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Table 7 The impact of waiting for cardiac rehabilitation on health outcomes

From: Reducing wait time from referral to first visit for community outpatient services may contribute to better health outcomes: a systematic review

Study Outcome MICD Findings (Positive MD favours shorter wait) Statistical Significance Clinical Significance
Aamot et al (2010) [44] Exercise Tolerance (VO2 Peak) 3.1 ml/Kg per min MD 0.1 (95%CI -5.2 to 5.4) N N
QOL:     
 SF-36 General Health 4.4 units MD -4 (-8.3 to 0.3) N N
 SF-36 Role Physical 12.5 units MD -8.3 (95%CI -18.0 to 1.5) N N
 SF-36 Physical Functioning 8.1 units MD 3.8 (95%CI -2.2 to 9.7) N N
Fell et al (2016) [46] Physical Activity (Guideline adherence) 150 min/week Long wait group: OR 0.9 (95%CI 0.7 to 1.0) N N
Exercise Tolerance (Shuttle walk test) ≥70 m Long wait group: OR 0.8 (95%CI 0.7 to 0.9) Y Y
QOL (Dartmouth self-reported fitness) 1-3 (healthy status score) Long wait group: OR 0.8 (95%CI 0.7 to 0.9) Y Y
Johnson et al (2014) [47] Exercise Tolerance (MET change scores) 0.5 METs Short wait vs. intermediate wait:
MD 0.6 (95%CI 0.3 to 1.0)
Y Y
Short wait vs. long wait:
MD 1.2 (95%CI 0.9 to 1.6)
Y Y
Kehler et al (2017) [48] Physical Activity (Guideline adherence) 150 mins/week Short wait vs. long wait: 83% vs. 60% N N
Exercise Tolerance (MET) 0.5 METs MD 2 (95%CI 0.6 to 3.4) Y Y
Depressive symptoms (PHQ-9) 5 units MD 0.9 (95%CI -1.4 to 3.2) N N
Marzolini et al (2015) [50] Exercise Tolerance (VO2 Peak) 8.5 ml/Kg per min MD 14.5 (95%CI 10.0 to 18.1) Y Y
Pack et al (2013) [43] Exercise Tolerance (MET) 0.5 METs MD 0.1 (95%CI -0.3 to 0.5) N N
  1. MICD Minimum Clinically Important Differences, VO2 Peak Peak Oxygen Consumption, mL milliliters, Kg kilograms, min minutes, QOL Quality of Life, m metres, MET Metabolic Equivalent, PHQ-9 Patient Health Questionnaire – 9, SF-36 36-item Short Form Survey, MD Mean Difference, OR Odds Ratio, Y Yes, N No, ? Unable to determine