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March 1, 2018BMJ OpenOpen Access

Is exercise-based cardiac rehabilitation effective? A systematic review and meta-analysis to re-examine the evidence

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Why the study?

Does exercise-based cardiac rehabilitation reduce mortality or hospital admissions in patients with coronary artery disease?

Population

22 RCTs pooling 4,834 participants with coronary artery disease recruited after the year 2000, mean age 59.5…

Comparison

Exercise-based cardiac rehabilitation (CR) vs No-exercise control

Design

Meta-analysis

Follow-up

longest follow-up period

Key result

Exercise-based cardiac rehabilitation had no effect on all-cause mortality compared with a no-exercise control (risk difference 0.00; 95% CI -0.02 to 0.01; P=0.38).

Authors

RPRichard PowellGMG. McGregorSEStuart Ennis

Discussion

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Member takes

Overview

No mortality benefit from exercise-based CR in CAD; challenges survival assumptions and extends focus to admissions and quality-of-life endpoints.

Study Design

Type

Meta-Analysis (n=4,834)

Structured PICO

Does exercise-based cardiac rehabilitation reduce mortality or hospital admissions in patients with coronary artery disease?

P
Population
22 RCTs pooling 4,834 participants with coronary artery disease recruited after the year 2000, mean age 59.5 years, 78.4% male.
I
Intervention
Exercise-based cardiac rehabilitation (CR)
C
Comparator
No-exercise control
O
Outcome
All-cause mortality, cardiovascular mortality, and hospital admissions at longest follow-up periodhard clinical

Main Result

Effect estimate: risk difference 0.00 (95% CI -0.02 to 0.01)

p-value: p=0.38

Contemporary exercise-based cardiac rehabilitation does not reduce all-cause or cardiovascular mortality compared to no-exercise control in patients with coronary artery disease.

Cite This Study

Powell et al. (2018) conducted a meta-analysis in coronary artery disease (n=4,834). exercise-based cardiac rehabilitation vs. no-exercise control was evaluated on all-cause mortality (risk difference 0.00, 95% CI -0.02 to 0.01, p=0.38). Exercise-based cardiac rehabilitation had no effect on all-cause mortality compared with a no-exercise control (risk difference 0.00; 95% CI -0.02 to 0.01; P=0.38).

synapsesocial.com/papers/6a17046df3be5e880d6bd601https://doi.org/10.1136/bmjopen-2017-019656
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