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Related Experiment Video

Updated: Jul 12, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Home-based versus centre-based cardiac rehabilitation.

Sinead Tj McDonagh1, Hasnain Dalal1, Sarah Moore1

  • 1Department of Health and Community Sciences, University of Exeter Medical School, Faculty of Health and Life Sciences, St Luke's Campus, University of Exeter, Exeter, UK.

The Cochrane Database of Systematic Reviews
|October 27, 2023
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Summary

Home-based cardiac rehabilitation programs, with or without digital support, show similar effectiveness to traditional center-based programs for patients recovering from heart events. This finding supports expanding supervised home-based cardiac rehabilitation, especially given pandemic-related access limitations.

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Area of Science:

  • Cardiology
  • Public Health
  • Digital Health

Background:

  • Cardiovascular disease remains a leading global cause of death.
  • Cardiac rehabilitation (CR) traditionally occurs in centers but home-based and technology-supported models have emerged.
  • This review is an update of previous analyses from 2009, 2015, and 2017, focusing on CR accessibility.

Approach:

  • A systematic review and meta-analysis of randomized controlled trials comparing home-based CR (with or without digital/telehealth) to center-based CR.
  • Searches were conducted across multiple databases (CENTRAL, MEDLINE, Embase, PsycINFO, CINAHL) updated to September 2022.
  • Included adults with myocardial infarction, angina, heart failure, or post-revascularization.

Key Points:

  • 24 trials with 3046 participants were included; risk of bias was generally low but reporting was often insufficient.
  • No significant differences were found in mortality (low-certainty evidence) or exercise capacity (low-certainty evidence) up to 12 months.
  • Health-related quality of life showed no significant difference up to 24 months, with moderate-certainty evidence for exercise capacity beyond 12 months.

Conclusions:

  • Home-based CR (with or without digital/telehealth) is similarly effective to center-based CR for improving clinical and quality-of-life outcomes.
  • This supports the expansion of supervised home-based CR, particularly relevant during the COVID-19 pandemic.
  • Further research is needed on long-term effects and effectiveness for other cardiac patient groups.