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Home-based cardiac rehab was as effective as hospital-based rehab in improving cardiac risk factors

http://dx.doi.org/10.1136/ebn.12.3.83

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    QUESTION

    Is home-based cardiac rehabilitation as effective as hospital-based rehabilitation in low-to-moderate–risk patients with recent myocardial infarction or revascularisation procedure?

    METHODS

    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 …

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    Footnotes

    • Source of funding: UK Department of Health.

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    2009 RCN Publishing Company Limited and BMJ Publishing Group Ltd