Impact of Comprehensive Cardiac Rehabilitation in Elderly Patients With Acute Heart Failure

Yamazaki, Yota; Ikeda, Yuki; Shima, Hikaru; Mochizuki, Takehide; Sakamoto, R.; Sawano, Koichi

doi:10.1097/hcr.0000000000000703

Cited by 1 publication

(1 citation statement)

References 6 publications

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“…What is more, multidisciplinary cardiac rehabilitation seems to be better than exercise-based cardiac rehabilitation. Recently, a retrospective cohort study 39 indicated that compared with a single rehabilitation physiotherapy group, patients in the multidisciplinary cardiac rehabilitation group showed higher left ventricular ejection fraction. Therefore, considering the limited number of studies and participants in our meta-analysis, it remains unconfirmed whether exercise rehabilitation can improve cardiac function in patients with AHF and should be explored in future studies.…”

Section: Discussionmentioning

confidence: 99%

Effect of Exercise Rehabilitation in Patients With Acute Heart Failure

Liang¹,

Wang²,

Liu³

et al. 2023

J Cardiovasc Nurs

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Background Exercise rehabilitation is conducive to increasing functional ability and improving health outcomes, but its effectiveness in patients with acute heart failure (AHF) is still controversial. Purpose In this study, our aim was to systematically examine the efficacy of exercise rehabilitation in people with AHF. Methods A search was conducted for randomized controlled trial studies on exercise rehabilitation in patients with AHF up to November 2021. Two investigators conducted literature selection, quality assessments, and data extractions independently. The primary outcome was 6-minute walk distance, and the secondary outcomes were left ventricular ejection fraction, quality of life, Short Physical Performance Battery, readmission, and mortality. RevMan (version 5.3) software was used for the meta-analysis. Results Twelve studies with 1215 participants were included. Exercise rehabilitation significantly improved the 6-minute walk distance (mean difference [MD], 33.04; 95% confidence interval [CI], 31.37–34.70; P < .001; I 2 = 0%), quality of life (MD, −11.57; 95% CI, −19.25 to −3.89; P = .003; I 2 = 98%), Short Physical Performance Battery (MD, 1.40; 95% CI, 1.36–1.44; P < .001; I 2 = 0%), and rate of readmission for any cause (risk ratio, 0.48; 95% CI, 0.26–0.88; P = .02; I 2 = 7%), compared with routine care. However, no statistically significant effects on left ventricular ejection fraction (MD, 0.94; 95% CI, −1.62 to 3.51; P = .47; I 2 = 0%) and mortality (risk ratio, 1.07; 95% CI, 0.64–1.80; P = .79; I 2 = 0%) were observed. Conclusions Compared with routine care, exercise rehabilitation improved functional ability and quality of life, reducing readmission in patients with AHF.

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Section: Discussionmentioning

confidence: 99%