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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Home-based versus centre-based cardiac rehabilitation.

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Home-based cardiac rehabilitation is as effective as traditional centre-based programs for improving patient outcomes. This review supports expanding home-based cardiac rehabilitation options, offering flexibility and similar benefits for cardiovascular disease recovery.

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Area of Science:

  • Cardiology
  • Public Health
  • Rehabilitation Medicine

Background:

  • Cardiovascular disease remains a leading global cause of mortality.
  • Traditional cardiac rehabilitation is centre-based, but home-based programs aim to increase accessibility.
  • This review is an update of previous analyses from 2009 and 2015.

Purpose of the Study:

  • To compare the effectiveness of home-based versus supervised centre-based cardiac rehabilitation.
  • Outcomes assessed include mortality, morbidity, exercise capacity, quality of life, and cardiac risk factors.
  • The study focuses on patients with various heart conditions.

Main Methods:

  • An updated systematic review and meta-analysis of randomized controlled trials.
  • Searches were conducted across multiple databases up to September 2016, with no language restrictions.
  • Included trials compared centre-based cardiac rehabilitation with home-based programs in adult cardiac patients.

Main Results:

  • No significant differences were found between home- and centre-based rehabilitation for mortality and exercise capacity up to 12 months.
  • Health-related quality of life outcomes were not consistently estimable beyond 12 months.
  • Home-based programs showed marginally higher completion rates, with low to very low quality evidence for most outcomes.

Conclusions:

  • Home- and centre-based cardiac rehabilitation demonstrate similar effectiveness for clinical and quality-of-life outcomes in cardiac patients.
  • The findings support the expansion of evidence-based home-based cardiac rehabilitation programs.
  • Future research should focus on long-term effects and utilize non-inferiority or equivalence study designs.