Cochrane · systematic review · CD003331
Exercise‐based cardiac rehabilitation for adults with heart failure
Molloy, C, Long, L, Mordi, IR, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library
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
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 20%Low 1 · 20%Moderate 3 · 60%High 0 · 0%
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 onlyExercise‐based cardiac rehabilitation compared to usual care for adults with heart failure (short‐term)
Population: adults with heart failure
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
All‐cause mortality Exercise‐based cardiac rehabilitation vs usual care | RR 0.93 [0.71, 1.21] | 34 studies · 3941 participants | Low Downgraded: risk of bias, imprecision |
All‐cause hospital admissions Exercise‐based cardiac rehabilitation vs usual care | RR 0.69 [0.56, 0.86] | 23 studies · 2283 participants | Moderate Downgraded: risk of bias |
HF‐related hospital admissions Exercise‐based cardiac rehabilitation vs usual care | RR 0.82 [0.49, 1.35] | 10 studies · 911 participants | Moderate Downgraded: publication bias |
HRQoL (MLWHF only) Exercise‐based cardiac rehabilitation vs usual care | no estimate extracted | 21 studies · 2699 participants | Moderate |
HRQoL (all measurement scales) Exercise‐based cardiac rehabilitation vs usual care | no estimate extracted | 33 studies · 4769 participants | Very low Downgraded: risk of bias, publication bias |
Exercise‐based cardiac rehabilitation compared to usual care for heart failure
Population: adults with heart failure
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
All‐cause mortality up to 12 months' Exercise‐based cardiac rehabilitation vs usual care | RR 0.89 [0.66, 1.21] | 27 studies · 2596 participants | Low Downgraded: risk of bias |
HF‐related mortality Exercise‐based cardiac rehabilitation vs usual care | no estimate extracted | NR | No studies |
Hospital admission up to 12 months' Exercise‐based cardiac rehabilitation vs usual care | RR 0.7 [0.6, 0.83] | 21 studies · 2182 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Hospital admission heart failure only (all studies) Exercise‐based cardiac rehabilitation vs usual care | RR 0.59 [0.42, 0.84] | 14 studies · 1114 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Health‐related quality of life ‐ MLWHF up to 12 months' Exercise‐based cardiac rehabilitation vs usual care | no estimate extracted | 17 studies · 1995 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Health‐related quality of life ‐ MLWHF and other scales up to 12 months' Exercise‐based cardiac rehabilitation vs usual care | no estimate extracted | 26 studies · 3833 participants | Low Downgraded: risk of bias, imprecision, inconsistency |