Conclusions Exercise-based cardiac rehabilitation is effective at reducing important clinical outcomes in patients with coronary heart disease .
While our analysis was constrained by the quality of included trials and missing information about intervention components , there appears to be little differential effect of variations in exercise intervention , particularly on mortality outcomes .
Background While the clinical benefits of exercise-based cardiac rehabilitation are well established , there is extensive variation in the interventions used within these trials .
It is unknown whether variations in individual components of these exercise interventions provide different relative contributions to overall clinical outcomes .
This study aims to systematic ally examine the relationship between individual components of the exercise intervention in cardiac rehabilitation ( such as intensity and frequency ) and clinical outcomes for people with coronary heart disease .
[Heart rehabilitation. Cost-effectiveness analysis].
OBJECTIVE Heart rehabilitation programmes improve the quality of life of coronary patients and the prognosis of the illness . Implementing these therapeutic systems into practice would be easier if their economic efficiency was proven . MATERIAL AND METHODS The expenses created by 180 survivors of a myocardial infa rct ion have been studied at the first and sixth year after the acute episode . The survivors were divided , at r and om , into two groups of 90 . One of them ( RG ) underwent a rehabilitation programme ( physical training , psychological action and control guidelines of risk factors ) . The other ( CG ) served as a control . RESULTS The profits , analyzing the direct expenses ( readmissions to hospital ) were of 5,074,039 ptas . the first year ( CG : 19,901,578 ; RG : 14,827,539 ) , and of 17,451,910 ptas . at the end of the study ( CG : 54,370,249 ; RG : 36,918,339 ) . Better results were obtained when review ing the indirect expenses ( derived from return to work ) , since the profits were of 26,000,000 ptas . after the first year ( CG : 54,750,000 ; RG : 28,750,000 ) and of 209,750,000 at the sixth year ( CG : 438,000,000 ; RG : 228,250,000 ) . The saving per patient was of 272,437 ptas . during the first 12 months and of 2,415,220 at the end of the follow-up . CONCLUSIONS These results justify the fact that the Public Administration and private Insurance Providers are taking into account the adequacy of implementing these therapeutic systems into practice
Conclusions Exercise-based cardiac rehabilitation is effective at reducing important clinical outcomes in patients with coronary heart disease .
While our analysis was constrained by the quality of included trials and missing information about intervention components , there appears to be little differential effect of variations in exercise intervention , particularly on mortality outcomes .
Background While the clinical benefits of exercise-based cardiac rehabilitation are well established , there is extensive variation in the interventions used within these trials .
It is unknown whether variations in individual components of these exercise interventions provide different relative contributions to overall clinical outcomes .
This study aims to systematic ally examine the relationship between individual components of the exercise intervention in cardiac rehabilitation ( such as intensity and frequency ) and clinical outcomes for people with coronary heart disease .