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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

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Cardiac Rehabilitation Phase II Outcomes Prior to and During COVID

Harrison Krebs1, Kimberly Crutcher2, Yan Su1

  • 1Mennonite College of Nursing, Illinois State University, Normal, IL, USA.

Heart & Lung : the Journal of Critical Care
|September 18, 2023
PubMed

Insights

The COVID-19 pandemic impacted cardiac rehabilitation (CR). Despite challenges, CR significantly improved patient outcomes like the 6-minute walk test, metabolic equivalents, and quality of life.

Area of Science:

  • Cardiology
  • Public Health
  • Rehabilitation Medicine

Background:

  • The COVID-19 pandemic restricted access to outpatient Cardiac Rehabilitation (CR) programs.
  • This study addresses the impact of these limitations on patient recovery.

Purpose of the Study:

  • To evaluate the outcomes of patients undergoing Phase II Cardiac Rehabilitation before and during the COVID-19 pandemic.
  • To assess the influence of the pandemic on key patient metrics.

Main Methods:

  • A retrospective review of 212 CR patients from 2019 (pre-COVID) and 2020 (COVID era).
  • Linear mixed-effects models analyzed the effect of COVID-19 on 6-minute walk test (6MWT), metabolic equivalents (METs), and quality of life (QOL).
  • Generalized linear mixed-effects models examined the impact of COVID-19 and CR on depression (PHQ-9 scores).

Main Results:

  • Cardiac Rehabilitation significantly improved 6MWT, METs, and QOL.
  • A significant interaction between COVID-19 and pre-post intervention status was observed for PHQ-9 scores (P interaction = 0.04).

Conclusions:

  • Patients reported increased depression and poorer QOL during the COVID-19 pandemic.
  • Despite pandemic-related challenges, all assessed outcomes showed significant improvement after completing CR.
Abstract

Keywords:
COVIDCardiac rehabilitationFunctional capacityQuality of lifeand Depression

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