The effectiveness of modern cardiac rehabilitation: A systematic review of recent observational studies in non-attenders versus attenders

PloS One
Jennifer SumnerPatrick Doherty

Abstract

The beneficial effects of cardiac rehabilitation (CR) have been challenged in recent years and there is now a need to investigate whether current CR programmes, delivered in the context of modern cardiology, still benefit patients. A systematic review of non-randomised controlled studies was conducted. Electronic searches of Medline, Embase, CINAHL, science citation index (web of science), CIRRIE and Open Grey were undertaken. Non-randomised studies investigating the effects of CR were included when recruitment occurred from the year 2000 onwards in accordance with significant CR guidance changes from the late 1990's. Adult patients diagnosed with acute myocardial infarction (AMI) were included. Non-English articles were considered. Two reviewers independently screened articles according to pre-defined selection criteria as reported in the PROSPERO database (CRD42015024021). Out of 2,656 articles, 8 studies involving 9,836 AMI patients were included. Studies were conducted in 6 countries. CR was found to reduce the risk of all-cause and cardiac-related mortality and improve Health-Related Quality of Life (HRQOL) significantly in at least one domain. The benefits of CR in terms of recurrent MI were inconsistent and no significan...Continue Reading

References

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Citations

Aug 14, 2019·The Korean Journal of Thoracic and Cardiovascular Surgery·Chul KimSoon Kim
Jul 18, 2019·Annals of Rehabilitation Medicine·Chul KimSoon Kim
Aug 10, 2019·Journal of Cardiopulmonary Rehabilitation and Prevention·Mahnaz RakhshanShahrzad Yaktatalab
Mar 21, 2020·JAMA Network Open·Nirupama KrishnamurthiMary A Whooley
Nov 9, 2019·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Marie V KnudsenSussie Laustsen
Jan 5, 2019·BMC Health Services Research·Ahmad Salman, Patrick Doherty
Mar 28, 2020·European Journal of Preventive Cardiology·Faye Forsyth, Christi Deaton
May 21, 2019·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Kelly L WierengaAbdus Sattar
Nov 3, 2020·The Journal of Nursing Research : JNR·Abedalmajeed ShajrawiFelicity Astin
Dec 18, 2020·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Kelly L WierengaAbdus Sattar
Feb 22, 2021·European Journal of Preventive Cardiology·Faye Forsyth, Christi Deaton
Jun 22, 2021·European Journal of Preventive Cardiology·Maarten FalterPaul Dendale

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Methods Mentioned

BETA
Percutaneous

Software Mentioned

PROPSPERO
CIRRIE

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