A Randomized Trial of the Addition of Home-based Exercise to Specialist Heart Failure Nurse Care: the Birmingham Rehabilitation Uptake Maximisation Study for Patients with Congestive Heart Failure (BRUM-CHF) Study

Overview

Journal Eur J Heart Fail

Publisher Wiley

Specialty Cardiology & Vascular Diseases

Date 2009 Jan 27

PMID 19168520

Citations 36

Authors

Kate Jolly

Rod S Taylor

Gregory Y H Lip

Mick Davies

Russell Davis

Jonathan Mant

Sally Singh

Sheila Greenfield

Jackie Ingram

Jane Stubley

Stirling Bryan

Andrew Stevens

Affiliations

Soon will be listed here.

Abstract

Aims: Supervised exercise can benefit selected patients with heart failure, however the effectiveness of home-based exercise remains uncertain. We aimed to assess the effectiveness of a home-based exercise programme in addition to specialist heart failure nurse care.

Methods And Results: This was a randomized controlled trial of a home-based walking and resistance exercise programme plus specialist nurse care (n=84) compared with specialist nurse care alone (n=85) in a heart failure population in the West Midlands, UK.

Primary Outcome: Minnesota Living with Heart Failure Questionnaire (MLwHFQ) at 6 and 12 months.

Secondary Outcomes: composite of death, hospital admission with heart failure or myocardial infarction; psychological well-being; generic quality of life (EQ-5D); exercise capacity. There was no statistically significant difference between groups in the MLwHFQ at 6 month (mean, 95% CI) (-2.53, -7.87 to 2.80) and 12 month (-0.55, -5.87 to 4.76) follow-up or secondary outcomes with the exception of a higher EQ-5D score (0.11, 0.04 to 0.18) at 6 months and lower Hospital Anxiety and Depression Scale score (-1.07, -2.00 to -0.14) at 12 months, in favour of the exercise group. At 6 months, the control group showed deterioration in physical activity, exercise capacity, and generic quality of life.

Conclusion: Home-based exercise training programmes may not be appropriate for community-based heart failure patients.

Citing Articles

Exercise-based cardiac rehabilitation for adults with heart failure.

Molloy C, Long L, Mordi I, Bridges C, Sagar V, Davies E Cochrane Database Syst Rev. 2024; 3:CD003331.

PMID: 38451843 PMC: 10919451. DOI: 10.1002/14651858.CD003331.pub6.

Nurse-coordinated home-based cardiac rehabilitation for patients with heart failure: A scoping review.

Ruan T, Xu M, Zhu L, Ding Y Int J Nurs Sci. 2023; 10(4):435-445.

PMID: 38020827 PMC: 10667294. DOI: 10.1016/j.ijnss.2023.09.022.

Exercise-based cardiac rehabilitation in women with heart failure: a review of enrollment, adherence, and outcomes.

Wills W, Athilingam P, Beckie T Heart Fail Rev. 2023; 28(6):1251-1266.

PMID: 37059937 DOI: 10.1007/s10741-023-10306-5.

Multicomponent integrated care for patients with chronic heart failure: systematic review and meta-analysis.

Yang Y, Hoo J, Tan J, Lim L ESC Heart Fail. 2022; 10(2):791-807.

PMID: 36377317 PMC: 10053198. DOI: 10.1002/ehf2.14207.

Effects of exercise-based cardiac rehabilitation delivery modes on exercise capacity and health-related quality of life in heart failure: a systematic review and network meta-analysis.

Tegegne T, Rawstorn J, Nourse R, Kibret K, Ahmed K, Maddison R Open Heart. 2022; 9(1).

PMID: 35680170 PMC: 9185675. DOI: 10.1136/openhrt-2021-001949.

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