Study | Participants (number and diagnosis) | Interventions | Outcomes | Follow-up | Subgroup analyses | Country/setting |
---|---|---|---|---|---|---|
Arthur et al32 | 242 post-CABG surgery | Home-based vs centre-based | Primary: exercise capacity (METs). Secondary: HRQoL (SF-36), cardiac morbidity, mortality | 6 and 18 months and 6 years postrandomisation | None | Canada, single centre |
Bell (JM Bell. Thesis submitted to the University of London for the degree of Doctor of Philosophy. 1998) | 252 post-MI | Home-based (Heart Manual) vs centre-based | Primary: exercise capacity (METs) Secondary: total cholesterol, systolic blood pressure, HRQoL (NHP), smoking, mortality, readmission rate, use of primary care services | 16 and 48 weeks postrandomisation (20 and 50 weeks post-MI) | None | UK, 5 district hospitals |
Carlson et al33 | 80 coronary artery bypass, angioplasty, MI, angiographically confirmed CHD | Home-based vs centre-based | Primary: peak functional capacity (METs), LDL cholesterol Secondary: total cholesterol, HDL cholesterol, triglycerides, blood pressure, cardiovascular medications, costs, adherence (exercise sessions attended) | 6 months postrandomisation | None | USA, single hospital centre |
Cowie et al23 | 60 NYHA class II/III patients with post-HF | Home-based vs centre-based vs usual care control | Exercise capacity (shuttle walk test), HFQoL (SF-36 and MLHFQ)* | 8 weeks | None | UK, single centre |
Dalal et al34 | 104 post-MI | Home-based (Heart Manual) vs centre-based | Primary: quality of life (MacNew questionnaire), total cholesterol Secondary: exercise capacity (METs), self-reported smoking, cardiovascular morbidity, mortality, secondary prevention medication use | 9 months postrandomisation | None | UK, single centre |
Daskapan et al35 | 29 patients with HF | Home-based vs centre-based | Exercise capacity (mL/kg/min), resting blood pressure, systolic and diastolic blood pressure, adherence, dropouts, mortality* | 12 weeks postrandomisation | None | Turkey, single centre |
Gordon et al30 | 155 coronary artery disease (MI and/or CABG and/or PTCA and/or chronic stable angina) | Supervised home vs community home vs centre-based | Maximal oxygen uptake, blood pressure, fasting serum lipids, self-reported smoking status, rehospitalisation, adherence (completion of appointments)* | 12 weeks postrandomisation | Changes reported for all patients and for patients with baseline values defined as abnormal | USA, single centre |
Jolly et al36 | 525 patients with post-MI, post-PTCA and post-CABG | Home-based (Heart Manual) vs centre-based | Primary: serum cholesterol, total cholesterol, HDL cholesterol, blood pressure, exercise capacity (ISWT), smoking (cotinine-validated) Secondary: quality of life (EQ-5D), health service usage (hospital readmissions, primary care visits, medication), mortality, cardiovascular events, costs | 6, 12 and 24 months | Yes—‘interaction terms between these factors (diagnosis (MI/revascularisation), age, sex and ethnicity) and rehabilitation setting were included to investigate possible differences in treatment effect between subgroups of patients’. | UK, 4 hospital centres |
Karapolat et al24 | 74 patients with HF | Home-based vs centre-based | Exercise capacity, quality of life (SF-36)* | 8 weeks | None | Turkey, single centre |
Kassaian et al37 | 125 patients with post-MI and/or post-CABG | Home-based vs centre-based | Systolic and diastolic blood pressure, heart rate (all resting and submaximal), functional capacity (METs), BMI, cholesterol (total, LDL, HDL, triglyceride)* | 12 weeks postrandomisation | Comparison of functional capacity, submaximal systolic blood pressure, diastolic blood pressure, and heart rate in patients with left ventricular dysfunction vs good function | Iran, single centre |
Marchionni et al38 | 180 patients with post-MI | Home-based vs centre-based | Primary: TWC Secondary: HRQoL (SIP), mortality, morbidity (cardiovascular events), healthcare usage (medical visits, rehospitalisations), costs, adherence (number of completed training sessions) | 2, 8 and 14 months postrandomisation | Subgroup analysis by age (years)—middle-aged (45–65), old (65–75), very old (>75) | Italy, single hospital centre |
Miller et al29 | 127 patients with post-MI | Home-based vs centre-based | Exercise capacity, mortality, cardiovascular morbidity* | 23 weeks postrandomisation | Results reported according to 2 subgroups—brief vs extended exercise training | USA, single hospital centre |
Moholdt et al41 | 30 patients with post-CABG | Home-based vs centre-based (residential rehabilitation) | Primary: peak oxygen consumption Secondary: HRQoL, cholesterol (total, HDL and triglycerides) | 6 months postrandomisation | None | Norway, single hospital centre |
Oerkild et al42 | 75 coronary heart disease (acute MI, PTCA or CABG) | Home-based vs centre-based | Primary: exercise capacity (VO2 and 6MWT) Secondary: systolic and diastolic blood pressure, cholesterol (total, HDL and LDL), smoking, HRQoL (SF-12) | 3 and 12 months | None | Denmark, single centre |
Piotrowicz et al25 | 152 patients with HF (NYHA class II and III) | Home-based (telemonitored) vs centre-based (outpatient) | Exercise capacity (6MWT), quality of life (SF-36), mortality, hospitalisation* | 8 weeks | None | Poland, single centre |
Sparks et al39 | 20 post-MI, PTCA or CABG | Home-based vs centre-based | Exercise capacity (peak VO2 max), adherence (compliance with exercise), safety (dropout)* | 12 weeks postrandomisation | None | USA, single hospital centre |
Wu et al40 | 36 patients with post-CABG | Home-based vs centre-based | Exercise capacity (METs)* | 12 weeks postrandomisation | None | Taiwan (China), single centre |
*Primary and secondary outcomes not distinguished.
6MWT, 6 min walk test; BMI, body mass index; CABG, coronary artery bypass graft; CHD, coronary heart disease; HDL, high-density lipoprotein; HF, heart failure; HRQoL, health-related quality of life; LDL, low-density lipoprotein; MI, myocardial infarction; MET, metabolic equivalent; MLHFQ, Minnesota Living with Heart Failure Questionnaire; NHP, Nottingham Health Profile; NYHA, New York Heart Association; PTCA, percutaneous transluminal coronary angioplasty; SF-12, 12-item Short Form Health Survey; SF-36, 36-item Short Form Health Survey SIP, Sickness Impact Profile; TWC, total work capacity.