Cochrane · systematic review · CD010876
Exercise‐based cardiac rehabilitation for adults after heart valve surgery
Abraham, LN., Sibilitz, KL, Berg, SK, et al. · Cochrane Database of Systematic Reviews · 2021 · 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
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 6 · 85.7%Low 0 · 0%Moderate 0 · 0%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 compared to no exercise for adults after heart valve surgery
Population: adults after heart valve surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
All‐cause mortality Exercise vs no exercise | RR 0.83 [0.26, 2.68] | 2 studies · 131 participants | Very low Downgraded: risk of bias |
Cardiovascular mortality Exercise vs no exercise | no estimate extracted | NR | No studies |
All‐cause hospitalisation Exercise vs no exercise | RR 2.72 [0.11, 65.56] | 1 study · 122 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
HRQoL (SF‐12/36 mental component) at end of intervention Exercise vs no exercise | no estimate extracted | 2 studies · 150 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
HRQoL (SF‐12/36 physical component) at end of intervention Exercise vs no exercise | no estimate extracted | 2 studies · 150 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
HRQoL (SF‐12/36 mental component) at maximum Exercise vs no exercise | no estimate extracted | 2 studies · 139 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
HRQoL (SF‐12/36 physical component) at maximum Exercise vs no exercise | no estimate extracted | 2 studies · 139 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Comparison
Population: patients after heart valve surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality range 3 to 6 months | RR 4.46 [0.22, 90.78] | 1 study · 104 participants | Very low Downgraded: risk of bias, imprecision |
Serious adverse events range 3 to 6 months | RR 1.15 [0.37, 3.62] | 2 studies · 148 participants | Very low Downgraded: risk of bias, imprecision |
Exercise capacity at the end of intervention | SMD 0.47 | 2 studies · 140 participants | Moderate Downgraded: risk of bias, imprecision |
Return to work | RR 0.55 [0.19, 1.56] | 1 study · 44 participants | Low Downgraded: risk of bias, imprecision |