Systematic review finds no difference in effect between home and centre-based cardiac rehabilitation on mortality, morbidity and modifiable risk factors in patients with CHD

Abstract

Commentary on: Dalal HM, Zawada A, Jolly K, et al. Home based versus centre based cardiac rehabilitation: Cochrane systematic review and meta-analysis. BMJ 2010;340:b5631.[OpenUrl][1][Abstract/FREE Full Text][2] The physical and psychosocial benefits of centre-based cardiac rehabilitation programmes are well established.1 ,2 Unfortunately, only one-third of individuals referred participate, and only one-third of participants continue to attend after 6 months.3 Barriers to participation in and adherence to centre-based cardiac rehabilitation programmes include issues surrounding family responsibilities, employment, social support, self-esteem, geographical distance, transportation and parking.3,–,6 The systematic review by Dalal and colleagues suggests that home-based cardiac rehabilitation programmes are as effective as centre-based programmes in improving … [1]: {openurl}?query=rft.jtitle%253DBMJ%26rft_id%253Dinfo%253Adoi%252F10.1136%252Fbmj.b5631%26rft_id%253Dinfo%253Apmid%252F20085991%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/ijlink?linkType=ABST&journalCode=bmj&resid=340/jan19_4/b5631&atom=%2Febnurs%2F13%2F2%2F38.atom