Secondary prevention and rehabilitation after coronary events or stroke: a review of monitoring issues

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Cardiovascular disease series

Cardiovascular disease poses a heavy burden on the health of Australians. Coronary heart disease and stroke are its most costly manifestations, in terms of deaths, disability and health system costs. Risk factors for heart disease and stroke remain very common among Australians, including those with established cardiovascular disease. For the latter in particular, it is imperative to try and prevent further cardiovascular events. This paper identifies gaps and deficiencies in our knowledge in relation to secondary prevention and rehabilitation after coronary heart disease and stroke, including incidence, interventions and outcomes at a national level and suggests possible solutions.

Authored by AIHW.

Published 29 September 2003; ISSN 1323-9236; ISBN-13 978 1 74024 318 6; AIHW cat. no. CVD 25; 37pp.; $24.00

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Full publication (230K PDF)

  • Preliminary material (106K PDF)
    • Title page and verso
    • Contents
    • Acknowledgments
  • Sections
    • Introduction (56K PDF)
      • Coronary heart disease in a nutshell 
      • Stroke in a nutshell
      • Definitions
    • Data gaps and limitations (77K PDF)
      • NHPA indicator: Incidence rate for myocardial infarction, age 35-69 years. 
      • NHPC indicator: Incidence rate for coronary heart disease events per 100,000 population aged 40-90 years. 
      • NHPA indicator: Proportion of cardiac patients who enter and complete a rehabilitation program, all ages.
      • NHPA indicator: Proportion of people with mild/moderate/severe disability at 6 months following diagnosis of an initial cardiac event, all ages
      • NHPA indicator: Coronary heart disease case fatality for the population aged 40-90 years
      • NHPA indicator: Incidence rate for stroke, all ages
      • NHPA indicator: Proportion of patients admitted to hospital with acute stroke who are managed in specialised stroke units (dedicated multidisciplinary teams), all ages. 
      • NHPA indicator: Proportion of people whose main/underlying disabling condition is stroke, age 45 years or more 
      • NHPA indicator: Proportion of people with mild/moderate/severe disability at 6 months following diagnosis of initial stroke event, all ages
      • NHPA indicator: Case fatality rate for stroke within 28 days, all ages
    • Current knowledge on coronary heart disease(46K PDF) 
      • Incidence of coronary heart disease 
      • Survival, disability and quality of life after a CHD event
      • Cost of coronary heart disease 
      • Risk factors for coronary heart disease 
      • Strategies for reducing the recurrence of CHD events 
      • Cardiac rehabilitation 
    • Current knowledge on stroke(48K PDF)
      • Incidence of stroke 
      • Survival, disability and quality of life after stroke 
      • Cost of stroke 
      • Risk factors for stroke 
      • Strategies for reducing stroke recurrence 
      • Stroke rehabilitation
    • Conclusion(34K PDF)
  • End matter 
    • References (57K PDF)
    • Appendix
      • Appendix A: Establishment of a minimum database for outpatient cardiac rehabilitation in Australia (76K PDF)
      • Appendix B: The National Stroke Unit Program (81K PDF)

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