Key result
Exercise cardiac rehabilitation yielded statistically significant benefits in 60% and clinically important benefits in 35% of 127 point estimates across 30 meta-analyses.
Why the study?
The study was conducted to systematically review meta-analyses of supervised, home-based, or telemedicine-based exercise cardiac rehabilitation published between July 2011 and April 2018.
Does supervised, home-based or telemedicine-based exercise cardiac rehabilitation improve clinical and functional outcomes in patients with coronary heart disease or heart failure?
Systematic Review
Does supervised, home-based or telemedicine-based exercise cardiac rehabilitation improve clinical and functional outcomes in patients with coronary heart disease or heart failure?
A systematic review of meta-analyses confirms that cardiac rehabilitation yields statistically significant improvements in clinical and functional outcomes for patients with coronary heart disease or heart failure.
Supports routine cardiac rehabilitation referral in CHD and HF; confirms benefits across multiple meta-analyses.
Aim: The aim of the project was to conduct a systematic review of meta-analyses of supervised, home-based or telemedicine-based exercise cardiac rehabilitation (CR) published between July 2011 and April 2018. Materials & methods: Evidence on mortality, hospitalization, peak VO2, exercise capacity, muscle strength and health-related quality of life in patients with coronary heart disease or heart failure referred to CR was obtained by searching six electronic databases. Results: Of the 127 point estimates identified in the 30 CR meta-analyses identified (mortality, n = 12; hospitalization, n = 11; VO2, n = 40; exercise capacity, n = 20; strength, n = 18; health-related quality of life, n = 26), 60% were statistically significant and 35% clinically important. Conclusion: The statistical data are sufficiently robust to promote strategies to improve referral to and participation in CR although evidence for clinical importance needs to be further investigated.
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Oldridge et al. (2019) conducted a systematic review in Coronary heart disease or heart failure. Exercise cardiac rehabilitation was evaluated on Mortality, hospitalization, peak VO2, exercise capacity, muscle strength and health-related quality of life. Exercise cardiac rehabilitation yielded statistically significant benefits in 60% and clinically important benefits in 35% of 127 point estimates across 30 meta-analyses.
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