Evidence map›Paper›PMID 42089132›Full record

Observational studyJournal of Korean medical science2026

Trends in Cardiac Rehabilitation Participation in Patients With Acute Myocardial Infarction: A 5-Year Nationwide Study in Korea.

Hyeongsu Kim, Ra Yu Yun, Chul Kim, Yong-Il Shin, Heui Je Bang, Kyeong Eun Uhm, Sung Hea Kim, Jang-Whan Bae, Kunsei Lee, Youngtaek Kim

Abstract readObservational Study
In one paragraph

Observational study in Journal of Korean medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hyeongsu Kim *Department of Preventive Medicine, Konkuk University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-5379-134X
Ra Yu Yun *Department of Rehabilitation Medicine, Busan Veterans Hospital, Busan, Korea.ORCID https://orcid.org/0000-0003-3548-5784
Chul KimDepartment of Rehabilitation Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-8223-2945
Yong-Il ShinDepartment of Rehabilitation Medicine, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.ORCID https://orcid.org/0000-0001-7894-0930
Heui Je BangDepartment of Rehabilitation Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.ORCID https://orcid.org/0000-0001-5280-122X
Kyeong Eun UhmDepartment of Rehabilitation Medicine, Konkuk University Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0003-2714-1092
Sung Hea KimDivision of Cardiology, Department of Internal Medicine, Konkuk University Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0003-3538-3745
Jang-Whan BaeDivision of Cardiology, Department of Internal Medicine, Good Samsun Hospital, Busan, Korea.ORCID https://orcid.org/0000-0003-1362-9804
Kunsei LeeDepartment of Preventive Medicine, Konkuk University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-1552-6761
Youngtaek KimDepartment of Preventive Medicine, Chungnam National University Hospital, Daejeon, Korea. ruyoung01@cnuh.co.kr.ORCID https://orcid.org/0000-0003-0139-7620

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac rehabilitation (CR) is a critical secondary prevention strategy for patients with acute myocardial infarction (AMI). Although CR has been covered by the National Health Insurance in Korea since 2017, real-world participation remains suboptimal. We assessed trends in CR participation over the past 5 years and identified factors associated with non-participation in treatment.

methodsThis retrospective observational study analyzed data from the National Health Insurance Service claims database between 2018 and 2022. Patients aged ≥ 40 years who were hospitalized for AMI and received acute-phase interventions, such as thrombolysis, percutaneous coronary intervention (PCI), or coronary artery bypass grafting (CABG), were included. CR participation was defined as having at least one claim for education, assessment, or treatment services. Multivariable logistic regression was conducted to identify factors associated with non-participation in CR treatment, focusing on patients who received care at CR-providing institutions, to minimize confounding related to institutional availability.

resultsIn total, 109,436 patients were included. Overall participation rates in CR education, assessment, and treatment increased from 2018 to 2022. However, sustained participation in outpatient treatment remained low, with only 5.7% of patients in 2022 completing ≥ 11 treatment sessions. Factors associated with lower treatment participation included the absence of prior education and assessment, lower socioeconomic status, undergoing PCI rather than CABG, and receiving care at non-tertiary hospitals. Regional disparities and inadequate institutional infrastructure further contributed to reduced access to CR services.

conclusionAlthough CR participation among patients with AMI in Korea has gradually increased, treatment continuity remains suboptimal. To enhance CR utilization, policy efforts should prioritize reducing patient burden, addressing provider-level barriers, and promoting equitable access through financial support mechanisms and infrastructure expansion.

Indexed as

Cardiac RehabilitationMyocardial InfarctionAdultAgedCoronary Artery BypassDatabases, FactualFemaleHumansLogistic ModelsMaleMiddle AgedNational Health ProgramsPercutaneous Coronary InterventionRepublic of KoreaRetrospective StudiesCardiac RehabilitationHealth Services AccessibilityInsurance, HealthMyocardial InfarctionPatient Compliance

Identifiers

PMID42089132
PMCPMC13143816

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.