Kallio 1979.
| Study characteristics | ||
| Methods |
Study design: multicentre RCT (2 sites) Country: Finland Dates participants recruited: May 1973 to October 1975 Maximum follow‐up: 3 years |
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| Participants |
Inclusion criteria: participants treated in hospital for acute myocardial infarction based on WHO criteria Exclusion criteria: NR N randomised: total: 375; intervention: 188; comparator: 187 Diagnosis (% of participants): AMI: 100% Age (mean): intervention: 54.4; comparator: 54.1 Percentage male: 80.3% Ethnicity: NR |
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| Interventions |
Intervention: the programme was started two weeks after discharge from hospital and consisted of medical examinations by an internist at least monthly for the first six months after AMI, then when necessary or at least 3‐monthly. A physical exercise programme, tailored to the individual’s working capacity determined in a bicycle ergometer test, was recommended, and for most participants, it was done under supervision. The rehabilitation programme was most intensive during the first three months after myocardial infarction. Components: exercise, education and psychological Setting: supervised in a centre Exercise programme modality: NR Length of session: NR Frequency: NR Intensity: NR Resistance training included? NR Total duration: NR Co‐interventions: besides the internist, the team included a social worker, a psychologist, a dietitian, and a physiotherapist. Health education consisted of anti‐smoking and dietary advice, and discussions on psychosocial problems. Comparator: usual care Co‐interventions: none described |
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| Outcomes | Total mortality; cardiovascular mortality (follow‐up 3 years). | |
| Source of funding | Social Insurance Institution | |
| Conflicts of interest | NR | |
| Notes | ||
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Unclear risk | "randomly allocated" |
| Allocation concealment (selection bias) | Unclear risk | Not reported |
| Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Blinding not described |
| Incomplete outcome data (attrition bias) All outcomes | Low risk | 1% lost to follow‐up |
| Selective reporting (reporting bias) | Low risk | All outcomes reported at all time points. |