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Review: short duration of bed rest was as safe as long duration after acute uncomplicated myocardial infarction

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 Q In patients with acute uncomplicated myocardial infarction (MI), does the duration of bed rest affect outcomes?

METHODS

Embedded ImageData sources:

Cochrane Central Register of Controlled Trials, Medline, EMBASE/Excerpta Medica, PASCAL BioMed, PsycINFO, and BIOSIS Previews (to August 2005); reference lists; and experts.

Embedded ImageStudy selection and assessment:

randomised controlled trials (RCTs) and quasi-RCTs that compared short (1–14 d) and long (5–28 d) durations of bed rest after acute uncomplicated MI. 15 RCTs (n = 2958; median mean age 60 y; median 81% men) published between 1954 and 1989 met the selection criteria. Quality of individual trials was assessed based on randomisation method, blinded assessment of outcomes, and intention-to-treat analysis.

Embedded ImageOutcomes:

all-cause mortality, death from cardiac causes, reinfarction, arrhythmia, and thromboembolic complications.

MAIN RESULTS

Short durations of bed rest did …

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