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Physical and mental components of quality of life after a cardiac rehabilitation intervention: a systematic review and meta-analysis

2024-09-20Journal article Open access
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dc.contributor.authorMoreira, José
dc.contributor.authorBravo, Jorge
dc.contributor.authorAguiar, Pedro
dc.contributor.authorDelgado, Bruno
dc.contributor.authorRaimundo, Armando
dc.contributor.authorBoto, Paulo
dc.date.accessioned2024-10-08T16:33:25Z
dc.date.available2024-10-08T16:33:25Z
dc.date.issued2024-09-20
dc.description.abstractBackground: This study aimed to analyze the effect of cardiac rehabilitation programs on the health-related quality of life of patients after a coronary cardiac event using patient-reported outcome measures (PROMs) for up to 6 months of evaluation. Methods: A comprehensive search was carried out in the MEDLINE, CINAHL, CENTRAL, and Web of Science databases for randomized controlled trials comparing the cardiac rehabilitation program with usual care. Two independent reviewers assessed the studies for inclusion, risk of bias using the Cochrane tool, and quality of evidence through the GRADE system. A meta-analysis was performed on studies assessing health-related quality of life with the SF-12 (Physical Component Summary and Mental Component Summary) up to 6 months after the program. Results: Twelve studies encompassed 2260 patients who participated in a cardiac rehabilitation program after a coronary event, with a mean age of 60.06 years. The generic PROMs used to assess quality of life were the SF-12, SF-36, EQ-5D-3L, EQ-5D-5L, and GHQ, and the specific coronary heart disease PROMs were MacNew and HeartQoL. There was a positive effect of participation in cardiac rehabilitation on the physical component of health-related quality of life at 6 months (MD [7.02]; p = 0.04] and on the mental component (MD [1.06]; p = 0.82) after applying the SF-12. Conclusions: This study highlights the significant benefits of cardiac rehabilitation programs on health-related quality of life, particularly in the physical domain at 6 months. Assessing outcomes over time through PROMs after coronary heart events is essential, thus making it possible to personalize patients’ care and improve their health status.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.3390/jcm13185576pt_PT
dc.identifier.eid85205062025
dc.identifier.issn2077-0383
dc.identifier.pmcPMC11433594
dc.identifier.pmid39337063
dc.identifier.urihttp://hdl.handle.net/10400.14/46911
dc.identifier.wos001322921600001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectCardiac rehabilitationpt_PT
dc.subjectHealth-related quality of lifept_PT
dc.subjectMeta-analysispt_PT
dc.subjectPatient-reported outcome measurespt_PT
dc.subjectRandomized controlled trialpt_PT
dc.titlePhysical and mental components of quality of life after a cardiac rehabilitation intervention: a systematic review and meta-analysispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue18pt_PT
oaire.citation.titleJournal of Clinical Medicinept_PT
oaire.citation.volume13pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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