Table 3.
Cardiac Rehabilitation Eligibility, Participation, and Utilization by Primary Qualifying Event Type Among Medicare Fee-for-Service Beneficiaries Aged ≥65 y, 2016–2017
| Eligible Condition/Procedure* | CR Eligible | CR Participation Among Eligible | Days From Event to CR Participation | Sessions Used Among Participants | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N | Rate/ 1000 | N | % | Mean No. of Days | SD | ≤21 Days, % | ≤42 Days, % | ≤90 Days, % | Mean No. of Sessions | SD | ≥25 Sessions, % | ≥36 Sessions, % | |
| AMI | 222 589 | 7.9 | 36 635 | 16.5 | 43.2 | 39.7 | 32.1 | 64.3 | 90.1 | 24.6 | 12.1 | 56.0 | 26.5 |
| With no procedure | 146 831 | 5.2 | 10 492 | 7.1 | 45.0 | 47.3 | 38.3 | 63.8 | 86.6 | 24.2 | 12.2 | 55.2 | 25.3 |
| With any procedure | 75 758 | 2.7 | 26 143 | 34.5 | 42.7 | 35.8 | 29.6 | 64.5 | 91.6 | 24.8 | 49.5 | 56.4 | 27.0 |
| Procedures | |||||||||||||
| CABG | 43 441 | 1.5 | 23 059 | 53.1 | 50.2 | 34.6 | 13.5 | 51.0 | 90.0 | 25.9 | 11.4 | 60.5 | 29.6 |
| With AMI | 10 251 | 0.4 | 4708 | 45.9 | 51.2 | 36.2 | 14.1 | 49.9 | 88.9 | 25.9 | 11.6 | 61.0 | 29.7 |
| No AMI | 33 190 | 1.2 | 18 351 | 55.3 | 49.9 | 34.2 | 13.3 | 51.3 | 90.2 | 25.9 | 11.4 | 60.4 | 29.6 |
| PCI | 120 665 | 4.3 | 33 836 | 28.0 | 41.5 | 38.1 | 33.7 | 68.0 | 91.2 | 24.0 | 12.4 | 53.8 | 25.5 |
| With AMI | 63 249 | 2.2 | 20 577 | 32.5 | 40.1 | 35.7 | 33.8 | 68.6 | 92.3 | 24.5 | 12.2 | 55.2 | 26.3 |
| No AMI | 57 416 | 2.0 | 13 259 | 23.1 | 43.6 | 41.9 | 33.5 | 65.9 | 89.4 | 23.2 | 12.7 | 51.6 | 24.1 |
| Heart valve procedure | 40 614 | 1.4 | 15 117 | 37.2 | 52.4 | 37.2 | 15.9 | 48.7 | 88.2 | 24.8 | 11.7 | 56.7 | 26.0 |
| With AMI | 300 | <0.1 | 77 | 25.7 | 57.2 | 40.9 | 16.9 | 42.9 | 85.7 | 24.0 | 12.0 | 54.5 | 26.0 |
| No AMI | 40 314 | 1.4 | 15 040 | 37.3 | 52.4 | 37.2 | 15.9 | 48.8 | 88.2 | 24.8 | 11.7 | 56.8 | 26.0 |
| Heart transplant† | 525 | <0.1 | 201 | 38.3 | 65.9 | 50.4 | 17.4 | 38.8 | 75.6 | 24.5 | 12.0 | 54.2 | 23.9 |
| Combination procedure | 14 027 | 0.5 | 6622 | 47.2 | 54.1 | 36.6 | 11.2 | 45.6 | 88.0 | 26.1 | 11.2 | 60.7 | 29.0 |
| With AMI | 1957 | 0.1 | 781 | 39.9 | 53.6 | 37.3 | 13.8 | 45.5 | 88.3 | 25.6 | 11.8 | 59.9 | 26.9 |
| No AMI | 12 070 | 0.4 | 5841 | 48.4 | 54.2 | 36.5 | 10.8 | 45.6 | 87.9 | 26.1 | 11.2 | 60.8 | 29.3 |
| CABG and heart valve‡ | 11 495 | 0.5 | 5600 | 48.7 | 54.3 | 36.3 | 10.6 | 45.3 | 87.8 | 26.3 | 11.1 | 61.3 | 29.4 |
AMI indicates acute myocardial infarction; CABG, coronary artery bypass graft; CR, cardiac rehabilitation; and PCI, percutaneous coronary intervention.
*
Eligible conditions/procedures that occurred in combination had to occur within 21 days of each other.
†
With or without AMI (collapsed due to small cell sizes); includes both heart and heart-lung transplants.
‡
Both a CABG and heart valve procedure were performed within the first 21 days of the initial qualifying event with or without an AMI occurring