Staffing, accepted indications, and dose of Phase II cardiac rehabilitation: country income class and time-based comparisons from the International Council of Cardiovascular Prevention and Rehabilitation’s (ICCPR) 2025 Audit Update

AIMS: To characterize global variation in cardiac rehabilitation (CR) staffing, indications, and prescribed dose by country income classification, and compare findings with the International Council of Cardiovascular Prevention and Rehabilitation's (ICCPR) 2016 Global Audit. METHODS: Cross-sectional REDCap survey of phase II/post-discharge CR programs (May-September 2025). Outcomes were multidisciplinary team size/composition, accepted cardiac and non-cardiac indications, and centre-based CR dose. Comparisons were made across World Bank country income classifications and Audit decade (2016 vs 2025). RESULTS: Of 7,025 programs identified globally, 1,505 (median program response rate=62%/country) initiated a survey, from 90/113 (80%) countries with CR. CR was delivered by a multidisciplinary team of 7 (median; P25-P75=5-8; nurses, physiotherapists, cardiologists, and dietitians most common); teams were smaller in low-income countries (median=4; p