Exercise-based cardiac rehabilitation for adult patients with an implantable cardioverter defibrillator
Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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Exercise-based cardiac rehabilitation for adult patients with an implantable cardioverter defibrillator. / Nielsen, Kim M.; Zwisler, Ann Dorthe; Taylor, Rod S.; Svendsen, Jesper H.; Lindschou, Jane; Anderson, Lindsey; Jakobsen, Janus C.; Berg, Selina K.
I: Cochrane Database of Systematic Reviews, Bind 2019, Nr. 2, CD011828, 2019.Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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TY - JOUR
T1 - Exercise-based cardiac rehabilitation for adult patients with an implantable cardioverter defibrillator
AU - Nielsen, Kim M.
AU - Zwisler, Ann Dorthe
AU - Taylor, Rod S.
AU - Svendsen, Jesper H.
AU - Lindschou, Jane
AU - Anderson, Lindsey
AU - Jakobsen, Janus C.
AU - Berg, Selina K.
PY - 2019
Y1 - 2019
N2 - An effective way of preventing sudden cardiac death is the use of an implantable cardioverter defibrillator (ICD). In spite of the potential mortality benefits of receiving an ICD device, psychological problems experienced by patients after receiving an ICD may negatively impact their health-related quality of life, and lead to increased readmission to hospital and healthcare needs, loss of productivity and employment earnings, and increased morbidity and mortality. Evidence from other heart conditions suggests that cardiac rehabilitation should consist of both exercise training and psychoeducational interventions; such rehabilitation may benefit patients with an ICD. Prior systematic reviews of cardiac rehabilitation have excluded participants with an ICD. A systematic review was therefore conducted to assess the evidence for the use of exercise-based intervention programmes following implantation of an ICD. Objectives To assess the benefits and harms of exercise-based cardiac rehabilitation programmes (exercise-based interventions alone or in combination with psychoeducational components) compared with control (group of no intervention, treatment as usual or another rehabilitation programme with no physical exercise element) in adults with an ICD. Search methods We searched CENTRAL, MEDLINE, Embase and four other databases on 30 August 2018 and three trials registers on 14 November 2017. We also undertook reference checking, citation searching and contacted study authors for missing data. Selection criteria We included randomised controlled trials (RCTs) if they investigated exercise-based cardiac rehabilitation interventions compared with no intervention, treatment as usual or another rehabilitation programme. The trial participants were adults (aged 18 years or older), who had been treated with an ICD regardless of type or indication.
AB - An effective way of preventing sudden cardiac death is the use of an implantable cardioverter defibrillator (ICD). In spite of the potential mortality benefits of receiving an ICD device, psychological problems experienced by patients after receiving an ICD may negatively impact their health-related quality of life, and lead to increased readmission to hospital and healthcare needs, loss of productivity and employment earnings, and increased morbidity and mortality. Evidence from other heart conditions suggests that cardiac rehabilitation should consist of both exercise training and psychoeducational interventions; such rehabilitation may benefit patients with an ICD. Prior systematic reviews of cardiac rehabilitation have excluded participants with an ICD. A systematic review was therefore conducted to assess the evidence for the use of exercise-based intervention programmes following implantation of an ICD. Objectives To assess the benefits and harms of exercise-based cardiac rehabilitation programmes (exercise-based interventions alone or in combination with psychoeducational components) compared with control (group of no intervention, treatment as usual or another rehabilitation programme with no physical exercise element) in adults with an ICD. Search methods We searched CENTRAL, MEDLINE, Embase and four other databases on 30 August 2018 and three trials registers on 14 November 2017. We also undertook reference checking, citation searching and contacted study authors for missing data. Selection criteria We included randomised controlled trials (RCTs) if they investigated exercise-based cardiac rehabilitation interventions compared with no intervention, treatment as usual or another rehabilitation programme. The trial participants were adults (aged 18 years or older), who had been treated with an ICD regardless of type or indication.
U2 - 10.1002/14651858.CD011828.pub2
DO - 10.1002/14651858.CD011828.pub2
M3 - Review
C2 - 30746679
AN - SCOPUS:85061379808
VL - 2019
JO - Cochrane Database of Systematic Reviews
JF - Cochrane Database of Systematic Reviews
SN - 1361-6137
IS - 2
M1 - CD011828
ER -
ID: 235921518