645 · see citing works
Büchner, D. M., Cress, M. E., de Lateur, B. J., Esselman, P. C., Margherita, A. J., Price, R., & Wagner, E. H. (1997) · The Journals of Gerontology Series A · doi:10.1093/gerona/52a.4.m218 · Cited by 633 · see citing works
Functional Impact of 10 Days of Bed Rest in Healthy Older Adults
Kortebein, P., Symons, T. B., Ferrando, A., Paddon-Jones, D., Ronsen, O., Protas, E., Conger, S., Lombeida, J., Wolfe, R., & Evans, W. J. (2008) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/63.10.1076 · Cited by 550 · see citing works
The Revolving Door Of Rehospitalization From Skilled Nursing Facilities
Mor, V., Intrator, O., Feng, Z., & Grabowski, D. C. (2010) · Health Affairs · doi:10.1377/hlthaff.2009.0629 · Cited by 506 · see citing works
Newman, M. F., Grocott, H. P., Mathew, J. P., White, W. D., Landolfo, K. P., Reves, J. G., Laskowitz, D. T., Mark, D. B., & Blumenthal, J. A. (2001) · Stroke · doi:10.1161/hs1201.099803 · Cited by 369 · see citing works
Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs
Lalonde, F. (2012) · The Journal of the American Osteopathic Association · doi:10.7556/jaoa.2012.112.11.753 · Cited by 349 · see citing works
Whellan, D. J., O’Connor, C. M., Lee, K. L., Keteyian, S. J., Cooper, L. S., Ellis, S. J., Leifer, E., Kraus, W. E., Kitzman, D. W., Blumenthal, J. A., et al. (2007) · American Heart Journal · doi:10.1016/j.ahj.2006.11.007 · Cited by 234 · see citing works
van Jaarsveld, C. H. M., Sanderman, R., Miedema, I., Ranchor, A. V., & Kempen, G. I. J. M. (2001) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2001.49208.x · Cited by 122 · see citing works
Thomas, R. J., King, M. L., Lui, K., Oldridge, N., Piña, I. L., & Spertus, J. A. (2010) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2010.06.006 · Cited by 112 · see citing works
Finding the Right Level of Posthospital Care
Kane, R. L. (2011) · JAMA · doi:10.1001/jama.2010.2015 · Cited by 106 · see citing works
Has the Risk for Coronary Heart Disease Changed Among U.S. Adults?
Ajani, U. A., & Ford, E. S. (2006) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2006.05.055 · Cited by 83 · see citing works
Focht, B. C., Ewing, V., Gauvin, L., & Rejeski, W. J. (2002) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2403_05 · Cited by 82 · see citing works
Operative and Middle-Term Results of Cardiac Surgery in Nonagenarians
Speziale, G., Nasso, G., Barattoni, M. C., et al. (2010) · Circulation · doi:10.1161/circulationaha.108.807065 · Cited by 69 · see citing works
Dolansky, M. A., Xu, F., Zullo, M., Shishehbor, M., Moore, S. M., & Rimm, A. A. (2010) · Journal of Cardiovascular Nursing · doi:10.1097/jcn.0b013e3181c9fbca · Cited by 59 · see citing works
Self-citationThe Reliability and Validity of a Physical Work Test
Borg, G. A. V., & DAHLSTRÖM, H. (1962) · Acta Physiologica Scandinavica · doi:10.1111/j.1748-1716.1962.tb02449.x · Cited by 59 · see citing works
Miralles, R. M., Sabartés, O., Ferrer, M., et al. (2003) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2003.51066.x · Cited by 46 · see citing works
Cardiovascular Prevention and Rehabilitation
Perk, J., Gohlke, H., Hellemans, I. M., et al. (2007) · Springer eBooks · doi:10.1007/978-1-84628-502-8 · Cited by 46 · see citing works
Sansone, G. R., Alba, A. S., & Frengley, J. D. (2002) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2002.31183 · Cited by 43 · see citing works
Macchi, C., Polcaro, P., Cecchi, F., Zipoli, R., Sofi, F., Romanelli, A., Pepi, L., Sibilio, M., Lipoma, M., Petrilli, M., et al. (2009) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/phm.0b013e3181b332a1 · Cited by 35 · see citing works
Functional Outcomes of Patients on a Rehabilitation Unit After Open Heart Surgery
Kong, K. H., Kevorkian, C. G., & Rossi, C. D. (1996) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-199611000-00011 · Cited by 16 · see citing works
Dolansky, M. A., & Moore, S. M. (2008) · Rehabilitation Nursing · doi:10.1002/j.2048-7940.2008.tb00207.x · Cited by 9 · see citing works
Self-citationComponents of a cardiac rehab program.
Glassman, S. J. (2000) · PubMed · Cited by 3 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Forman, D. E., Arena, R., Boxer, R., Dolansky, M. A., Eng, J. J., Fleg, J. L., Haykowsky, M., Jahangir, A., Kaminsky, L. A., Kitzman, D. W., et al. (2017) · Circulation · doi:10.1161/cir.0000000000000483 · Cited by 319 · see citing works
Self-citation
- Authors
- Dolansky, M. A., Zullo, M. D., Hassanein, S., Schaefer, J. T., Murray, P., & Boxer, R.
- Affiliations
- Case Western Reserve University (US)
- Kent State University (US)
- Cairo University (EG)
- Florida State University (US)
- MetroHealth Medical Center (US)
- Venue
- Heart & Lung
- Publisher
- Elsevier BV
- Published
- 2012-03
- Volume
- 41
- Issue
- 2
- Pages
- 115-124
- ISSN
- 0147-9563 (ISSN-L)
- PMC
- PMC3288539
- OpenAlex
- W2084773259
- Cited by
- 31
- References
- 28
- Citations by year
- 2023: 4 · 2022: 2 · 2021: 1 · 2020: 10 · 2019: 2 · 2018: 1 · 2017: 5 · 2016: 2 · 2015: 2 · 2013: 1 · 2012: 1
- FWCI
- 0.44
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Heart & Lung (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Multidisciplinary Clinical Research Training Program (K12RR023264)
- National Center for Research Resources (KL2RR024990)
- National Institutes of Health Roadmap for Medical Research
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- cardiac rehabilitation, skilled nursing facilities, older adults, post-acute care, cardiac events, exercise intolerance, discharge education, hospital readmission, long-term care
- MeSH terms
- Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Follow-Up Studies, Heart Diseases, Humans, Length of Stay, Male, Nursing Staff, Hospital, Patient Discharge, Surveys and Questionnaires, Rehabilitation Centers, Retrospective Studies, Skilled Nursing Facilities, United States
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
