Article

PURPOSE: To evaluate the quality of clinical guidelines (CGs) for cardiac
rehabilitation and to critically appraise exercise-related recommendations.
DESIGN: critical review.
DATA SOURCES:
main search engines, databases,
clearinghouses, and guideline developers.
STUDY SELECTION: We included
evidence-based CGs specific to cardiac rehabilitation with recommendations for
the period after diagnosis of myocardial infarction or acute coronary syndrome.
Clinical guidelines needed to include an exercise component and at least 1
additional component in the cardiac rehabilitation program. Data extraction and
appraisal: We evaluated the quality of GCs, using the Appraisal of Guidelines for
Research and Evaluation Instrument, second version. Three reviewers independently
extracted data, appraised the quality of included CGs, and resolved disagreements
by consensus. RESULTS: Nine guidelines were included. The average scores were
79.84%, 59.88%, 55.56%, 85.18%, 48.92%, and 56.79% for the domains of scope and
purpose, stakeholder involvement, rigor of development, clarity and presentation,
applicability, and editorial independence, respectively. The majority of
guidelines recommended low- to moderate-intensity aerobic and resistance
exercises, with moderate variability in the frequency and duration of sessions.
CONCLUSIONS: Clinical guidelines consistently recommended aerobic and resistance
exercises. Overall, our critical review showed that the quality of CGs was at
least moderate, with the greatest deficiencies being related to applicability and
rigor of development domains.

Langue : ANGLAIS