Cochrane · systematic review · CD001800

Exercise‐based cardiac rehabilitation for coronary heart disease

Dibben, G, Faulkner, J, Oldridge, N, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Heart2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 14.3%Moderate 4 · 57.1%High 2 · 28.6%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Exercise‐based cardiac rehabilitation compared to 'no exercise' control for coronary heart disease

Population: people with coronary heart disease
CD001800.PUB4 (current) · 7 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
Exercise‐based cardiac rehabilitation vs 'no exercise' control
RR 0.87 [0.73, 1.04]25 studies · 8823 participantsModerate
Downgraded: imprecision
Cardiovascular mortality
Exercise‐based cardiac rehabilitation vs 'no exercise' control
RR 0.88 [0.68, 1.14]15 studies · 5360 participantsModerate
Downgraded: imprecision
Fatal and/or non‐fatal MI
Exercise‐based cardiac rehabilitation vs 'no exercise' control
RR 0.72 [0.55, 0.93]22 studies · 7423 participantsHigh
Revascularisation ‐ CABG
Exercise‐based cardiac rehabilitation vs 'no exercise' control
RR 0.99 [0.78, 1.27]20 studies · 4473 participantsHigh
Revascularisation ‐ PCI
Exercise‐based cardiac rehabilitation vs 'no exercise' control
RR 0.86 [0.63, 1.19]13 studies · 3465 participantsModerate
Downgraded: imprecision
All‐cause hospital admissions
Exercise‐based cardiac rehabilitation vs 'no exercise' control
RR 0.58 [0.43, 0.77]14 studies · 2030 participantsModerate
Downgraded: publication bias
Cardiovascular hospital admissions
Exercise‐based cardiac rehabilitation vs 'no exercise' control
RR 0.8 [0.41, 1.59]6 studies · 1087 participantsLow
Downgraded: imprecision, inconsistency

Exercise‐based cardiac rehabilitation for coronary heart disease

Population: Patients with coronary heart disease
CD001800.PUB3 · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Total mortality (All Studies)
no estimate extracted47 studies · 12455 participantsModerate
Downgraded: risk of bias
CV mortality (All Studies)
no estimate extracted27 studies · 7469 participantsModerate
Downgraded: risk of bias
Fatal and/or non‐fatal MI (All Studies)
no estimate extracted36 studies · 9717 participantsLow
Downgraded: risk of bias, publication bias
CABG (All Studies)
no estimate extracted29 studies · 5891 participantsModerate
Downgraded: risk of bias
PCI (All Studies)
no estimate extracted18 studies · 4012 participantsModerate
Downgraded: risk of bias
Hospital admissions (All Studies)
no estimate extracted15 studies · 3030 participantsLow
Downgraded: risk of bias, publication bias