Exercise-based rehabilitation for coronary heart disease.

Abstract:

BACKGROUND:The burden of cardiovascular disease world-wide is one of great concern to patients and health care agencies alike. Cardiac rehabilitation aims to restore patients with heart disease to health through exercise only based rehabilitation or comprehensive cardiac rehabilitation. OBJECTIVES:To determine the effectiveness of exercise only or exercise as part of a comprehensive cardiac rehabilitation programme on the mortality, morbidity, health-related quality of life (HRQoL) and modifiable cardiac risk factors of patients with coronary heart disease. SEARCH STRATEGY:Electronic databases were searched for randomised controlled trials, using standardised trial filters, from the earliest date available to December 31st 1998. SELECTION CRITERIA:Men and women of all ages, in hospital or community settings, who have had myocardial infarction, coronary artery bypass graft or percutaneous transluminal coronary angioplasty, or who have angina pectoris or coronary artery disease defined by angiography. DATA COLLECTION AND ANALYSIS:Studies were selected independently by two reviewers, and data extracted independently. Authors were contacted where possible to obtain missing information. MAIN RESULTS:This systematic review has allowed analysis of an increased number of patients from approximately 4500 in earlier meta-analyses to 8440 (7683 contributing to the total mortality outcome). The pooled effect estimate for total mortality for the exercise only intervention shows a 27% reduction in all cause mortality (random effects model OR 0.73 (0.54, 0.98)). Comprehensive cardiac rehabilitation reduced all cause mortality, but to a lesser degree (OR 0.87 (0.71, 1.05)). Total cardiac mortality was reduced by 31% (random effects model OR 0.69 (0.51, 0.94)) and 26% (random effects model OR 0.74 (0.57, 0.96)) in the exercise only and comprehensive cardiac rehabilitation groups respectively. Neither intervention had any effect on the occurrence of non-fatal myocardial infarction. There was a significant net reduction in total cholesterol (pooled WMD random effects model -0.57 mmol/l (-0.83, -0.31)) and LDL (pooled WMD random effects model -0.51 mmol/l (-0.82, -0.19) in the comprehensive cardiac rehabilitation group. REVIEWER'S CONCLUSIONS:Exercise-based cardiac rehabilitation is effective in reducing cardiac deaths. It is not clear from this review whether exercise only or a comprehensive cardiac rehabilitation intervention is more beneficial. The population studied in this review is still predominantly male, middle aged and low risk. Identification of the ethnic origin of the participants was seldom reported. It is possible that patients who would have benefited most from the intervention were excluded from the trials on the grounds of age, sex or co-morbidity.

authors

Jolliffe JA,Rees K,Taylor RS,Thompson D,Oldridge N,Ebrahim S

doi

10.1002/14651858.CD001800

keywords:

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

CD001800

issue

1

issn

1469-493X

pii

CD001800

pub_type

杂志文章,评审
  • Decongestants, antihistamines and nasal irrigation for acute sinusitis in children.

    abstract:BACKGROUND:The efficacy of decongestants, antihistamines and nasal irrigation in children with clinically diagnosed acute sinusitis has not been systematically evaluated. OBJECTIVES:To determine the efficacy of decongestants, antihistamines or nasal irrigation in improving symptoms of acute sinusitis in children. SEA...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD007909.pub4

    authors: Shaikh N,Wald ER

    更新日期:2014-10-27 00:00:00

  • Venom immunotherapy for preventing allergic reactions to insect stings.

    abstract:BACKGROUND:Venom immunotherapy (VIT) is commonly used for preventing further allergic reactions to insect stings in people who have had a sting reaction. The efficacy and safety of this treatment has not previously been assessed by a high-quality systematic review. OBJECTIVES:To assess the effects of immunotherapy usi...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD008838.pub2

    authors: Boyle RJ,Elremeli M,Hockenhull J,Cherry MG,Bulsara MK,Daniels M,Oude Elberink JN

    更新日期:2012-10-17 00:00:00

  • Interventions for treating scabies.

    abstract:BACKGROUND:Scabies is an intensely itchy parasitic infection of the skin caused by the Sarcoptes scabiei mite. It is a common public health problem with an estimated global prevalence of 300 million cases. Serious adverse effects have been reported for some drugs used to treat scabies. OBJECTIVES:To evaluate topical a...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD000320.pub2

    authors: Strong M,Johnstone P

    更新日期:2007-07-18 00:00:00

  • Anticoagulation for heart failure in sinus rhythm.

    abstract:BACKGROUND:Patients with chronic heart failure (heart failure) are at risk of thromboembolic events, including stroke, pulmonary embolism and peripheral arterial embolism, whilst coronary ischaemic events also contribute to the progression of heart failure. Long-term oral anticoagulation is established in certain group...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003336

    authors: Lip GY,Gibbs CR

    更新日期:2001-01-01 00:00:00

  • Antibiotic lock for the prevention of catheter-related infection in neonates.

    abstract:BACKGROUND:Use of a central venous catheter (CVC) in neonates is associated with an increase in nosocomial infection. Numerous strategies exist to prevent catheter-related bloodstream infection (CRBSI); however, CRBSI continues to be a major problem. Antibiotic locking catheters is a new and promising treatment that po...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD010336.pub2

    authors: Taylor JE,Tan K,Lai NM,McDonald SJ

    更新日期:2015-06-04 00:00:00

  • Topical antibiotic prophylaxis to reduce respiratory tract infections and mortality in adults receiving mechanical ventilation.

    abstract:BACKGROUND:Patients treated with mechanical ventilation in intensive care units (ICUs) have a high risk of developing respiratory tract infections (RTIs). Ventilator-associated pneumonia (VAP) has been estimated to affect 5% to 40% of patients treated with mechanical ventilation for at least 48 hours. The attributable ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD000022.pub4

    authors: Minozzi S,Pifferi S,Brazzi L,Pecoraro V,Montrucchio G,D'Amico R

    更新日期:2021-01-22 00:00:00

  • Methotrexate for maintenance of remission in Crohn's disease.

    abstract:BACKGROUND:Safe and effective long-term treatments that reduce the need for corticosteroids are needed for Crohn's disease. Although purine antimetabolites are moderately effective for maintenance of remission patients often relapse despite treatment with these agents. Methotrexate may provide a safe and effective alte...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD006884.pub2

    authors: Patel V,Macdonald JK,McDonald JW,Chande N

    更新日期:2009-10-07 00:00:00

  • Dressings for the prevention of surgical site infection.

    abstract:BACKGROUND:Surgical wounds (incisions) heal by primary intention when the wound edges are brought together and secured - often with sutures, staples, clips or glue. Wound dressings, usually applied after wound closure, provide physical support, protection from bacterial contamination and absorb exudate. Surgical site i...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD003091.pub2

    authors: Dumville JC,Walter CJ,Sharp CA,Page T

    更新日期:2011-07-06 00:00:00

  • Interventions for treating constipation in pregnancy.

    abstract:BACKGROUND:Circulating progesterone may be the cause of slower gastrointestinal movement in mid and late pregnancy. OBJECTIVES:The objective of this review was to assess the effects of different methods for treating constipation in pregnancy. SEARCH STRATEGY:We searched the Cochrane Pregnancy and Childbirth Group tri...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD001142

    authors: Jewell DJ,Young G

    更新日期:2000-01-01 00:00:00

  • Medical day hospital care for the elderly versus alternative forms of care.

    abstract:BACKGROUND:The proportion of the world's population aged 60 or over is increasing. This review sets out to examine the effectiveness and resource implications of geriatric medical day hospital attendance for elderly people. This is an update of a Cochrane review first published in 1999. OBJECTIVES:To examine the effec...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD001730.pub2

    authors: Forster A,Young J,Lambley R,Langhorne P

    更新日期:2008-10-08 00:00:00

  • Amantadine and rimantadine for preventing and treating influenza A in adults.

    abstract:BACKGROUND:Amantadine hydrochloride and rimantadine hydrochloride have antiviral properties, but they are not widely used due to a lack of knowledge of their potential value and concerns about possible adverse effects. OBJECTIVES:The objective of this review was to assess the effects and safety of amantadine and riman...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD001169

    authors: Jefferson TO,Demicheli V,Deeks JJ,Rivetti D

    更新日期:2002-01-01 00:00:00

  • Skin-to-skin care for procedural pain in neonates.

    abstract:BACKGROUND:Skin-to-skin care (SSC), otherwise known as Kangaroo Care (KC) due to its similarity with marsupial behaviour of ventral maternal-infant contact, is one non-pharmacological intervention for pain control in infants. OBJECTIVES:The primary objectives were to determine the effect of SSC alone on pain from medi...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD008435.pub2

    authors: Johnston C,Campbell-Yeo M,Fernandes A,Inglis D,Streiner D,Zee R

    更新日期:2014-01-23 00:00:00

  • Psychological treatment of post-traumatic stress disorder (PTSD).

    abstract:BACKGROUND:Psychological interventions are widely used in the treatment of post-traumatic stress disorder (PTSD). OBJECTIVES:To perform a systematic review of randomised controlled trials of all psychological treatments following the guidelines of The Cochrane Collaboration. SEARCH STRATEGY:Systematic searches of com...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD003388.pub3

    authors: Bisson J,Andrew M

    更新日期:2007-07-18 00:00:00

  • Long-term effects of weight-reducing drugs in people with hypertension.

    abstract:BACKGROUND:All major guidelines on antihypertensive therapy recommend weight loss; anti-obesity drugs may be able to help in this respect. OBJECTIVES: PRIMARY OBJECTIVES:To assess the long-term effects of pharmacologically induced reduction in body weight in adults with essential hypertension on all-cause mortality, ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD007654.pub4

    authors: Siebenhofer A,Jeitler K,Horvath K,Berghold A,Posch N,Meschik J,Semlitsch T

    更新日期:2016-03-02 00:00:00

  • Interventions for paracetamol (acetaminophen) overdoses.

    abstract:BACKGROUND:Self-poisoning with paracetamol (acetaminophen) is a common cause of hepatotoxicity in the Western World. Interventions for paracetamol poisoning encompass inhibition of absorption, removal from the vascular system, antidotes, and liver transplantation. OBJECTIVES:The objective was to assess the beneficial ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003328

    authors: Brok J,Buckley N,Gluud C

    更新日期:2002-01-01 00:00:00

  • Endoscopic pneumatic dilation versus botulinum toxin injection in the management of primary achalasia.

    abstract:BACKGROUND:Achalasia is an oesophageal motility disorder, of unknown cause, which results in increased lower oesophageal sphincter (LOS) tone and symptoms of difficulty swallowing. Treatments are aimed at reducing the LOS tone. Current endoscopic therapeutic options include pneumatic dilation (PD) or botulinum toxin (B...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD005046.pub3

    authors: Leyden JE,Moss AC,MacMathuna P

    更新日期:2014-01-01 00:00:00

  • Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children.

    abstract:BACKGROUND:Otitis media with effusion (OME) is common and may cause hearing loss with associated developmental delay. Treatment remains controversial. OBJECTIVES:To examine evidence for or against treating children with hearing loss associated with OME with systemic or topical intranasal steroids. SEARCH STRATEGY:We ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD001935.pub2

    authors: Thomas CL,Simpson S,Butler CC,van der Voort JH

    更新日期:2006-07-19 00:00:00

  • Oral H1 antihistamines as monotherapy for eczema.

    abstract:BACKGROUND:Eczema is a common skin disease in many countries, and although the majority of cases of eczema occur before the age of five years and often resolve during childhood or adolescence, it can also persist into adulthood. Itch is the most important aspect of eczema, often impacting significantly on the quality o...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD007770.pub2

    authors: Apfelbacher CJ,van Zuuren EJ,Fedorowicz Z,Jupiter A,Matterne U,Weisshaar E

    更新日期:2013-02-28 00:00:00

  • Antibiotic treatment for Burkholderia cepacia complex in people with cystic fibrosis experiencing a pulmonary exacerbation.

    abstract:BACKGROUND:Chronic pulmonary infection is a hallmark of lung disease in cystic fibrosis. Infections dominated by organisms of the Burkholderia cepacia complex, a group of at least 18 closely-related species of gram-negative bacteria, are particularly difficult to treat. These infections may be associated with a fulmina...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章

    doi:10.1002/14651858.CD009529.pub4

    authors: Lord R,Jones AM,Horsley A

    更新日期:2020-04-02 00:00:00

  • Colonoscopy-guided therapy for the prevention of post-operative recurrence of Crohn's disease.

    abstract:BACKGROUND:About half of patients with Crohn's disease (CD) require surgery within 10 years of diagnosis. Resection of the affected segment is highly effective, however the majority of patients experience clinical recurrence after surgery. Most of these patients have asymptomatic endoscopic recurrence weeks or months b...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章

    doi:10.1002/14651858.CD012328.pub2

    authors: Candia R,Bravo-Soto GA,Monrroy H,Hernandez C,Nguyen GC

    更新日期:2020-08-03 00:00:00

  • Surgical management of functional bladder outlet obstruction in adults with neurogenic bladder dysfunction.

    abstract:BACKGROUND:The most common type of functional bladder outlet obstruction in patients with neurogenic bladder is detrusor-sphincter dyssynergia (DSD). The lack of co-ordination between the bladder and the external urethral sphincter muscle (EUS) in DSD can result in poor bladder emptying and high bladder pressures, whic...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD004927.pub4

    authors: Utomo E,Groen J,Blok BF

    更新日期:2014-05-24 00:00:00

  • Hepatitis B immunisation in persons not previously exposed to hepatitis B or with unknown exposure status.

    abstract:BACKGROUND:The benefits and harms of hepatitis B vaccination in persons not previously exposed to hepatitis B infection or with unknown exposure status have not been established. OBJECTIVES:To assess the benefits and harms of hepatitis B vaccination in people not previously exposed to hepatitis B infection or with unk...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD006481.pub2

    authors: Mathew JL,El Dib R,Mathew PJ,Boxall EH,Brok J

    更新日期:2008-07-16 00:00:00

  • Pharmacological interventions for recurrent abdominal pain (RAP) in childhood.

    abstract:BACKGROUND:Between 4% and 25% of school age children complain of recurrent abdominal pain (RAP) of sufficient severity to interfere with daily activities. For the majority of such children no organic cause for their pain can be found on physical examination or investigation. Although most children are likely managed by...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003017

    authors: Huertas-Ceballos A,Macarthur C,Logan S

    更新日期:2002-01-01 00:00:00

  • Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in neonates.

    abstract:BACKGROUND:Establishment of a secure airway is a critical part of neonatal resuscitation in the delivery room and the neonatal unit. Videolaryngoscopy has the potential to facilitate successful endotracheal intubation and decrease adverse consequences of delay in airway stabilization. Videolaryngoscopy may enhance visu...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009975.pub3

    authors: Lingappan K,Arnold JL,Fernandes CJ,Pammi M

    更新日期:2018-06-04 00:00:00

  • Different intensities of glycaemic control for pregnant women with pre-existing diabetes.

    abstract:BACKGROUND:The optimal glycaemic control target in pregnant women with pre-existing diabetes is unclear, although there is a clear link between high glucose concentrations and adverse birth outcomes. OBJECTIVES:To assess the effects of different intensities of glycaemic control in pregnant women with pre-existing type...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD008540.pub2

    authors: Middleton P,Crowther CA,Simmonds L,Muller P

    更新日期:2010-09-08 00:00:00

  • Speech and language therapy for aphasia following stroke.

    abstract:BACKGROUND:Aphasia describes language impairment associated with a brain lesion. OBJECTIVES:The objective of this review was to assess the effects of formal speech and language therapy and non-professional types of support from untrained providers for people with aphasia after stroke. SEARCH STRATEGY:We searched the ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD000425

    authors: Greener J,Enderby P,Whurr R

    更新日期:2000-01-01 00:00:00

  • Speech and language therapy for aphasia following stroke.

    abstract:BACKGROUND:Aphasia is an acquired language impairment following brain damage that affects some or all language modalities: expression and understanding of speech, reading, and writing. Approximately one third of people who have a stroke experience aphasia. OBJECTIVES:To assess the effects of speech and language therap...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD000425.pub4

    authors: Brady MC,Kelly H,Godwin J,Enderby P,Campbell P

    更新日期:2016-06-01 00:00:00

  • Hygiene and emollient interventions for maintaining skin integrity in older people in hospital and residential care settings.

    abstract:BACKGROUND:Ageing has a degenerative effect on the skin, leaving it more vulnerable to damage. Hygiene and emollient interventions may help maintain skin integrity in older people in hospital and residential care settings; however, at present, most care is based on "tried and tested" practice, rather than on evidence. ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析

    doi:10.1002/14651858.CD011377.pub2

    authors: Cowdell F,Jadotte YT,Ersser SJ,Danby S,Lawton S,Roberts A,Dyson J

    更新日期:2020-01-23 00:00:00

  • Chinese medicinal herbs for sore throat.

    abstract:BACKGROUND:Chinese herbal medicines are commonly used to treat sore throat in China and are used worldwide by practitioners of traditional Chinese medicine (TCM). Their efficacy in treating sore throat has not previously been systematically reviewed. OBJECTIVES:To assess the efficacy and safety of Chinese herbal medic...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD004877.pub3

    authors: Huang Y,Wu T,Zeng L,Li S

    更新日期:2012-03-14 00:00:00

  • Brief co-incubation of sperm and oocytes for in vitro fertilization techniques.

    abstract:BACKGROUND:The in vitro fertilization (IVF) technique is commonly used and is the only treatment option for a proportion of infertile couples. To obtain better outcomes of IVF, it is important to enhance embryo quality by optimizing IVF techniques. In IVF procedures, oocytes and sperm are routinely co-incubated overnig...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009391.pub2

    authors: Huang Z,Li J,Wang L,Yan J,Shi Y,Li S

    更新日期:2013-04-30 00:00:00