Home-based versus hospital-based cardiac rehabilitation after myocardial infarction or revascularisation: design and rationale of the Birmingham Rehabilitation Uptake Maximisation Study (BRUM): a randomised controlled trial ISRCTN72884263
Why the study?
Does home-based cardiac rehabilitation improve cardiovascular risk factors, functional capacity, and psychological well-being compared to hospital-based cardiac rehabilitation in low-medium risk patients following myocardial infarction or revascularisation?
Population
650 adult, English or Punjabi-speaking patients of low-medium risk following myocardial infarction, coronary…
Comparison
Home-based cardiac rehabilitation vs Hospital-based cardiac rehabilitation
Design
RCT, Pragmatic randomised controlled trial
Follow-up
24 months
Authors
Discussion
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Member takes
Implication
This design paper outlines a pragmatic RCT to evaluate the effectiveness and cost-effectiveness of home-based versus hospital-based cardiac rehabilitation in a multi-ethnic UK population.
Structured PICO
Does home-based cardiac rehabilitation improve cardiovascular risk factors, functional capacity, and psychological well-being compared to hospital-based cardiac rehabilitation in low-medium risk patients following myocardial infarction or revascularisation?
P
Population
650 adult, English or Punjabi-speaking patients of low-medium risk following myocardial infarction, coronary angioplasty or coronary artery bypass graft who have been referred for cardiac rehabilitation
I
Intervention
Home-based cardiac rehabilitation (nurse-facilitated, manual-based using the Heart Manual)
C
Comparator
Hospital-based cardiac rehabilitation (comprehensive cardiac rehabilitation in an out-patient setting)
O
Outcome
Serum cholesterol, smoking cessation, blood pressure, Hospital Anxiety and Depression Score, distance walked on Shuttle walk-test measured at 6, 12 and 24 monthssurrogate
This design paper outlines a pragmatic RCT to evaluate the effectiveness and cost-effectiveness of home-based versus hospital-based cardiac rehabilitation in a multi-ethnic UK population.
Cite This Study
Jolly et al. (2003) studied this question.