Effectiveness and safety of exercise training and rehabilitation in elderly patients after heart valve intervention: A systematic review and meta-analysis of randomized controlled trials.

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2024-11-11 DOI:10.1016/j.gerinurse.2024.10.049

Rongxiang Zhang, Hongzhan Jiang, Chenyang Zhu, Feng Tian, Shiqi Chen, Pingping Huang, Bixia Lin, Yuan Chen

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引用次数: 0

Abstract

Objective: To investigate the effectiveness and safety of exercise rehabilitation in older adults undergoing intervention for heart valve disease.

Method: PubMed, Embase, Cochrane Library, CINAHL, Ovid Medline, SPORTDiscus, Web of Science, China National Knowledge Infrastructure (CNKI), and Wanfang were systematically searched until January 2024. Risk-of-bias assessments were performed using the Cochrane risk-of-bias tool. A meta-analysis of the following indexes was performed using RevMan 5.4 software.

Results: Nine trials involving 631 patients were ultimately included. Exercise rehabilitation significantly reduced the risk of adverse events, increased the 6-minute walk distance, improved the physical component of quality of life, and shortened the length of postoperative hospitalization. However, exercise rehabilitation did not affect all-cause mortality, left heart ejection fraction, or peak oxygen uptake.

Conclusions: Exercise rehabilitation may enhance exercise capacity, reduce the incidence of adverse events, and shorten the length of postoperative hospitalization in older adults undergoing intervention for heart valve disease.

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心脏瓣膜介入术后老年患者运动训练和康复的有效性和安全性：随机对照试验的系统回顾和荟萃分析。

目的研究运动康复对接受心脏瓣膜病干预的老年人的有效性和安全性：方法：系统检索了 PubMed、Embase、Cochrane Library、CINAHL、Ovid Medline、SPORTDiscus、Web of Science、中国国家知识基础设施（CNKI）和万方数据库，检索期至 2024 年 1 月。使用 Cochrane 偏倚风险工具对偏倚风险进行了评估。使用RevMan 5.4软件对以下指标进行了荟萃分析：最终纳入了九项试验，涉及 631 名患者。运动康复明显降低了不良事件发生的风险，增加了6分钟步行距离，改善了生活质量中的体力部分，缩短了术后住院时间。然而，运动康复并不影响全因死亡率、左心射血分数或峰值摄氧量：运动康复可提高接受心脏瓣膜病介入治疗的老年人的运动能力，降低不良事件的发生率，缩短术后住院时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.