A Systematic Review of the Completion of Cardiac Rehabilitation Programs for Adults Aged 18-50 Years.

Abstract

To perform a systematic review of completion rates of cardiac rehabilitation (CR) in adults aged 18 to 50yr and describe how core components were reported, measured, and tailored to those under 50yr. Database search of MEDLINE, Embase, Emcare, PsycINFO, CINAHL, Scopus, and the Cochrane Library based on keywords, including articles from January 1, 1990. The last search was performed on April 21, 2023. Following the Preferred Reporting Items for Systematic Review and Meta-Analyses protocol, eligible articles contained adults (aged between 18 and 50yr) who had participated in a CR program. Out of the articles screened (n=24,517), 33 reports across 31 independent studies were considered eligible (n=1958 patients aged ≤50yr). Cardiac rehabilitation completion rates ranged from 64% to 100%; however, only 5 studies presented a completion rate definition. The length of the program ranged from 7d to 20wk, with most (65%) ranging between 6 and 12wk. While the studies included in this systematic review indicated relatively high rates of completing CR, these are likely to overrepresent the true completion rates as few definitions were provided that could be compared to completion rates used in clinical practice. This systematic review also found that all interventions prescribed exercise (eg, aerobic alone or combined with resistance training or yoga) but had very limited inclusion or description of other integral components of CR (eg, initial assessment and smoking cessation) or how they were assessed and individualized to meet the needs of younger attendees.