[Third National Registry of Cardiac Rehabilitation Programs in Mexico (RENAPREC III-2022)].
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Lara-Vargas Jorge A, Ilarraza-Lomelí Hermes, García-Saldivia Marianna, Pineda-García Alfredo D, Leyva-Valadez Eduardo A, Justiniano-Cordero Samuel, Sahagún-Olmos Roberto, Zavala-Ramírez Juana, Cassaigne-Guasco María E, Sánchez-Limón Edgar F, Castañeda-López Javier, Cerón-Enríquez Norma, Ku-González Andrés, Arteaga-Martínez Rodolfo, Hinojosa-López Tania, Vergara-Guzmán Jéssica, Pérez-Vázquez Daniel I, Gasca-Zamudio Pedro D, Aranda-Ayala Zulema L, Vacío-Reyes Martha E, Reza-Orozco Marco, Alcocer-Gamboa Miguel A, Hernández-González Pedro A, Pérez-Reyes Angélica A, Núñez-Urquiza Juan P, Alonso-Sánchez Jesús, Franco-Valles Sarahí, Romo-Escamilla Ricardo E, Nuriulú-Escobar Patricia, Serna-Santamaría Iván, Avilés-González Jorge, Salgado-Solorio María C, Muñoz-Gutiérrez Luz M, Mendoza-Díaz Pedro M, Ávila-Estrada Ángel, Morales-Medina Carlos, Lara-Vázquez Eduardo, Rodríguez-Herrera Paulina, Galván-López María, Segoviano-Mendoza Georgina, De-la-Torre-Cruz Fabiola, Jiménez-Campos Cecilia, Ramírez-Meléndez Alejandra, Almaraz-Ríos Alejandro, González-Bonilla Mezthly, Rojano-Castillo Jessica, Rius-Suarez María D
Аннотация
OBJECTIVES: The objective of this National Registry is to follow-up those existing and new CR units in Mexico through the comparison between the two previous registries, RENAPREC-2009 and RENAPREC II-2015 studies. This is a descriptive study focused on diverse CR activities such as assistance training, and certification of health professionals, barriers, reference, population attended, interdisciplinarity, permanence over time, growth prospects, regulations, post-pandemic condition, integrative characteristics, and scientific research.
RESULTS: Data were collected from 45 CR centers in the 32 states, 75.5% are private practice units, 67% are new, 33% were part of RENAPREC II-2015, and 17 have continued since 2009. With a better distribution of CR units along the territory, the median reference of candidates for CR programs is 9% with a significant reduction into tiempo of enrollment to Phase II admission (19 ± 11 days). Regarding to previous registries, the coverance of Phases I, II, and III is 71%, 100%, and 93%, respectively; and a coverance increases in evaluation, risk stratification, and prescription, more comprehensive attendance and prevention strategies.
CONCLUSIONS: CR in Mexico has grown in the past 7 years. Even there is still low reference and heterogeneity in specific processes, there are strengths such as interdisciplinarity, scientific professionalization of specialists, national diversification, and an official society that are consolidated over time.