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"Practice guideline"

Review Article

Cardiopulmonary rehabilitation

Fact Sheet on Cardiac Rehabilitation for Cardiovascular Disease in South Korea
Ki-Hong Kim, Jae-Young Han
Ann Rehabil Med 2023;47(5):318-325.   Published online October 31, 2023
DOI: https://doi.org/10.5535/arm.23050
Cardiovascular disease (CVD) poses a significant health challenge globally, including in Korea, due to its status as a leading cause of death and its impact on cardiopulmonary function. Cardiac rehabilitation (CR) is a well-established program that not only aids in restoring cardiopulmonary function, but also improves physical and social conditions. The benefits of CR are widely recognized, and it is implemented globally. While the effectiveness of CR has been proven in Korea, it is underutilized. This fact sheet summarizes the current status of CR in Korea, including the prevalence of CVD, the clinical practice guidelines for CR programs, and the challenges of implementing CR in Korea.

Citations

Citations to this article as recorded by  
  • Factors influencing active participation in cardiac rehabilitation among patients with cardiovascular disease: A nationwide cohort study
    Chul Kim, Jung Hwa Hong, Jang Woo Lee
    PM&R.2025; 17(10): 1140.     CrossRef
  • 2024 Cardio-cerebrovascular disease fact sheet in Korea
    Kyungdo Han, Jin-Hyung Jung, Sang-Suk Choi, Seung-Hyun Ko
    Cardiovascular Prevention and Pharmacotherapy.2025; 7(3): 85.     CrossRef
  • The Accessibility and Effect of Cardiac Rehabilitation in COVID-19 Pandemic Era
    Chul Kim, Jun Hyeong Song, Seung Hyoun Kim
    Annals of Rehabilitation Medicine.2024; 48(4): 249.     CrossRef
  • Effectiveness of Home-Based Cardiac Rehabilitation with Optimized Exercise Prescriptions Using a Mobile Healthcare App in Patients with Acute Myocardial Infarction: A Randomized Controlled Trial
    Hyun-Seok Jo, Hyeong-Min Kim, Chae-Hyun Go, Hae-Young Yu, Hyeng-Kyu Park, Jae-Young Han
    Life.2024; 14(9): 1122.     CrossRef
  • Cardiac rehabilitation for patients with coronary artery disease
    Jang Woo Lee
    Journal of the Korean Medical Association.2024; 67(9): 566.     CrossRef
  • 9,432 View
  • 73 Download
  • 4 Web of Science
  • 5 Crossref
Clinical Practice Guidelines

Geriatric Rehabilitation

Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures
Kyunghoon Min, Jaewon Beom, Bo Ryun Kim, Sang Yoon Lee, Goo Joo Lee, Jung Hwan Lee, Seung Yeol Lee, Sun Jae Won, Sangwoo Ahn, Heui Je Bang, Yonghan Cha, Min Cheol Chang, Jung-Yeon Choi, Jong Geol Do, Kyung Hee Do, Jae-Young Han, Il-Young Jang, Youri Jin, Dong Hwan Kim, Du Hwan Kim, In Jong Kim, Myung Chul Kim, Won Kim, Yun Jung Lee, In Seok Lee, In-Sik Lee, JungSoo Lee, Chang-Hyung Lee, Seong Hoon Lim, Donghwi Park, Jung Hyun Park, Myungsook Park, Yongsoon Park, Ju Seok Ryu, Young Jin Song, Seoyon Yang, Hee Seung Yang, Ji Sung Yoo, Jun-il Yoo, Seung Don Yoo, Kyoung Hyo Choi, Jae-Young Lim
Ann Rehabil Med 2021;45(3):225-259.   Published online June 30, 2021
DOI: https://doi.org/10.5535/arm.21110
Objective
The incidence of hip fractures is increasing worldwide with the aging population, causing a challenge to healthcare systems due to the associated morbidities and high risk of mortality. After hip fractures in frail geriatric patients, existing comorbidities worsen and new complications are prone to occur. Comprehensive rehabilitation is essential for promoting physical function recovery and minimizing complications, which can be achieved through a multidisciplinary approach. Recommendations are required to assist healthcare providers in making decisions on rehabilitation post-surgery. Clinical practice guidelines regarding rehabilitation (physical and occupational therapies) and management of comorbidities/complications in the postoperative phase of hip fractures have not been developed. This guideline aimed to provide evidence-based recommendations for various treatment items required for proper recovery after hip fracture surgeries. Methods Reflecting the complex perspectives associated with rehabilitation post-hip surgeries, 15 key questions (KQs) reflecting the complex perspectives associated with post-hip surgery rehabilitation were categorized into four areas: multidisciplinary, rehabilitation, community-care, and comorbidities/complications. Relevant literature from four databases (PubMed, EMBASE, Cochrane Library, and KoreaMed) was searched for articles published up to February 2020. The evidence level and recommended grade were determined according to the grade of recommendation assessment, development, and evaluation method. Results A multidisciplinary approach, progressive resistance exercises, and balance training are strongly recommended. Early ambulation, weigh-bearing exercises, activities of daily living training, community-level rehabilitation, management of comorbidities/complication prevention, and nutritional support were also suggested. This multidisciplinary approach reduced the total healthcare cost.
Conclusion
This guideline presents comprehensive recommendations for the rehabilitation of adult patients after hip fracture surgery.

Citations

Citations to this article as recorded by  
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    Kyunghoon Min, Sangchul Lee, Jae Min Kim, Jung Hyun Park, Jun Hwan Choi, Bo Ryun Kim, Kyu Wan Kwak, Seong Jun Kim, Jae-Young Lim
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    The Journal of nutrition, health and aging.2025; 29(7): 100600.     CrossRef
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    Ruqayyah Turabi, Frede Frihagen, Rhona McGlasson, David Wyatt, Alex Trompeter, Lauren Beaupre, Luiz Fernando Cocco, Matthew Costa, José Luis Dinamarca-Montecinos, Juan Carlos Viveros-García, Jae-Young Lim, Joon-Kiong Lee, Hui Min Khor, Cristina Ojeda-Thie
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    Alejandra Dubey Malagón, Hermelinda Hernández Amaro, David Santiago German, Grushenka V Aguilar Esparza, Wendy Rosey Portillo, Carlos Abraham Flores Guzmán
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    Hongbin Wang
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    Svetlana B. Korotkova, Pavel A. Sviridkin, Irina V. Gridneva, Nikolay S. Gridnev, Marina N. Mashkova
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    Min Zhang
    American Journal of Translational Research.2024; 16(9): 4894.     CrossRef
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  • 46,796 View
  • 1,622 Download
  • 48 Web of Science
  • 56 Crossref
Clinical Practice Guideline for Cardiac Rehabilitation in Korea
Chul Kim, Jidong Sung, Jong Hwa Lee, Won-Seok Kim, Goo Joo Lee, Sungju Jee, Il-Young Jung, Ueon Woo Rah, Byung Ok Kim, Kyoung Hyo Choi, Bum Sun Kwon, Seung Don Yoo, Heui Je Bang, Hyung-Ik Shin, Yong Wook Kim, Heeyoune Jung, Eung Ju Kim, Jung Hwan Lee, In Hyun Jung, Jae-Seung Jung, Jong-Young Lee, Jae-Young Han, Eun Young Han, Yu Hui Won, Woosik Han, Sora Baek, Kyung-Lim Joa, Sook Joung Lee, Ae Ryoung Kim, So Young Lee, Jihee Kim, Hee Eun Choi, Byeong-Ju Lee, Soon Kim
Ann Rehabil Med 2019;43(3):355-443.   Published online June 28, 2019
DOI: https://doi.org/10.5535/arm.2019.43.3.355
Objective
Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and three additional medical facilities will be added in 2019. In addition, owing to the promotion of CR nationwide and the introduction of CR insurance benefits, 40 medical institutions nationwide have begun CR programs even as a growing number of medical institutions are preparing to offer CR. The purpose of this research was to develop evidence-based CPGs to support CR implementation in Korea.
Methods
This study is based on an analysis of CPGs elsewhere in the world, an extensive literature search, a systematic analysis of multiple randomized control trials, and a CPG management, development, and assessment committee comprised of 33 authors—primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and two general hospitals. Twelve consultants, primarily rehabilitation, sports medicine, and preventive medicine specialists, CPG experts, nurses, physical therapists, clinical nutritionists, and library and information experts participated in the research and development of these CPGs. After the draft guidelines were developed, three rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified. Principal Conclusions CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers cardiovascular mortality and readmission rates, regardless of the type of coronary heart disease and type and setting of CR. Individualized CR programs should be considered together with various factors, including differences in heart function and lifestyle, and doing so will boost participation and adherence with the CR program, ultimately meeting the final goals of the program, namely reducing the recurrence of myocardial infarction and mortality rates.

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    Chiwook Chung, Ah-Ram Kim, Dongbum Kim, Hee Kwon, Seong Ho Lee, Il-Young Jang, Min-Woo Jo, Do-Yoon Kang, Sei Won Lee
    Scientific Reports.2024;[Epub]     CrossRef
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    Juliana Goulart Prata Oliveira Milani, Mauricio Milani, Kenneth Verboven, Gerson Cipriano, Dominique Hansen
    Frontiers in Cardiovascular Medicine.2024;[Epub]     CrossRef
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    Jang Woo Lee
    Journal of the Korean Medical Association.2024; 67(9): 566.     CrossRef
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    İrem HÜZMELİ, Nihan KATAYIFÇI, Oğuz AKKUŞ, Dilay SUNGUR
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    Sora Baek
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    Chul Kim, Jidong Sung, Jae-Young Han, Sungju Jee, Jang Woo Lee, Jong Hwa Lee, Won-Seok Kim, Heui Je Bang, Sora Baek, Kyung Lim Joa, Ae Ryoung Kim, So Young Lee, Jihee Kim, Chung Reen Kim, Oh Pum Kwon
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  • A Comparison of Barrier Factors between Hospitals with and without Cardiac Rehabilitation Programs in Korea: A Nation-Wide Survey Research
    Chul Kim, Jidong Sung, Jae-Young Han, Sungju Jee, Jang Woo Lee, Jong Hwa Lee, Won-Seok Kim, Heui Je Bang, Sora Baek, Kyung-Lim Joa, Ae Ryoung Kim, So Young Lee, Jihee Kim, Chung Reen Kim, Oh Pum Kwon
    Journal of Clinical Medicine.2022; 11(9): 2560.     CrossRef
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