Medium-term effects of cardiac rehabilitation in Germany: systematic review and meta-analysis of results from national and international trials
| Autor: | Stephan Böhmen, Susanne Schramm, Oskar Mittag, Heiner Raspe, A. Hüppe, Thorsten Meyer |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Heart Diseases Epidemiology International studies medicine.medical_treatment education Psychological intervention Blood Pressure Anxiety Young Adult Germany Health care medicine Humans Aged Aged 80 and over Clinical Trials as Topic Inpatients Rehabilitation Evidence-Based Medicine business.industry Depression Recovery of Function Middle Aged Lipids Blood pressure Treatment Outcome Meta-analysis Physical therapy Observational study Female Cardiology Service Hospital Health Services Research Cardiology and Cardiovascular Medicine business Cohort study |
| Zdroj: | European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on EpidemiologyPrevention and Cardiac Rehabilitation and Exercise Physiology. 18(4) |
| ISSN: | 1741-8275 |
| Popis: | Background: Contrary to international practice, cardiac rehabilitation (CR) in Germany is predominantly offered as comprehensive inpatient treatment lasting for 3 weeks. Evidence for this kind of health care is poor, comprising observational cohort studies only.Methods: We conducted a systematic search for relevant German studies (1990–2004). International studies were selected from recent meta-analyses. Medium-term (12 month) results for blood lipids, blood pressure, functional capacity and psychological wellbeing, as well as cardiac morbidity and mortality are reported.Results: For most outcomes, effect sizes in national studies are poorer than those from international interventions or, in the case of blood pressure and depression, even poorer than international controls.Conclusions: Altogether, our analysis does not suggest that comprehensive inpatient rehabilitation treatment is superior to international practice of long-term outpatient rehabilitation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|