兰州大学循证社会科学交叉创新实验室 Innovation Laboratory of Evidence-based Social Sciences,Lanzhou University

Exercise-based cardiac rehabilitation for patients with coronary heart disease: a systematic review and evidence mapping study

Yang, Kehu
2024-02-12
INTRODUCTION: Exercise -based cardiac rehabilitation (CR) plays a critical role in coronary heart disease (CHD) management. There is heritage in the effect of exercise -based CR with different exercise programs or intervention settings. This study developed an evidence matrix that systematically assesses, organizes, and presents the available evidence regarding exercise -based CR in CHD management. EVIDENCE ACQUISITION: A comprehensive literature search was conducted across six databases. Two reviewers screened the identified literature, extracted relevant data, and assessed the quality of the studies. An evidence -mapping framework was established to present the findings in a structured manner. Bubble charts were used to represent the included systematic reviews (SRs). The charts incorporated information, exercise prescriptions, outcome indicators, associated P -values, research quality, and the number of original studies. A descriptive analysis summarized the types of CR, intervention settings, influential factors, and adverse events. EVIDENCE SYNTHESIS: Sixty-two SRs were included in this analysis, focusing on six exercise types in addition to assessing major adverse cardiovascular events (MACE), cost and rehabilitation outcomes. The most commonly studied exercise types were unspecified (28 studies, 45.2%) and aerobic (11 studies, 17.7%) exercises. All -cause mortality was the most frequently reported MACE outcome (22 studies). Rehabilitation outcomes primarily centered around changes in cardiac function (135 outcomes from 39 SRs). Only 8 (12.9%) studies were rated as "high quality." No significant adverse events were observed in the intervention group. Despite some variations among the included studies, most SRs demonstrated the benefits of exercise in improving one or more MACE or rehabilitation outcomes among CHD patients. CONCLUSIONS: The proportion of high -quality evidence remains relatively low. Limited evidence is available regarding the effectiveness of specific exercise types and specific populations, necessitating further evaluation.
EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
卷号:60|期号:2|页码:361-372
ISSN:1973-9087|收录类别:SCIE
DOI
10.23736/s1973-9087.23.08165-0
EISSN
1973-9095
出版日期
2024-02-12
资助信息
Research on the Theoretical System, International Experience and Chinese Path of Evidence-based Social Science under Grant 19ZDA142.
资助机构
全国哲学社会科学工作办公室
相关链接
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11112512/
语种
英文
国家
中国
学科领域
循证医学
WOS学科分类
Rehabilitation
被引频次(WOS)
97
来源机构
Lanzhou Univ, Evidence Based Social Sci Res Ctr, Hlth Technol Assessment Ctr, Sch Publ Hlth, Lanzhou
研究类型
证据图谱
关键词
Cardiac rehabilitation Exercise Systematic review Coronary disease