Influence of Home Based Exercise Intensity on the Aerobic Capacity and 1 Year Re-Hospitalization Rate in Patients with Chronic Heart Failure

Ryu, Ho Youl; Kim, Ki-Song; Jeon, In Cheol

doi:10.18857/jkpt.2018.30.5.181

Cited by 4 publications

(1 citation statement)

References 12 publications

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“…Fifteen trials were conducted exclusively at home (some including digital support), the remainder with centre-based (22 trials), or hybrid (23 trials). A comprehensive rehabilitation intervention was reported in 18 trials, 18,[21][22][23]25,27,31,[34][35][36][37][38][39][40][41] including an educational or psychological component alongside exercise training programme. As shown in Table 1, exercise prescription focused on aerobic training and ranged widely between trials.…”

Section: Trial and Patient Characteristicsmentioning

confidence: 99%

Exercise‐based cardiac rehabilitation for adults with heart failure – 2023 Cochrane systematic review and meta‐analysis

Molloy,

Long,

Mordi

et al. 2023

European J of Heart Fail

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Background and AimsDespite strong evidence, access to exercise‐based cardiac rehabilitation (ExCR) remains low across global healthcare systems. We provide a contemporary update of the Cochrane review randomised trial evidence for ExCR for adults with heart failure (HF) and compare different delivery modes: centre‐based, home‐based (including digital support), and both (hybrid).MethodsDatabases, bibliographies of previous systematic reviews and included trials, and trials registers were searched with no language restrictions. Randomised controlled trials, recruiting adults with HF, assigned to either ExCR or a no‐exercise control group, with follow‐up ≥6‐months were included. Two review authors independently screened titles for inclusion, extracted trial and patient characteristics, outcome data, and assessed risk of bias. Outcomes of mortality, hospitalisation, and health‐related quality of life (HRQoL) were pooled across trials using meta‐analysis at short‐term (≤12 months) and long‐term follow up (> 12 months) and stratified by delivery mode.Results60 trials (8,728 participants) were included. In the short‐term, compared to control, ExCR did not impact all‐cause mortality (relative risk (RR): 0.93; 95% confidence interval (95% CI): 0.71 to 1.21), reduced all‐cause hospitalisation (RR: 0.69; 95% CI: 0.56 to 0.86, number needed to treat: 13, 95% CI: 9 to 22), and was associated with a clinically important improvement in HRQoL measured by the Minnesota Living with Heart Failure Questionnaire (MLWHF) overall score (mean difference: ‐7.39; 95% CI: ‐10.30 to ‐4.47). Improvements in outcomes with ExCR was seen across centre, home (including digitally supported), and hybrid settings. A similar pattern of results was seen in the long‐term (mortality: RR 0.87, 95% CI: 0.72 to 1.04; all‐cause hospitalisation: RR 0.84, 95% CI: 0.70 to 1.01, MLWHF: ‐9.59, 95% CI: ‐17.48 to ‐1.50).ConclusionsTo improve global suboptimal levels of uptake for HF patients, global healthcare systems need to routinely recommend ExCR and offer a choice of mode of delivery, dependent on an individual patient's level of risk and complexity.This article is protected by copyright. All rights reserved.

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Section: Trial and Patient Characteristicsmentioning

confidence: 99%

Exercise‐based cardiac rehabilitation for adults with heart failure – 2023 Cochrane systematic review and meta‐analysis

Molloy,

Long,

Mordi

et al. 2023

European J of Heart Fail

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Exercise-based cardiac rehabilitation for adults with heart failure

Molloy,

Long,

Mordi

et al. 2024

Cochrane Database of Systematic Reviews

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BackgroundChronic heart failure (HF) is a growing global health challenge. People with HF experience substantial burden that includes low exercise tolerance, poor health-related quality of life (HRQoL), increased risk of mortality and hospital admission, and high healthcare costs. The previous (2014) Cochrane systematic review reported that exercise-based cardiac rehabilitation (CR) compared to no exercise control shows improvement in HRQoL and hospital admission among people with HF, as well as possible reduction in mortality over the longer term, and that these reductions appear to be consistent across patient and programme characteristics. Limitations noted by the authors of this previous Cochrane Review include the following: (1) most trials were undertaken in patients with HF with reduced (< 45%) ejection fraction (HFrEF), and women, older people, and those with preserved (≥ 45%) ejection fraction HF (HFpEF) were under-represented; and (2) most trials were undertaken in the hospital/centre-based setting. ObjectivesTo determine the effects of exercise-based cardiac rehabilitation on mortality, hospital admission, and health-related quality of life of people with heart failure. Search methodsWe searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, and three other databases on 29 January 2018. We also checked the bibliographies of systematic reviews and two trial registers. Selection criteriaWe included randomised controlled trials that compared exercise-based CR interventions with six months' or longer follow-up versus a no exercise control that could include usual medical care. The study population comprised adults (> 18 years) with evidence of HFeither HFrEF or HFpEF. 1 Exercise-based cardiac rehabilitation for adults with heart failure (Review)

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Impact of exercise training on clinical outcomes and quality of life in chronic congestive heart failure: A systematic review and meta-analysis

Al Hennawi,

Bedi,

Khan

et al. 2024

Current Problems in Cardiology

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Influence of Home Based Exercise Intensity on the Aerobic Capacity and 1 Year Re-Hospitalization Rate in Patients with Chronic Heart Failure

Cited by 4 publications

References 12 publications

Exercise‐based cardiac rehabilitation for adults with heart failure – 2023 Cochrane systematic review and meta‐analysis

Exercise‐based cardiac rehabilitation for adults with heart failure – 2023 Cochrane systematic review and meta‐analysis

Exercise-based cardiac rehabilitation for adults with heart failure

Impact of exercise training on clinical outcomes and quality of life in chronic congestive heart failure: A systematic review and meta-analysis

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