Physical therapy program improves the physiological impact towards better quality of life and low cardiac risk factors in patients following coronary artery bypass grafting. Systematic review

Aldahash, Rawan; Dera, Hussain Al

doi:10.5530/ami.2016.1.38

Cited by 1 publication

(1 citation statement)

References 17 publications

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“…A systematic review of nine randomized controlled studies on the effects of CR after CABG on patients with ACS found that the CR group showed improved QOL and reduced cardiovascular risk factors [88]. However, this study could not systematically analyze the effects of specific rehabilitation regimens, since the type, intensity, and frequency of exercise varied in different CR programs across the studies, and diverse assessment parameters were used to analyze the effects of CR (LOE of 1−).…”

Section: Literature Review and Resultsmentioning

confidence: 99%

Clinical Practice Guideline for Cardiac Rehabilitation in Korea

Kim

Sung

Lee

et al. 2019

Korean J Thorac Cardiovasc Surg

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Background Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and 3 additional medical facilities will be added in 2019. In addition, owing to the promotion of CR nationwide and the introduction of CR insurance benefits, 40 medical institutions nationwide have begun CR programs even as a growing number of medical institutions are preparing to offer CR. The purpose of this research was to develop evidence-based CPGs to support CR implementation in Korea. Methods This study is based on an analysis of CPGs elsewhere in the world, an extensive literature search, a systematic analysis of multiple randomized control trials, and a CPG management, development, and assessment committee comprised of 33 authors—primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and 2 general hospitals. Twelve consultants, primarily rehabilitation, sports medicine, and preventive medicine specialists, CPG experts, nurses, physical therapists, clinical nutritionists, and library and information experts participated in the research and development of these CPGs. After the draft guidelines were developed, 3 rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified. Results CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers cardiovascular mortality and readmission rates, regardless of the type of coronary heart disease and type and setting of CR. Conclusion Individualized CR programs should be considered together with various factors, including differences in heart function and lifestyle, and doing so will boost participation and adherence with the CR program, ultimately meeting the final goals of the program, namely reducing the recurrence of myocardial infarction and mortality rates.

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Section: Literature Review and Resultsmentioning

confidence: 99%