{
  "abstract": "Background Heart failure (HF), defined as the heart’s inability to pump blood effectively, is an increasingly significant public health concern. Its rising prevalence is largely driven by an aging population, structural changes to the heart caused by hypertension, and muscle damage resulting from myocardial infarction. The NHS reports approximately 60,000 new cases of HF each year, underscoring the urgent need to enhance cardiac rehabilitation (CR) referral rates to help reduce hospital admissions. Therefore, investigating the potential of CR to slow the progression of heart failure is both timely and essential.Aims This systematic review evaluates the effectiveness of both centre-based and home-based cardiac rehabilitation programs (CRPs) in reducing hospital admissions among patients with heart failure or those at risk of developing the condition.Methods The author searched 3 databases, performed quality assessment using Consort 2010 and PRISMA flow chart, resulting in 10 studies which were analysed.Results There were notable differences in clinical outcomes between home-based and centre-based CRPs over a 6–12-month period. Exercise training significantly improved patients’ physical function, leading to reduced hospital admissions (5 studies/comparisons; high-quality evidence). Psychosocial management and patient education enhanced patients’ self-efficacy in exercise and medication adherence (5 studies/comparisons; high-quality evidence). Medical risk management was associated with reduced progression of myocardial infarction and fewer adverse effects in HF patients’ hospital readmissions (10 studies/comparisons; high-quality evidence).Conclusion Patients with HF who completed either centre-based or home-based CRP experienced a reduction in hospital admissions related to worsening symptoms. Regarding, implications for practice, although the uptake of cardiac rehabilitation remains low, the prevalence of HF among older adults continues to rise. This trend highlights the urgent need for the NHS to also prioritize CR referrals and allocate funding to improve access to Phase IV CR programs. These programs, delivered by BACPR-trained exercise professionals, should be more widely available in community settings across the UK. Establishing long-term strategies to support sustained physical activity after hospital discharge is crucial for reducing the risk of HF recurrence and for managing cardiovascular conditions that may contribute to its development.",
  "authors": [
    {
      "affiliations": [
        "Founder, ThrivBeat, MSc Physiotherapy Student, Glasgow Caledonian University, Glasgow, UK"
      ],
      "name": "Sharon Jakisa"
    },
    {
      "affiliations": [
        "Dr Anthony Cliffe, Academic Skills Team, University of Aberdeen, Aberdeen, UK"
      ],
      "name": "Anthony Cliffe"
    },
    {
      "affiliations": [
        "Professor Stephen Fallows, Programme Leader, Clinical Sciences and Nutrition MRes, University of Chester, Chester, UK"
      ],
      "name": "Stephen Fallows"
    }
  ],
  "title": "P24 Does cardiac rehabilitation reduce hospital admission in heart failure patients those at risk of developing it? A systematic review",
  "uid": "f0868df6-2dd6-590e-a8ee-0208e2e53c49"
}