Dr. Randal J. Thomas
👤 PersonAppearances Over Time
Podcast Appearances
And I'll just point out one thing, one of the great things about the team approach and the multidisciplinary approach. Several studies have shown that people who participate in cardiac rehabilitation are less likely to be hospitalized during the year after a heart attack. That's an important quality measure.
And I'll just point out one thing, one of the great things about the team approach and the multidisciplinary approach. Several studies have shown that people who participate in cardiac rehabilitation are less likely to be hospitalized during the year after a heart attack. That's an important quality measure.
It not only tells us that the patients are doing better, but also that the care that's been given is assuming a higher quality, right? Yeah. So what's interesting, though, is for those who go to cardiac rehabilitation, they're less likely to be hospitalized for cardiac reasons as well as non-cardiac reasons. And it only makes sense because it's a multidisciplinary approach.
It not only tells us that the patients are doing better, but also that the care that's been given is assuming a higher quality, right? Yeah. So what's interesting, though, is for those who go to cardiac rehabilitation, they're less likely to be hospitalized for cardiac reasons as well as non-cardiac reasons. And it only makes sense because it's a multidisciplinary approach.
So we help to identify lung issues or diabetes issues or other things that might land them back in the hospital, but with the help of our team can often pick that up and reduce the chance of that happening.
So we help to identify lung issues or diabetes issues or other things that might land them back in the hospital, but with the help of our team can often pick that up and reduce the chance of that happening.
Yes. Yes, definitely. You know, these principles, reduce the risk of future heart problems. And they're applied to people with known heart disease, mainly because that's the targeted audience and clientele. And the service is covered through insurance carriers and so forth. But in reality, those principles apply to everybody.
Yes. Yes, definitely. You know, these principles, reduce the risk of future heart problems. And they're applied to people with known heart disease, mainly because that's the targeted audience and clientele. And the service is covered through insurance carriers and so forth. But in reality, those principles apply to everybody.
you know, exercise, health eating, et cetera, that's going to help us all to do better. If you look at, there's a concept of number needed to treat that you may have talked about in this show before. So how many people do you need to treat with a given therapy to save one life, right?
you know, exercise, health eating, et cetera, that's going to help us all to do better. If you look at, there's a concept of number needed to treat that you may have talked about in this show before. So how many people do you need to treat with a given therapy to save one life, right?
And for cardiac rehabilitation, it'll vary somewhat, but it's anywhere from about 15 to 50 people needing to be treated to save a life. And for many, that's in the secondary prevention realm. So we're trying to avoid those second events. For the primary prevention, we're trying to avoid the first events. It's going to be about 150 to 300 people treated to save one life.
And for cardiac rehabilitation, it'll vary somewhat, but it's anywhere from about 15 to 50 people needing to be treated to save a life. And for many, that's in the secondary prevention realm. So we're trying to avoid those second events. For the primary prevention, we're trying to avoid the first events. It's going to be about 150 to 300 people treated to save one life.
So that's because people generally you know, are lower risk than those who've had an event already. So you need to treat more people to have the, you know, to save that one life. But it's still beneficial and still very important. There are many programs, many cardiac rehabilitation programs that offer primary prevention options to people.
So that's because people generally you know, are lower risk than those who've had an event already. So you need to treat more people to have the, you know, to save that one life. But it's still beneficial and still very important. There are many programs, many cardiac rehabilitation programs that offer primary prevention options to people.
So they're like people with diabetes. There's diabetes prevention programs and diabetes management programs. And when we talk about the future opportunities for rehabilitation, that's right square in the middle. And we sometimes call that prehabilitation, where you take care of it before the event.
So they're like people with diabetes. There's diabetes prevention programs and diabetes management programs. And when we talk about the future opportunities for rehabilitation, that's right square in the middle. And we sometimes call that prehabilitation, where you take care of it before the event.
And actually, it's even been shown for people who need heart surgery, if you rehabilitate them before surgery, they're going to do better after surgery.
And actually, it's even been shown for people who need heart surgery, if you rehabilitate them before surgery, they're going to do better after surgery.
yeah so so there's a lot of opportunity along those lines and uh we need to find and this is true for secondary prevention too we need to find more effective cheaper ways to do things for everybody and because we can all benefit so you said um if somebody has an event typically um
yeah so so there's a lot of opportunity along those lines and uh we need to find and this is true for secondary prevention too we need to find more effective cheaper ways to do things for everybody and because we can all benefit so you said um if somebody has an event typically um