TREATMENT
Home-based cardiac rehab was as effective as hospital-based rehab in improving cardiac risk factors
| The first 150 words of the full text of this article appear below. |
Is home-based cardiac rehabilitation as effective as hospital-based rehabilitation in low-to-moderate–risk patients with recent myocardial infarction or revascularisation procedure?
Design: randomised controlled trial. Current Controlled Trials ISRCTN 72884263.
Allocation: concealed.
Blinding: blinded (outcome assessors).
Follow-up period: 1 year.
Setting: 4 hospital-based cardiac rehabilitation centres in West Midlands, UK.
Patients: 525 patients (mean age 61 y, 77% men) who were referred to the rehabilitation programme within 12 weeks after myocardial infarction (49% of patients), percutaneous coronary angioplasty (40%), or coronary artery bypass graft surgery (11%). High-risk patients were excluded.
Intervention:
home-based cardiac rehabilitation programme (a manual and 
3 home visits and 1 telephone call from a specially trained rehabilitation nurse over 12 wks) (n = 263) or hospital-based programme (attended 1–2 sessions/wk for 8–12 wks) (n = 262). Both programmes included exercise, relaxation, education, and lifestyle counselling.
Outcomes:
blood pressure, cholesterol concentrations, Hospital Anxiety and Depression Scale score, distance walked (incremental
University of Leicester, Leicester, UK
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