Nurse-Driven Endorsement for Ambulatory Cardiac Rehabilitation Following Transcatheter Heart Valve Surgery
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Date
2025-05
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The Ohio State University
Abstract
Following transcatheter heart valve replacement, cardiac rehabilitation (CR) is an evidence-based recommendation to help promote health and wellbeing and prevent complications, yet it is an underutilized resource. The purpose of this project was to examine whether nurse endorsement of CR increases ambulatory CR enrollment following elective transcatheter heart valve replacement surgery. A new process was implemented for CR nurse liaisons delivering education to transcatheter heart valve replacement surgery patients prior to hospital discharge. Volumes of ambulatory CR referrals and rates of enrollment were measured. There were 17 total referrals and 17.6% enrollments during the 8 weeks of data collection (8 weeks of referrals and 8 weeks for enrollment in CR). These findings demonstrated that education from a CR nurse liaison prior to hospital discharge alone was not enough to increase enrollment in ambulatory CR following transcatheter heart valve surgery. This may be due to a variety of patient-specific barriers like perceived value, access to transportation, schedule availability, etc., which are consistent with the literature. Future studies are needed to better understand the barriers to participating in ambulatory cardiac rehabilitation following transcatheter heart valve replacement. More robust efforts are needed across all phases of care to encourage patients to enroll in cardiac rehabilitation to meet organizational goals and national benchmarks.