{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,6,23]],"date-time":"2022-06-23T12:40:35Z","timestamp":1655988035365},"reference-count":0,"publisher":"PAGEPress Publications","issue":"1-2","license":[{"start":{"date-parts":[[2016,6,22]],"date-time":"2016-06-22T00:00:00Z","timestamp":1466553600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Monaldi Arch Chest Dis"],"abstract":"<jats:p>In the present work, the current activities of Cardiovascular Rehabilitation and Prevention (CRP) in the ambulatory setting of the Lombardy Region (Italy) are described. Based on the 2012 Legislation, ambulatory CRP is delivered by means of three programme categories (MAC 6, 7, and 8) with different degrees of intensity. The patient evaluation of global cardiovascular\/clinical risk, comorbidity, and disability is the cornerstone for MAC prescription. Following the organization of MAC activities, a survey on 327 patients was carried out by the regional network of the Italian Society of Cardiovascular Rehabilitation (GICR-IACPR). Globally, acute coronary syndromes (with or without coronary revascularization) constituted the main access group to CRP. More than 60% of patients displayed a condition of high risk, comorbidity, and disability. The outcome of ambulatory CRP by means of MAC 6 and 7 was satisfactory, while in the 'less intensive' MAC 8 patients with complete drug up-titration and achievement of secondary prevention targets were no more than 70%.\u00c2\u00a0RiassuntoLa Cardiologia Riabilitativa e Preventiva (CRP) storicamente riconosce nei percorsi ambulatoriali un importante setting per l\u00e2\u20ac\u2122erogazione dell\u00e2\u20ac\u2122intervento. In Regione Lombardia negli ultimi anni le attivit\u00c3\u00a0 di CRP sono state oggetto di una profonda riorganizzazione, con il contributo di esperti GICR-IACPR attivi presso lo specifico tavolo tecnico attivato presso la Direzione Generale Sanit\u00c3\u00a0. Dal 2012 sono attive le Macroattivit\u00c3\u00a0 Ambulatoriali Complesse e ad alta integrazione di risorse (MAC), che riguardano anche la sfera della CRP. Le MAC si sono poste come integrazione e alternativa al percorso degenziale e sono state classificate in tre livelli a complessit\u00c3\u00a0 decrescente (MAC 6, MAC 7 e MAC 8 nel nuovo nomenclatore delle attivit\u00c3\u00a0 ambulatoriali). Il network GICR-IACPR ha quindi successivamente condotto una survey su 327 pazienti in tre Centri di CRP, di cui vengono esposti i risultati. Complessivamente, le condizioni di accesso alle MAC pi\u00c3\u00b9 utilizzate sono stati gli esiti di sindrome coronarica (con o senza rivascolarizzazione) e vi \u00c3\u00a8 stata una robusta rappresentazione (oltre 60%) di situazioni cliniche a medio\/alto rischio clinico, complessit\u00c3\u00a0 e disabilit\u00c3\u00a0. L\u00e2\u20ac\u2122outcome dell\u00e2\u20ac\u2122intervento in regime di MAC (in termini di recupero funzionale, titolazione della terapia di cardioprotezione e raggiungimento dei target terapeutici) \u00c3\u00a8 stato globalmente soddisfacente, seppure minore (non superiore al 70%) nel MAC 8 meno \"intensivo\".<\/jats:p>","DOI":"10.4081\/monaldi.2015.722","type":"journal-article","created":{"date-parts":[[2016,6,23]],"date-time":"2016-06-23T18:50:51Z","timestamp":1466707851000},"source":"Crossref","is-referenced-by-count":0,"title":["Current activities of Cardiovascular Rehabilitation in the ambulatory setting of the Lombardy Region"],"prefix":"10.4081","volume":"84","author":[{"given":"Marco","family":"Ambrosetti","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto F.E.","family":"Pedretti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Facchini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriella","family":"Malfatto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvatore Pio","family":"Riccobono","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oreste","family":"Febo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tommaso","family":"Diaco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2549","published-online":{"date-parts":[[2016,6,22]]},"container-title":["Monaldi Archives for Chest Disease"],"original-title":[],"link":[{"URL":"https:\/\/www.monaldi-archives.org\/index.php\/macd\/article\/download\/722\/702","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.monaldi-archives.org\/index.php\/macd\/article\/download\/722\/702","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,23]],"date-time":"2022-06-23T12:07:49Z","timestamp":1655986069000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.monaldi-archives.org\/index.php\/macd\/article\/view\/722"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6,22]]},"references-count":0,"journal-issue":{"issue":"1-2","published-online":{"date-parts":[[2016,6,22]]}},"URL":"https:\/\/doi.org\/10.4081\/monaldi.2015.722","relation":{},"ISSN":["2532-5264","1122-0643"],"issn-type":[{"value":"2532-5264","type":"electronic"},{"value":"1122-0643","type":"print"}],"subject":[],"published":{"date-parts":[[2016,6,22]]}}}