What question did this study set out to answer?

To evaluate the effects of a 3-month home-based cardiac rehabilitation program on exercise capacity, quality of life, and hospital readmissions in patients with chronic heart failure.

January 1, 2018MedicineOpen Access

Home-based cardiac rehabilitation improves quality of life, aerobic capacity, and readmission rates in patients with chronic heart failure

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Why the study?

Does home-based cardiac rehabilitation improve functional capacity, quality of life, and readmission rates in patients with chronic heart failure and LVEF < 50%?

Key Points

To evaluate the effects of a 3-month home-based cardiac rehabilitation program on exercise capacity, quality of life, and hospital readmissions in patients with chronic heart failure.
Randomized prospective trial enrolling 37 chronic heart failure patients with left ventricular ejection fraction <50%, allocated to an intervention group (n=19) or control group (n=18).
The intervention consisted of an individualized 3-month program including home-based cardiac rehabilitation, diet education, and daily activity management.
Outcomes measured before and after intervention included cardiopulmonary exercise testing parameters, six-minute walk test distance, and Minnesota Living with Heart Failure Questionnaire scores.
Patients in the rehabilitation program showed significant increases in peak oxygen uptake (18.2 ± 4.1 vs 20.9 ± 6.6 mL/kg/min, P = .02; a 14.2% gain) and anaerobic threshold (12.4 ± 2.5 vs 13.4 ± 2.6 mL/kg/min, P = .005).
Intervention participants achieved a 41 m increase in 6-minute walk distance (421 ± 90 vs 462 ± 74 m, P = .03) and a 37% improvement in quality of life score.
The 90-day hospital readmission rate dropped from 14% to 5% following cardiac rehabilitation.

Structured PICO

Does home-based cardiac rehabilitation improve functional capacity, quality of life, and readmission rates in patients with chronic heart failure and LVEF < 50%?

Population

37 patients with chronic heart failure and left ventricular ejection fraction (LVEF) < 50% (n=18 control, n=19 intervention)

Intervention

Individualized rehabilitation programs including home-based cardiac rehabilitation, diet education, and management of daily activity over a 3-month period

Comparator

Control group

Outcome

Peak oxygen uptake, maximal 6-Minute Walking Distance (6MWD), anaerobic threshold, quality of life (MLHFQ score), and 90-day readmission rate

A 3-month home-based cardiac rehabilitation program significantly improves exercise capacity, quality of life, and short-term readmission rates in patients with heart failure and reduced ejection fraction.

Discussion

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Implication

Supports home-based CR for HF QOL gains; hypothesis-generating pending randomized confirmation.

Cite This Study

Chen et al. (2018) studied this question.

synapsesocial.com/papers/6a7153d3f44fa9f079df1ddc https://doi.org/10.1097/md.0000000000009629

Topics

Heart failure HFrEF treatment Heart failure hospitalization

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Home-based cardiac rehabilitation improves quality of life, aerobic capacity, and readmission rates in patients with chronic heart failure

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Topics

Home-based cardiac rehabilitation improves quality of life, aerobic capacity, and readmission rates in patients with chronic heart failure

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider