P08 Effect of referral strategies and women-only programs on completion of cardiac rehabilitation among women: a retrospective longitudinal study
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Bibliographic record
Abstract
<h3>Background</h3> Cardiovascular diseases are the leading cause of mortality among women, yet their participation in cardiac rehabilitation (CR) programs remains lower than men’s. Strategies such as women-only CR groups and in-hospital liaison referrals may improve enrollment, but their impact on CR completion and cardiovascular events remains unclear. <h3>Aim</h3> This study evaluated the associations of (1) women-only vs. mixed-gender CR groups and (2) in-hospital liaison referrals vs. standard hospital referrals on women’s CR completion and cardiovascular event recurrence. <h3>Methods</h3> This is a retrospective longitudinal study conducted using records of adult women referred to the CR program at Hôtel-Dieu de Lévis (Canada) from May 2022 to February 2025. The 12-week program included supervised exercise, risk factor management, and education. We excluded non-hospital referrals and women who participated in a virtual, hybrid, or home-based program. Completion was defined as attending ≥70% of sessions. Recurrence of cardiovascular events was assessed using emergency visits and hospital admissions. We conducted multivariable logistic regressions adjusted for potential confounders. <h3>Results</h3> 118 women were included (mean age 69.4±9.2 years; 66.4% post-MI; median follow-up: 651 days). Women-only CR groups were associated with higher completion (OR=5.36, 95%CI[1.58, 18.22], p=0.007) and participation (+12.66%, 95%CI[3.23, 22.10], p=0.01) (figure 1). In-hospital liaison referrals were also associated with higher completion (OR=3.70, 95%CI[1.00, 13.66], p=0.049). Women receiving both interventions had higher completion (OR=15.95, 95%CI[1.93, 131.66], p=0.01) and participation (+20.40%, 95%CI[7.32, 33.48], p=0.003) compared to women in mixed-gender groups with standard hospital referral. Although not statistically significant, women-only CR groups showed lower incidence of all-cause hospitalization (HR=0.51, 95%CI[0.15 to 1.73], p=0.3). Referral strategies were not associated with cardiovascular event recurrence. <h3>Conclusion</h3> These findings support the integration of structured women-only CR groups and in-hospital liaison referrals to improve program adherence.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.002 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it