What question did this study set out to answer?

To evaluate whether NHS cardiac rehabilitation reduces total mortality and morbidity following myocardial infarction.

April 14, 2012Heart

Is cardiac rehabilitation fit for purpose in the NHS: maybe not

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Why the study?

Does cardiac rehabilitation reduce total mortality in patients following myocardial infarction?

Population

1813 patients following myocardial infarction

Comparison

Cardiac rehabilitation programme vs Usual care

Design

Editorial, randomised

Follow-up

2 years

Authors

DWDavid WoodPreventive Cardiology

Discussion

Member takes

Implication

An editorial discussing the RAMIT trial, which found that cardiac rehabilitation did not reduce 2-year total mortality compared to usual care in post-MI patients, though the trial was severely underpowered.

Key Points

To evaluate whether NHS cardiac rehabilitation reduces total mortality and morbidity following myocardial infarction.
Multicentre parallel group trial with randomisation between rehabilitation programme and usual care.
14 hospitals participated, with a target sample size of 8000, but only 1813 patients were randomised.
Primary endpoint was total mortality at 2 years, focusing on patients recovering from myocardial infarction.
Total mortality rates at 2 years were almost identical in both cardiac rehabilitation and usual care groups.
Less than 25% of the planned sample size was achieved, limiting the trial's power.
The intervention did not demonstrate a significant reduction in mortality or morbidity.

Structured PICO

Does cardiac rehabilitation reduce total mortality in patients following myocardial infarction?

Population

1813 patients following myocardial infarction

Intervention

Cardiac rehabilitation programme (exercise training, health education, counselling, advice)

Comparator

Usual care

Outcome

Total mortality at 2 yearshard clinical

Limitations

Severely underpowered (recruited 1813 out of planned 8000 patients)

Cite This Study

David Wood (2012) studied this question.

synapsesocial.com/papers/6a6ff7ba35aa2c282ce146ac https://doi.org/10.1136/heartjnl-2012-301811

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Is cardiac rehabilitation fit for purpose in the NHS: maybe not

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

Is cardiac rehabilitation fit for purpose in the NHS: maybe not

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider