[Cardiac rehabilitation - a health technology assessment: evidence from the literature and the DANREHAB trial]
Zwisler A-D, Nissen NK, Madsen M, DANREHAB-gruppen
Record ID 32006001434
In this report a health technology assessment on hospital based comprehensive cardiac rehabilitation is presented. The evidence on cardiac rehabilitation is systematically reviewed and the results of a Danish cardiac rehabilitation trial (DANREHAB trial) are presented. The report also presents an organisational analysis on diffusion of cardiac rehabilitation in Denmark and translation of the cardiac rehabilitation idea into clinical practise at a local hospital. The DANREHAB trial was carried out at a hospital. The cardiac rehabilitation programme offered however resembles the programmes that are under construction in the coming local health care centres in the municipalities. Thus experiences from the DANREHAB trial can be used as source of inspiration in the future extension of hospital-based as well as community based cardiac rehabilitation programmes.
This health technology assessment report shows that cardiac rehabilitation increases patient satisfaction, and that patients are willing to participate in the treatment offer. Evidence indicates that cardiac rehabilitation has a positive impact on heart healthy lifestyle and risk profile. Cardiac rehabilitation seems to reduce acute re-hospitalisation rate and total bed days spent in the hospital, which raises a potential for reducing the total health care costs. Cardiac rehabilitation is not fully implemented at hospitals in Denmark. A number of organisational challenges exist in the implementation process of cardiac rehabilitation, thus a local study shows that it is possible to implement cardiac rehabilitation in accordance with the current guidelines in Denmark.
Knowledge on how to organise and run cardiac rehabilitation in details is still sparse. There is a need of gathering experiences from existing programmes as well as programmes that are under development. The effect of cardiac rehabilitation must be studied in large high quality trials before final conclusions of the effect can be made.
English language abstract:
An English language summary is available
- Technology Assessment, Biomedical
- Cardiac Care Facilities
- Cardiovascular Diseases
- Coronary Disease
- Heart Failure
Danish Centre for Evaluation and Health Technology Assessment
National Board of Health, PO Box 1881, Islands Brygge 67, DK-2300 Copenhagen S, Denmark. Tel: 45 72 22 74 48; Fax: 45 72 22 74 07/67
Danish Centre for Evaluation and Health Technology Assessment (DACEHTA)