Ambrosetti Marco, Fattirolli Francesco, Gnerre Paola, Mastroianni Franco, Mureddu Gian Francesco, Dentali Francesco, Giallauria Francesco, Meschi Michele, Pratesi Alessandra, Ruzzolini Matteo, Venturini Elio
Cardiovascular Rehabilitation Unit, ASST Crema, Santa Marta Hospital, ITACARE-P, Rivolta D'Adda, Italy.
Department of Experimental and Clinical Medicine, University of Florence, Italy.
Int J Cardiol Cardiovasc Risk Prev. 2024 Apr 30;21:200275. doi: 10.1016/j.ijcrp.2024.200275. eCollection 2024 Jun.
The Italian Association for Cardiovascular Rehabilitation and Prevention (ITACARE-P) and the Italian Federation of Associations of Hospital Doctors on Internal Medicine (FADOI) released a joint position paper to guide referrals of cardiovascular patients discharged from Internal Medicine (IM) wards to Cardiac Rehabilitation (CR) facilities. The document provides rationale and operative recommendations for appropriateness (i.e. qualifying diagnoses) and priority criteria to overcome the mismatch between potential demand and effective supply of CR programmes. In case of no-referral due to logistic barriers, the document recommends the adoption of best alternatives to CR for disability reduction, better prognosis, and improvement of quality of life. The joint position paper is also aimed to promote the consideration of IM as a potential stakeholder of CR.
意大利心血管康复与预防协会（ITACARE-P）和意大利医院内科医生协会联合会（FADOI）发布了一份联合立场文件，以指导从内科（IM）病房出院的心血管疾病患者转诊至心脏康复（CR）机构。该文件为CR项目潜在需求与有效供给之间的匹配性（即合格诊断）及优先标准提供了理论依据和操作建议，以克服两者之间的不匹配。对于因后勤障碍而未进行转诊的情况，该文件建议采用CR的最佳替代方案，以减少残疾、改善预后并提高生活质量。这份联合立场文件还旨在推动将内科视为CR的潜在利益相关者。
