{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:13:43Z","timestamp":1790374423715,"version":"4.1.0"},"reference-count":38,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2022,2,24]],"date-time":"2022-02-24T00:00:00Z","timestamp":1645660800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Heart Foundation of Australia","award":["100472"],"award-info":[{"award-number":["100472"]}]},{"name":"Australian Governement","award":["Research Training Scholarship"],"award-info":[{"award-number":["Research Training Scholarship"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: This exploratory observational case\u2013control study investigated the rate of referral to cardiac rehabilitation (CR) among patients hospitalised with heart failure (HF) and identified factors associated with referral. Methods: Patients hospitalised with HF as identified by the Victorian Cardiac Outcomes Registry HF study were included. Factors found to be univariately associated with referral were selected for multivariate logistic regression. Results: Among 1281 patients (mean age: 76.9 years; 32.8% HFrEF and 33.9% HfpEF), 125 (9.8%) were referred to CR. Patients referred were younger (73.6 (2.7, 81.5) vs. 80.2 (71.1, 86.5) p &lt; 0.001) and were more likely to be men (72%, p &lt; 0.001). Factors associated with referral included inpatient percutaneous coronary intervention (OR, 3.31; 95% CI, 1.04\u201310.48; p = 0.04), an aetiology of ischaemic or rhythm-related cardiomyopathy, and anticoagulants prescribed on discharge. Factors that lowered the likelihood of referral included older age, female, receiving inpatient oxygen therapy, and the presence of chronic obstructive pulmonary disease (COPD) or anaemia. Conclusions: The rate of referral to CR following hospitalisation with HF is low. Shortfalls are particularly evident among females, older patients, and in those with COPD or anaemia. Future studies should focus on improving referral processes and translating proven strategies that increase referrals to CR into practice.<\/jats:p>","DOI":"10.3390\/jcm11051232","type":"journal-article","created":{"date-parts":[[2022,2,24]],"date-time":"2022-02-24T07:22:35Z","timestamp":1645687355000},"page":"1232","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Predictors of Referral to Cardiac Rehabilitation in Patients following Hospitalisation with Heart Failure: A Multivariate Regression Analysis"],"prefix":"10.3390","volume":"11","author":[{"given":"Catherine","family":"Giuliano","sequence":"first","affiliation":[{"name":"Institute for Health and Sport, Victoria University, Melbourne, VIC 8001, Australia"},{"name":"Department of Cardiology, Western Health, Sunshine Hospital, Melbourne, VIC 3021, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0176-0314","authenticated-orcid":false,"given":"Don","family":"Vicendese","sequence":"additional","affiliation":[{"name":"Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC 3010, Australia"},{"name":"Department of Mathematics and Statistics, La Trobe University, Melbourne, VIC 3086, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Vogrin","sequence":"additional","affiliation":[{"name":"Australian Institute for Musculoskeletal Science (AIMSS), University of Melbourne and Western Health, St Albans, VIC 3021, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Lane","sequence":"additional","affiliation":[{"name":"Institute for Health and Sport, Victoria University, Melbourne, VIC 8001, Australia"},{"name":"College of Health and Biomedicine, Victoria University, Melbourne, VIC 8001, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Driscoll","sequence":"additional","affiliation":[{"name":"Centre for Quality and Patient Safety, School of Nursing and Midwifery, Deakin University, Geelong, VIC 3216, Australia"},{"name":"Department of Cardiology, Austin Health, Melbourne, VIC 3084, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diem","family":"Dinh","sequence":"additional","affiliation":[{"name":"Centre of Cardiovascular Research and Education in Therapeutics, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Palmer","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Monash Health, Melbourne, VIC 3175, Australia"},{"name":"School of Primary and Allied Health Care, Monash University, Frankston, VIC 3199, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itamar","family":"Levinger","sequence":"additional","affiliation":[{"name":"Institute for Health and Sport, Victoria University, Melbourne, VIC 8001, Australia"},{"name":"Department of Cardiology, Western Health, Sunshine Hospital, Melbourne, VIC 3021, Australia"},{"name":"Australian Institute for Musculoskeletal Science (AIMSS), University of Melbourne and Western Health, St Albans, VIC 3021, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Neil","sequence":"additional","affiliation":[{"name":"Institute for Health and Sport, Victoria University, Melbourne, VIC 8001, Australia"},{"name":"Department of Cardiology, Western Health, Sunshine Hospital, Melbourne, VIC 3021, Australia"},{"name":"Australian Institute for Musculoskeletal Science (AIMSS), University of Melbourne and Western Health, St Albans, VIC 3021, Australia"},{"name":"Department of Medicine, Western Health, The University of Melbourne, Melbourne, VIC 3010, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1016\/j.ijcard.2013.12.028","article-title":"The annual global economic burden of heart failure","volume":"171","author":"Cook","year":"2014","journal-title":"Int. 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